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Housing Community & Longevity:
Here Comes the Age-Wave!  
5th Annual Silicon Valley
Positive Aging Forum
November 5, 2013
...
Thank you to our Hosts, Sponsors &
Community Partners
Forum Hosts:

Cupertino Quota
City of Cupertino
--------

Forum Spon...
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
Fifth Annual Silicon Valley Positive Aging Forum
November 5, 2013
10:00 to 4:30
Quinlan Community Center, Cupertino CA

Ho...
 Age 65 
& Older 

 Age 5 
& Younger

 Age 65 
& Older 

 Age 5 
& Younger

For generations to come, the world’s populatio...
World Health Organization:
8 Domains of
Age-Friendly Cities & Counties
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WHO Global Network of Age-friendly Cities and Communities
2nd International Conference on Age-Friendly Cities & Communitie...
WHO Global Network of Age-friendly Cities and Communities
2nd International Conference on Age-Friendly Cities & Communitie...
WHO Global Network of Age-friendly Cities and Communities
2nd International Conference on Age-Friendly Cities & Communitie...
WHO Global Network of Age-friendly Cities and Communities
2nd International Conference on Age-Friendly Cities & Communitie...
Age2Age Collaborative Visual Recording
WHO Global Network of Age-friendly Cities and Communities
2nd International Confere...
WHO Global Network of Age-friendly Cities and Communities
2 International Conference on Age-Friendly Cities & Communities
...
WHO Global Network of Age-friendly Cities and Communities
2nd International Conference on Age-Friendly Cities & Communitie...
Fifth Annual Silicon Valley Positive Aging Forum
November 5, 2013
10:00 to 4:30
Quinlan Community Center, Cupertino CA

Ho...
Richard Adler
2013 Positive Aging Forum
Cupertino, CA
November 5, 2013
17
Source: US Census Bureau

18
1948
1964
1992
2005
19
Women

Men

Source: Oeppen and Vaupell Broken Limits to Life Expectancy, Science, May 10., 2002

20
1. The systems and solutions

developed over the past half
century to support later life in the
US (e.g., Social Security,...
2. In a time of constrained public
resources, the old paradigm of how
we solve problems….





identify the problem;
d...
3. Therefore, to address the growing
needs of an aging population, we
need a new wave of entrepreneurial
innovation, in bo...
24
25
26
27
28
29
30
The best way to predict the
future is to invent it.

31
Fifth Annual Silicon Valley Positive Aging Forum
November 5, 2013
10:00 to 4:30
Quinlan Community Center, Cupertino CA

Ho...
“Retirement” Living
What is Changing and Why
November 5, 2013
Welcome & Introduction
Frank Rockwood, Rockwood Pacific
Session Objectives:
(i)Understanding Past Trends
(ii)Identifying K...
1950-1980 - Major Growth Period
After 1980 Population Growth Moderates
75+ Age Cohort Has Increased ~6x
SCC 75+ Ratio Expected To Grow Faster
New Approach

Population x Unit Ratio
= Implied Total Demand
1.Transparent
2.Appropriately Imprecise
3.Grounded in Place
4...
Population Relatively Straightforward
75+ Population Analysis
Santa Clara County

 250,000

 200,000

n
i
t
a
l
u
p
o
P

 ...
Key Metric: Unit Ratios
Unit Ratios
Units / (thousands of 75+ population)

ILu
ALu
MCu
SNFb
TOTAL (excl. ILu)

1990
      ...
Assuming constant Unit Ratios +20k

Units by Category
2050 Imputed Need Based on Constant Unit Ratio Assumption
Category
I...
Key Forces
+/- Unmet Demand / Over Supply
+/- Change in Need for Services
+/- Age Distribution
+/- Income / Wealth
+/- Sub...
Evidence That Older Adults Are Stronger
.. But Several Exceptions to this Trend
Substitution Factor Is Critical
• Best Senior Living Has Yet
To Be Invented
• The “Hell No” Generation
• Better Choices
Ag...
Fifth Annual Silicon Valley Positive Aging Forum
November 5, 2013
10:00 to 4:30
Quinlan Community Center, Cupertino CA

Ho...
• Here Comes the Age Wave!
• November 5, 2013
• Quinlan Community Center, Cupertino
• Anabel Pelham, Ph.D. Professor
• Ger...
• Becoming and being an A-F City is about an
INTENTION
• A STATE of MIND
• A willingness by leaders, particularly civic
an...
• Working with groups in 33 cities, in all
WHO regions, WHO asked older people in
focus groups to describe the
advantages/...
• For example, we can quantify the extension of morbidity via
the metric of disability adjusted life years (DALYs); this m...
The Center for Age-Friendly Excellence
Advancing Livable Communities for all Generations

A project of
Los Altos Community...
A world in which older people flourish and thrive 
within communities and cities that are vital and 
vibrant and richly fu...
WHO Age-Friendly Cities 8 Domains 
Worldwide, we are increasingly living in 
   aging societies. This dramatic 
   demographic shift offers both challenges 
...
CAFE intends to assume a leadership role in 
advancing our understanding and creation of AgeFriendly cities and communitie...
The Center for Age-Friendly Excellence was
founded:
• to develop and study Los
Altos/Los Altos Hills as
model age-friendly...
• to leverage our expertise and experience to expand
frontiers of well- being of older persons within
intergenerational, l...
CAFE works to place the accent on excellence for A-F
Communities

STRATEGY
Related CAFE
Activities

STRATEGY
Current CAFE Projects Implementation
CAFE will begin by working to implement a variety of
project solutions to the 5 unmet...
CAFÉ sponsored a Summit of Leaders in
Aging hosted by El Camino Hospital
September 20, 2013; eight categories of multiple
...
CAFE submitted a $20K program development grant to
the International Federation on Aging to implement 8
individual project...
• CAFÉ received a mini grant from the Town of Los Altos
Hills to implement two emergency preparedness projects
for seniors...
In order for an A-F culture to work we
need:
•Collaborative public/private
partnerships
•Political participation and
commi...
• We also need an urgent understanding of the
impacts of Climate Change on Aging; for
example:
• More dramatic weather eve...
• Climate change is irreversible, global and will
fundamentally affect the biosphere
• There are 7 ‘high confidence’ areas...
“ I’ve turned 60 and I can barely believe
nearly a third of my life is over ”
Woody Allen
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
Aging in Place is where “X” is your
right Community

“Aging-in-Place is all about how that place supports you as you age. ...
Age-Friendly City Topic Areas
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AGEFRIENDLY
CITY

Institute for Age-F...
© Age2Age 2012
Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

7
© Age2Age 2012
Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

7
© Age2Age 2012
Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

8
© Age2Age 2012
Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

8
© Age2Age 2012
Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

8
Walkable Community:
Mixed Use Housing

Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

8
Cohousing

Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

8
“Quint” Home:
Senior Housing Soltuions

Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

8
Home Sharing, “Golden Girls:
& Matching Services

Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

8
Affinity Housing:
Senior Artist Colony

Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

8
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
Design Perspectives:
Communities of the Future
Senior Living in the Age of Smart
Growth
Madeleine Zayas-Mart
Urban Designe...
Traditional CCRC

7%
93%
Why Create Alternatives?
Ask, What If? Why Not?

Change your
Perspective . . .
Change the way we
design our communities
Age Friendly Communities
Business as Usual

Sprawl and Single-Use Zoning

Cisco Systems HQ’s, North San Jose / Mountain View
Aging and Smart Growth

The Urban Framework: The Pearl District

Smart Growth provides the planning
framework to address t...
Aging and Smart Growth

Elements of Smart Growth: Access and Mixed-Use
Pedestrian friendly Streets

Connectivity/Access
to...
HOUSING CHOICES
CASE STUDIES
Seniors Deserve Better Choices
Hillside Resort Communities

MUSEUM PLACE, PORTLAND OREGON
Hillside Resort Communities
Leveraging the Broader Community
•
•

•
•

79 IL units
Modest common areas
• Dining
• Fitness
• Club room
Sunrise at Home
...
Leveraging the Broader Community
•
•

Satellite to CCRC (1 mile)

•

On “Main Street”

•

The Embassy
Mt. Lebanon, PA

34 ...
Infill Senior Housing at TOD
Christie Place,
Scarsdale, NY
Retail Integration

Crystal Springs Community, Annapolis, MD
Mixed-Use Downtown CCRC

Retail

Lagoon

op
Dr

Foster City Blvd.

Recreation
Center

City
Independent
Hall
Living
Library...
Mixed-Use Downtown CCRC

NCPHS, Foster City, CA
Expanding the Service Reach
•
•
•
•

The Villages at Collington
Mitchellville, MD

Impacting IL market
Undeveloped service...
Rebuilding the Neighborhood-Church Sponsor

St. Anthony Village, Portland, OR
Neighborhood of Care

Federal Client: VA Danville, IL
University Partnership

University Village, Berkeley, CA
University Partnership
Pedestrian Path

Maximize Retail Frontage

Retail
Service
Whole
Foods

Clinic

Library

Spirit

Spa...
University Partnership

Lasell College

Lasell Village

Lasell Villlage, Newton, MA
University Partnership

Lasell Villlage, Newton, MA
Image courtesy Steffian Bradley Architects
Co-Housing
Intentional Community

Camphill Ghent, NY
Inner City Infill Redevelopment
Inner City Infill Redevelopment
Inner City Infill Redevelopment
Inner City Infill Redevelopment
Retail Mixed-Use

Housing Choices: Mixed-Use
Retail Mixed-Use
Retail Mixed-Use
Retail Mixed-Use
THE DEVIL IS IN THE DETAILS
Aging in Place
Apartment for Life

large windows, low
sills

sheltered balcony

second bedroom option for
caregiver

medic...
Accommodating Lifelong Living
Technology | Communications
Age Friendly Communities
Urbanization Trends
•

By 2035, nearly two million more people are projected to live in the
Bay A...
How to Create Alternatives?

?

Think outside
the
Box
Design Perspectives:
Communities of the Future
Senior Living in the Age of Smart
Growth
Madeleine Zayas-Mart
Urban Designe...
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
AGING IN PLACE:
AT HOME WITH GROWING
OLD

SELF

PURPOSE

BELONGING
Stadler&
‘HOME’ ACROSS THE
LIFESPAN

Stadler&
A NEST/ A PLAYGROUND

Stadler&
A LAUNCHING PAD

Stadler&
A FAMILY HUB

Stadler&
A BASE FOR OUR WELLBEING

Stadler&
BATH ROOM AS LIVING ROOM

Stadler&
KITCHEN AS HEALTH CENTER

Snaidero: Skylab Kitchen
Stadler &: Family Kitchen

Stadler&
GRAB BARS
RAMPS
DOOR LEVER HANDLES
36” DOOR WAYS
WHEEL CHAIR CLEARANCE

Stadler&
PLAY

CONNECTION

SAFETY/COMFORT

Stadler&
Ceramica Flamina: Albero Shower

Stadler&
Stadler &: Apartment ‘A’, 450SF

Stadler&
Stadler &: Apartment ‘A’, 450SF

Stadler&
Susanne Stadler: Stair in Senior Living
Stadler &: Stair at Mills College

Stadler&
Stadler&: Haese Residence
Stadler &: Rio Apartment

Stadler&
Stadler&: Zen Hospice
Stadler &: Mills President’s House

Stadler&
Stadler&: Erickson Residence
Adolf Loos: Residence, Vienna

Stadler&
ROOM MATES

HOUSE MATES
Stadler&
HOW CAN DESIGNERS RESPOND?

LEARN FROM THE EXPERT USER

Stadler&
MOBILITY AND IDENTITY

Physically, I’m tired and
it scares me a little bit
because I have a heart
condition and I can’t
af...
HEALTH AND HOBBY

If I could do anything I
want I would have a
garden right outside my
kitchen so I could sit
out there an...
HOW CAN CITIES RESPOND?
FOSTER INTERGENERATIONAL CONNECTIONS

Rios Clementi Hale Studios: Grand Park, Los Angeles

Stadler...
HOW CAN DEVELOPERS AND
HEALTH CARE PROVIDERS
RESPOND?

UNDERSTAND THE COST/BENEFIT OF ‘FOR LIFE’ HOMES

Stadler &: Indepen...
AT HOME WITH GROWING OLD

Stadler&
www.stadlerarch.com
sstadler@stadlerarch.com
www.AtHomeWithGrowingOld.com
sstadler@athomewithgrowingold.com tasneem@AtHome...
Let’s Build the Future!!!

Institute for Age-Friendly Housing © 2011

www.agefriendlyhousing.org

15
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
Positive Aging Forum
Goodwill of Silicon Valley |
November, 2013
What do we do?

Transform Lives through the
Power of Social Enterprise
GWSV Overview
One of the over 165 Goodwill organizations in North America
GII collectively – 3.5 Billion Retail / 4.9 Bill...
A Comparison From the Funding Perspective:
Second Harvest of Santa Clara County

Individuals
64%

Income from
commercial
f...
A Comparison From the Funding Perspective:
Goodwill of Silicon Valley

After Market
19%

RETAIL
68%

Data source: GWSV 201...
Goodwill Business’s
• Retail
• 19 stores

• Wholesale Business
• Midwest, Shoes, Books

• After Market Business
• As-IS, S...
Goodwill Business’s
• Mattress Recycling
• Homeless Vets Reintegration Program

• Contracts Business
• Kitting, Packaging,...
Future Business’s
• Auto Reconditioning Business
• Ex-offendors

• Home Health Care
• Seniors and low education you
adults...
National Goodwill Enterprises
• Franchises
• Housing programs
• Veterans, SLE’s, Low Cost Rentals,
Shelters

• Senior Day ...
Dec 2012 Incl Year End Adjustments
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
Housing, Community, and
Longevity
November 5 th , 2013
Providers
Perspective for
Home Care
Service
Development
Demographics are Right:


65+ will expand from 40 M today to 55 M in 2020



By age 65, 66% of all seniors have at least...
A Focus on Preference:


More demand for higher levels of service and access



More demand for choice and experience

...
Healthcare Reform (payment and delivery reform):


Change in how care is delivered and paid for



Better is Better vs. ...
Opportunity:
Growth and diversification
Increase brand awareness
Leverage existing expertise
Create operational effici...
Ideas to Action
Ideas to Action
 Increase in traditional home-based services such as Home
Health and Home Care
 Provision of services beyond walls (CCRC...
Further Exploration:

http://ahhqi.org/quality-initiatives/innovation-case-s
Thank You!
Lori Peterson
www.collaborativeconsulting.net
lori@collaborativeconsulting.net
866. 332.3923
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
VILLAGES
A National movement of seniors working together to agein-place
Lisa Hendrickson
President & CEO
Avenidas
The National Village Movement
(www.vtvnetwork.org)
Components of Villages
 Coordination of access to supportive services through a tiered service

model




Village staf...
Village Services Reflect Unique Community Needs
Emerging Models of Villages
 Newly created, grassroots, standalone non-profit serving

specific neighborhood (Beacon Hill...
Why Do People Join A Village?
To stay at home: “I feel that living in a retirement facility would present severe
space lim...
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
Healthy Aging Initiative
Neighborhood Wellness Networks
195

The Health Trust mission is to lead the Silicon Valley
community to advance wellness

Healthy Eating

Healthy Living
...
196

The Health Trust Role
197

New THT 5 Year Strategic Plan
Vulnerable population Focus
Those experiencing barriers to good health due to: where th...
198

Neighborhood Networks
199

Wellness Hubs
• Create neighborhood-based network that
formally connects health and social supports to
ease access to...
200

Goals
• Create strong sustainable networks in select
neighborhoods that impact health
• Increase level and quality of...
201

What’s our Plan?
1.
2.
3.
4.
5.

Identify “hot spots” in SCC
Dive deep in 2-3 targeted neighborhoods
Research and sha...
202

Likely Partners – public & private
•
•
•
•
•
•
•
•
•

Senior/Community Centers
Community clinics and hospitals
Health...
Aqus Community is an organization devoted entirely to building
community.
We are focused on furthering the connections bet...
The Second Half of Life
A conversation cafe to explore
opportunities for building
community and networks of
support as we ...
Thank You
Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community, & Longevity: Here Comes the Age-Wave!
November 5, 201...
LinkAges Successful Aging
Creating Community Connections Timebanks
Martin Entwistle
Executive Director – Innovation Center
Druker Center for Health Systems
Innovation @ Palo Alto Medical
Foundation
Druker Center for Health Systems Innovation
The Innovation Center acts to catalyze,
invent, and deploy breakthrough
innova...
The Problem We Are Trying to Solve
Expensive Episodic Sick Care

Isolated Individuals
Successful Aging for Seniors
“The hard
thing
about
getting
older...
“...is that
your world
dies
before
you do.”
Going Beyond Transitions of Care – Focus on Health
and Wellbeing
We Need a Solution That Goes Beyond
Transitions of Care f...
Evolution of Innovation – Shift from Clinic to
Community
– Dynamic, Integrated System to
Support Successful Aging
Shift from focus on responses to crises and treating an
acute hea...
Our Solution

Creating a Community Network
to Support Aging in Place
PAMF linkAges™ - a
dynamic, integrated system
to support Successful Aging
Signal Detection

Identify, mitigate and
manage ...
TimeBanking
Find and connect with other
people in the community with
who I can exchange services
and support that help me ...
A community-based service exchange network which connects neighbors
with neighbors to exchange skills and interests and me...
Offers and Requests Between TimeBank Members
– Sustainable Deployment
• Train the trainer model coupled with
community-based Peer linkAges Ambassadors
lending grassroo...
– Partners in Mountain View
Organizations
•Mtn View Senior Center
•Mtn View Senior Advisory
Committee
•Alzheimers Associat...
– Mountain View Progress to Date

Enrollment

Engagement

Total
Total # # of 60+
#
Total Time
#
Orientation Enrolled Enrol...
– Outcomes
Making the difference
• Improved quality of life and wellbeing for older adults
• Improved quality of life for ...
It will take a
Community
Join us
Further Information
Martin Entwistle
Executive Director
Druker Center for Health Systems Innovation
Palo Alto Medical Foun...
Housing Community & Longevity:
Here Comes the Age-Wave!
5th Annual Silicon Valley
Positive Aging Forum
November 5, 2013
Cu...
Thank you to our Hosts, Sponsors &
Community Partners
Forum Hosts:

Cupertino Quota
City of Cupertino
--------

Forum Spon...
Housing Community & Longevity:
Here Comes the Age-Wave!
5th Annual Silicon Valley
Positive Aging Forum
November 5, 2013
Cu...
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
Housing, Community & Longevity: Here Comes the Age-Wave!       (2013 Silicon Valley Positive Aging Forum)
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Housing, Community & Longevity: Here Comes the Age-Wave! (2013 Silicon Valley Positive Aging Forum)

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150 + professionals and interested citizens from around the San Francisco Bay area convened to listen to 11 experts in the fields of Aging, Housing and Community Connections. This, the Fifth Annual Silicon Valley Positive Aging Forum was held on Nov 5, 2013, in Cupertino, CA.

The day was divided into three topical areas:

Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley

Part 2. Housing: Staying Home or What?

Part 3. Community: Connections for Aging In Place Services

The full program is included below and more information (including photos & video) will soon be posted at www.agefriendlyhousing.org.


----------------------------------------------------------------

Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community & Longevity: Here Comes the Age-Wave!
November 5, 2013 Cupertino, CA

Complete Program of Presentations & Speakers

Welcome:
Chris Kennedy, Executive Director, Institute for Age-Friendly Housing
Orrin Mahoney, Mayor of the City of Cupertino

Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley

• Aging is a Global Issue: Key Themes from the World Health Organization (WHO)
Chris Kennedy, Executive Director, Institute for Age-Friendly Housing
• Game Changers: Where and How We Live
Richard Adler, Institute for the Future
• “Retirement” Living: What’s Changing & Why
Frank Rockwood, Rockwood Pacific, Founder, and
LeadingAge California, Board Member
• Bringing Global to Local: WHO Global Network of Age-friendly Cities and Communities
Anabel Pelham, Professor of Gerontology SFSU, and
Director, Center for Age-Friendly Excellence
• Collaboration & Networking


Part 2. Housing: Staying Home or What?

• New Housing Options: Collaborative Communities & Funding Strategies
Chris Kennedy
• Design Perspectives & Communities of the Future
Madeleine Zayas-Mart, Architect & Housing Specialist,
Perkins Eastman
• Aging in Place: Being at Home with Growing Old
Susanne Stadler, Principal, Stadler &: Architecture,
Interior Design & Life Cycle Design
• Collaboration & Networking

Part 3. Community: Connections for Aging In Place Services

• Service Innovations: New Players in the Field
Michael Fox CEO, Goodwill Industries of Silicon Valley
• In-Home Care Options: Now and on the Horizon
Lori Peterson, CEO, Collaborative Consulting
• Connections At Home: Villages, Hubs, and Timebanks
Lisa Hendrickson, CEO Avenidas
Lori Andersen, Director of Healthy Aging, HealthTrust
Martin Entwistle, Exec.Director, Druker Center for Innovation, PAMF
• Collaboration & Networking

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Housing, Community & Longevity: Here Comes the Age-Wave! (2013 Silicon Valley Positive Aging Forum)

  1. 1. Housing Community & Longevity: Here Comes the Age-Wave!   5th Annual Silicon Valley Positive Aging Forum November 5, 2013 Cupertino, CA Presented by: The Institute for Age-Friendly Housing   www.AgeFriendlyHousing.org Serving the World from the Silicon Valley
  2. 2. Thank you to our Hosts, Sponsors & Community Partners Forum Hosts: Cupertino Quota City of Cupertino -------- Forum Sponsors & Community Partners: Age2Age Avenidas Sunnyside Gardens Assisted Living & Memory Care HealthTrust Perkins Eastman Stadler &: Architecture, Interior Design & Life Cycle Design TeleVisit Waddell & Reed Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org
  3. 3. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley     Aging is a Global Issue: Key Themes from the World Health Organization (WHO)  • Chris Kennedy, Executive Director, Institute for Age-Friendly Housing     Game Changers: Where and How We Live • Richard Adler, Institute for the Future     “Retirement” Living: What’s Changing  & Why • Frank Rockwood, Rockwood Pacific, Founder. LeadingAge California, Board Member     Bringing Global to Local: WHO Global Network of Age-friendly Cities and Communities     • Anabel Pelham, Professor of Gerontology SFSU, and Director, Center for Age-Friendly Excellence Part 2. Housing: Staying Home or What?      New Housing Options: Collaborative Communities & Funding Strategies  • Chris Kennedy, Executive Director, Institute for Age-Friendly Housing    Design Perspectives: Communities of the Future • Madeleine Zayas–Mart, Architect & Housing Specialist, Perkins Eastman      Aging in Place: Being at Home with Growing Old • Susanne Stadler, Principal, Stadler &: Architecture, Interior Design & Life Cycle Design Part 3. Community: Connections for Aging In Place Services      Service Innovations: New Players in the Field • Michael Fox CEO, Goodwill Industries of Silicon Valley      In-Home Care Options: Now and on the Horizon • Lori Peterson, CEO, Collaborative Consulting      Connections At Home: Villages, Hubs, and Timebanks • Lisa Hendrickson, CEO Avenidas • Lori Andersen, Director of Healthy Aging, HealthTrust • Martin Entwistle, Executive Director, Druker Center for Innovation, Palo Alto Medical Foundation Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org
  4. 4. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Aging is a Global Issue: Key Themes from the World Health Organization (WHO)  • Chris Kennedy, Executive Director, Institute for Age-Friendly Housing Game Changers: Where and How We Live • Richard Adler, Institute for the Future “Retirement” Living: What’s Changing  & Why • Frank Rockwood, Rockwood Pacific, Founder. LeadingAge California, Board Member Bringing Global to Local: WHO Global Network of Age-friendly Cities and  Communities     • Anabel Pelham, Professor of Gerontology SFSU, and Director, Center for AgeFriendly Excellence Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org
  5. 5. Fifth Annual Silicon Valley Positive Aging Forum November 5, 2013 10:00 to 4:30 Quinlan Community Center, Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Aging is a Global Issue: Key Themes from the  World Health Organization (WHO)  • Chris Kennedy, Executive Director, Institute for Age-Friendly Housing ( chris@AgeFriendlyHousing.org) Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org
  6. 6.  Age 65  & Older   Age 5  & Younger  Age 65  & Older   Age 5  & Younger For generations to come, the world’s population will never be as young as it is today. Image Courtesy of:  Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org
  7. 7. World Health Organization: 8 Domains of Age-Friendly Cities & Counties N TRA RTA TIO N CO ANDMMU INF NICA ORM TIO A TI N ON AGEFRIENDLY CITY Institute for Age-Friendly Housing © 2011 SOC PA I AL www.agefriendlyhousing.org RT ON ATI ICIP SOCRESPE IAL CT A I NC N D LUS IO N ON ATI ICIP ENT A RT Y M IC P PLO CIV D EM AN RT PPOCES SU I ITY SERV N MU ALTH COM HE D AN HO USI N G SPO OU T AN DOO DB RS UIL PAC DIN ES GS Source: Global Age-Friendly Cities: A Guide. United Nations World Health Organization. (2007).
  8. 8. WHO Global Network of Age-friendly Cities and Communities 2nd International Conference on Age-Friendly Cities & Communities Quebec City, September, 2013 Key Conference Theme: Intergenerational = Olders & Youngers Helping Each Other  Image Courtesy of:  Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org
  9. 9. WHO Global Network of Age-friendly Cities and Communities 2nd International Conference on Age-Friendly Cities & Communities Quebec City, September, 2013 Key Conference Theme: Getting Out of the Silos Image Courtesy of:  Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org
  10. 10. WHO Global Network of Age-friendly Cities and Communities 2nd International Conference on Age-Friendly Cities & Communities Quebec City, September, 2013 Key Conference Theme: “Joined-Up” Thinking / Collaborative Planning Image Courtesy of:  Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 1
  11. 11. WHO Global Network of Age-friendly Cities and Communities 2nd International Conference on Age-Friendly Cities & Communities Quebec City, September, 2013 Key Conference Theme: Projects Resulting from “Joined-Up” Thinking Integrate the Age-friendly Domains, Serving All Ages Image Courtesy of:  Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 1
  12. 12. Age2Age Collaborative Visual Recording WHO Global Network of Age-friendly Cities and Communities 2nd International Conference on Age-Friendly Cities & Communities Quebec City, September, 2013 Key Conference Theme: The Age-Friendly Cities Project Acts Like a Magic Wand for Ideas & Programs Image Courtesy of:  Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 1
  13. 13. WHO Global Network of Age-friendly Cities and Communities 2 International Conference on Age-Friendly Cities & Communities nd Quebec City, September, 2013 Key Conference Theme: AFC is like a Magnet, Attracting Cross-Sectoral Involvement: Government, Business, Technology, Education, Funding & People of All Ages Image Courtesy of:  Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 1
  14. 14. WHO Global Network of Age-friendly Cities and Communities 2nd International Conference on Age-Friendly Cities & Communities Quebec City, September, 2013 Key Conference Theme: Ongoing Global Connections to Share & Learn Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 1
  15. 15. Fifth Annual Silicon Valley Positive Aging Forum November 5, 2013 10:00 to 4:30 Quinlan Community Center, Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Game Changers: Where and How We Live • Richard Adler, Institute for the Future ( radler@digiplaces.com) Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 1
  16. 16. Richard Adler 2013 Positive Aging Forum Cupertino, CA November 5, 2013
  17. 17. 17
  18. 18. Source: US Census Bureau 18
  19. 19. 1948 1964 1992 2005 19
  20. 20. Women Men Source: Oeppen and Vaupell Broken Limits to Life Expectancy, Science, May 10., 2002 20
  21. 21. 1. The systems and solutions developed over the past half century to support later life in the US (e.g., Social Security, Medicare, Older Americans Act) will not scale up to support the next generation(s) of seniors.
  22. 22. 2. In a time of constrained public resources, the old paradigm of how we solve problems….     identify the problem; develop a program to address the problem; fund the program; problem solved ….is no longer working reliably.
  23. 23. 3. Therefore, to address the growing needs of an aging population, we need a new wave of entrepreneurial innovation, in both the public and private sectors, mainly on the local grass- roots level.
  24. 24. 24
  25. 25. 25
  26. 26. 26
  27. 27. 27
  28. 28. 28
  29. 29. 29
  30. 30. 30
  31. 31. The best way to predict the future is to invent it. 31
  32. 32. Fifth Annual Silicon Valley Positive Aging Forum November 5, 2013 10:00 to 4:30 Quinlan Community Center, Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley “Retirement” Living:                            What’s Changing  & Why • Frank Rockwood, Rockwood Pacific, Founder. LeadingAge California, Board Member ( frank@rockwoodpacific.com) Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 3
  33. 33. “Retirement” Living What is Changing and Why November 5, 2013
  34. 34. Welcome & Introduction Frank Rockwood, Rockwood Pacific Session Objectives: (i)Understanding Past Trends (ii)Identifying Key Forces (iii)Gauging Future Need
  35. 35. 1950-1980 - Major Growth Period
  36. 36. After 1980 Population Growth Moderates
  37. 37. 75+ Age Cohort Has Increased ~6x
  38. 38. SCC 75+ Ratio Expected To Grow Faster
  39. 39. New Approach Population x Unit Ratio = Implied Total Demand 1.Transparent 2.Appropriately Imprecise 3.Grounded in Place 4.Visual
  40. 40. Population Relatively Straightforward 75+ Population Analysis Santa Clara County  250,000  200,000 n i t a l u p o P  150,000 110,000  - 74%  100,000 81,400  50,000 90,000  35% 31,500  2010 75+ 65-75 [2010 Only] 2020 Net Migration
  41. 41. Key Metric: Unit Ratios Unit Ratios Units / (thousands of 75+ population) ILu ALu MCu SNFb TOTAL (excl. ILu) 1990             30.7             14.7               0.7             93.4           108.7 2000             32.5             15.4               2.1             68.5             86.1 2010             31.9             22.2               4.4             57.4             84.0
  42. 42. Assuming constant Unit Ratios +20k Units by Category 2050 Imputed Need Based on Constant Unit Ratio Assumption Category ILu ALu MCu SNFb Total Units 2000          1,570             752               34          4,779          7,135 2010          2,382          1,129             156          5,026          8,693 2020          2,900          2,000             400          5,200        10,500 2030             3,600             2,500                500             6,500           13,100 2040             5,400             3,700                700             9,700           19,500 2050             7,900             5,500             1,100           14,200           28,700 Increase 5,500 4,400 900 9,200 20,000
  43. 43. Key Forces +/- Unmet Demand / Over Supply +/- Change in Need for Services +/- Age Distribution +/- Income / Wealth +/- Substitution
  44. 44. Evidence That Older Adults Are Stronger
  45. 45. .. But Several Exceptions to this Trend
  46. 46. Substitution Factor Is Critical • Best Senior Living Has Yet To Be Invented • The “Hell No” Generation • Better Choices Age Friendly Communities
  47. 47. Fifth Annual Silicon Valley Positive Aging Forum November 5, 2013 10:00 to 4:30 Quinlan Community Center, Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Bringing Global to Local: WHO Global Network of  Age-friendly Cities and Communities     • Anabel Pelham, Professor of Gerontology SFSU, and Director, Center for Age-Friendly Excellence ( apelham@sfsu.edu) Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 4
  48. 48. • Here Comes the Age Wave! • November 5, 2013 • Quinlan Community Center, Cupertino • Anabel Pelham, Ph.D. Professor • Gerontology, SFSU
  49. 49. • Becoming and being an A-F City is about an INTENTION • A STATE of MIND • A willingness by leaders, particularly civic and political leaders, to study, learn and do the work • Ex: In LA/LAH A-F projects are part of the “Work Plan” of the Senior Commission
  50. 50. • Working with groups in 33 cities, in all WHO regions, WHO asked older people in focus groups to describe the advantages/barriers they experienced in eight areas of community living. These were complemented with evidence from service providers in the public and private sectors.
  51. 51. • For example, we can quantify the extension of morbidity via the metric of disability adjusted life years (DALYs); this measures a diseases’ overall burden as the number of years lost to ill health plus death. Controlling for age/not counting metabolic syndrome per se • Worldwide 1990-2010, the burden of disability caused by chronic illnesses has risen (especially in developed countries) • Type 2 Diabetes: 30% • Neurological disorders (dementia): 17% • Chronic kidney disease:12% • Musculoskeletal (arthritis):12% • Liver Cancer: 12% • Breast cancer: 5% Daniel Liberman, The Story of the Human Body
  52. 52. The Center for Age-Friendly Excellence Advancing Livable Communities for all Generations A project of Los Altos Community Foundation We Believe in Community
  53. 53. A world in which older people flourish and thrive  within communities and cities that are vital and  vibrant and richly fulfill the eight domains of The  World Health Organization’s (WHO) Age-Friendly Cities  indicators promoting quality of life. vision
  54. 54. WHO Age-Friendly Cities 8 Domains 
  55. 55. Worldwide, we are increasingly living in     aging societies. This dramatic     demographic shift offers both challenges     and opportunities. Academic Gerontology has made huge progress in  explaining and predicting the metrics of what constitutes  quality of life for older persons and a central emerging  theme is the powerful influence of community and  context in which aging takes place.  RATIONALE
  56. 56. CAFE intends to assume a leadership role in  advancing our understanding and creation of AgeFriendly cities and communities by applying  research and best practices of academic  Gerontology to the task. RATIONALE
  57. 57. The Center for Age-Friendly Excellence was founded: • to develop and study Los Altos/Los Altos Hills as model age-friendly cities “living labs” and extend a positive and supportive influence of evidence-based practice to surrounding communities in Santa Clara Co. and California mission
  58. 58. • to leverage our expertise and experience to expand frontiers of well- being of older persons within intergenerational, livable communities. • to serve as a home for public and private resource generation, tangible and measurable best practice projects, and multi-media distributed information to promote vital and vibrant communities for older people and all generations. • to be a force for transformational change in creating healthy, active, sustainable, and engaged communities wherein older persons may pursue happiness. mission
  59. 59. CAFE works to place the accent on excellence for A-F Communities STRATEGY
  60. 60. Related CAFE Activities STRATEGY
  61. 61. Current CAFE Projects Implementation CAFE will begin by working to implement a variety of project solutions to the 5 unmet meets of older persons in Los Altos/ Los Altos Hills as described by the Senior Survey undertaken by the Senior Commission in 2011. Strategy
  62. 62. CAFÉ sponsored a Summit of Leaders in Aging hosted by El Camino Hospital September 20, 2013; eight categories of multiple community recommended projects emerged from attendees serving as expert focus groups. We intend to seek funds to implement selected projects. Strategy
  63. 63. CAFE submitted a $20K program development grant to the International Federation on Aging to implement 8 individual projects to address 5 unmet needs of seniors in Los Altos and Los Altos Hills. Awards will be announced in late 2013. Strategy
  64. 64. • CAFÉ received a mini grant from the Town of Los Altos Hills to implement two emergency preparedness projects for seniors • The first builds on a partnership with the Eagle Scouts, the Rotary and the Town to upload emergency contact information for elders on a USB thumb drive. The Scouts will assist seniors. • The second also joins the Scouts and Rotary in assisting seniors in creating individualized emergency back packs with supplies donated and purchased during a special emergency preparedness day.
  65. 65. In order for an A-F culture to work we need: •Collaborative public/private partnerships •Political participation and commitments •Leadership by older persons •
  66. 66. • We also need an urgent understanding of the impacts of Climate Change on Aging; for example: • More dramatic weather events (storms, cold/ heat waves) • Diminishing and more costly food supplies • Increasing costs of living including fuel prices • Changing land use and city planning/housing issues • Air quality changes • Vectors moving northward
  67. 67. • Climate change is irreversible, global and will fundamentally affect the biosphere • There are 7 ‘high confidence’ areas of health impact • Demographic trends will ensure an increasingly vulnerable and aged population • Temperature related deaths will remain a significant challenge • The increased risk of extreme events will mean a major role for emergency medicine • Significant challenges exist for public health and preventative medicine • Multidisciplinary research is essential
  68. 68. “ I’ve turned 60 and I can barely believe nearly a third of my life is over ” Woody Allen
  69. 69. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Part 2. Part 2. Housing: Staying Home or What? New Housing Options: Collaborative Communities & Funding Strategies • Chris Kennedy, Executive Director, Institute for Age-Friendly Housing Design Perspectives: Communities of the Future • Madeleine Zayas–Mart, Architect & Housing Specialist, Perkins Eastman Aging in Place: Being at Home with Growing Old • Susanne Stadler, Principal, Stadler &: Architecture, Interior Design & Life Cycle Design Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 7
  70. 70. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 2. Housing: Staying Home or What? Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Housing Options: Collaborative Communities, Housing, & Funding Strategies • Chris Kennedy, Institute for Age-Friendly Housing (chris@AgeFriendlyHousing.org) Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 7
  71. 71. Aging in Place is where “X” is your right Community “Aging-in-Place is all about how that place supports you as you age. It is about what is available in the community when you walk out your front door: the people and scenery, the support services, the opportunities for engagement, and the mobility options. It is about how that house and that community provide the economic and social sustainability to live a good life, as long as you live.” Chris Kennedy Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 7
  72. 72. Age-Friendly City Topic Areas N TRA RTA TIO N CO ANDMMU INF NICA ORM TIO A TI N ON AGEFRIENDLY CITY Institute for Age-Friendly Housing © 2011 © Age2Age 2012 SOC PA I AL www.agefriendlyhousing.org RT ON ATI ICIP SOCRESPE IAL CT A I NC N D LUS IO N ON ATI ICIP ENT A RT Y M IC P PLO CIV D EM AN RT PPOCES SU I ITY SERV N MU ALTH COM HE D AN HO USI N G SPO OU T AN DOO DB RS UIL PAC DIN ES GS Source: Global Age-Friendly Cities: A Guide. United Nations World Health Organization. (2007). 7
  73. 73. © Age2Age 2012 Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 7
  74. 74. © Age2Age 2012 Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 7
  75. 75. © Age2Age 2012 Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 8
  76. 76. © Age2Age 2012 Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 8
  77. 77. © Age2Age 2012 Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 8
  78. 78. Walkable Community: Mixed Use Housing Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 8
  79. 79. Cohousing Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 8
  80. 80. “Quint” Home: Senior Housing Soltuions Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 8
  81. 81. Home Sharing, “Golden Girls: & Matching Services Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 8
  82. 82. Affinity Housing: Senior Artist Colony Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 8
  83. 83. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 2. Housing: Staying Home or What? Design Perspectives: Communities of the Future Madeleine Zayas–Mart, Architect & Housing Specialist, Perkins Eastman m.zayas-Mart@perkinseastman.com) Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 8
  84. 84. Design Perspectives: Communities of the Future Senior Living in the Age of Smart Growth Madeleine Zayas-Mart Urban Designer and Multi-Family Housing Designer, Perkins Eastman m.zayas-mart@perkinseastman.com
  85. 85. Traditional CCRC 7%
  86. 86. 93%
  87. 87. Why Create Alternatives?
  88. 88. Ask, What If? Why Not? Change your Perspective . . . Change the way we design our communities
  89. 89. Age Friendly Communities
  90. 90. Business as Usual Sprawl and Single-Use Zoning Cisco Systems HQ’s, North San Jose / Mountain View
  91. 91. Aging and Smart Growth The Urban Framework: The Pearl District Smart Growth provides the planning framework to address the settlement pattern for growth at all levels in the 21st Century +
  92. 92. Aging and Smart Growth Elements of Smart Growth: Access and Mixed-Use Pedestrian friendly Streets Connectivity/Access to Shops and Open Space Transportation Choices =
  93. 93. HOUSING CHOICES CASE STUDIES
  94. 94. Seniors Deserve Better Choices
  95. 95. Hillside Resort Communities MUSEUM PLACE, PORTLAND OREGON
  96. 96. Hillside Resort Communities
  97. 97. Leveraging the Broader Community • • • • 79 IL units Modest common areas • Dining • Fitness • Club room Sunrise at Home “On” Main street The Sterling at Grosse Pointe Grosse Point, MI
  98. 98. Leveraging the Broader Community • • Satellite to CCRC (1 mile) • On “Main Street” • The Embassy Mt. Lebanon, PA 34 units No dining or fitness on site
  99. 99. Infill Senior Housing at TOD Christie Place, Scarsdale, NY
  100. 100. Retail Integration Crystal Springs Community, Annapolis, MD
  101. 101. Mixed-Use Downtown CCRC Retail Lagoon op Dr Foster City Blvd. Recreation Center City Independent Hall Living Library Affordable Housing Shell Blvd. Leo Ryan Park f -of Retail Memory Care Assisted Living Independent Living NCPHS, Foster City, CA Future Culture Works Main Entry Service To Parking N
  102. 102. Mixed-Use Downtown CCRC NCPHS, Foster City, CA
  103. 103. Expanding the Service Reach • • • • The Villages at Collington Mitchellville, MD Impacting IL market Undeveloped service model Sophisticated builders and opportunistic developers Affiliation with CCRC
  104. 104. Rebuilding the Neighborhood-Church Sponsor St. Anthony Village, Portland, OR
  105. 105. Neighborhood of Care Federal Client: VA Danville, IL
  106. 106. University Partnership University Village, Berkeley, CA
  107. 107. University Partnership Pedestrian Path Maximize Retail Frontage Retail Service Whole Foods Clinic Library Spirit Spa Wellness Direct Community access to Clinic Spa Wellness Cafe HUB HUB Cafe Lecture Hall Kitchen Dining Admin Lounge Entry Garage The Plaza Play Fields University Village, Berkeley, CA
  108. 108. University Partnership Lasell College Lasell Village Lasell Villlage, Newton, MA
  109. 109. University Partnership Lasell Villlage, Newton, MA Image courtesy Steffian Bradley Architects
  110. 110. Co-Housing
  111. 111. Intentional Community Camphill Ghent, NY
  112. 112. Inner City Infill Redevelopment
  113. 113. Inner City Infill Redevelopment
  114. 114. Inner City Infill Redevelopment
  115. 115. Inner City Infill Redevelopment
  116. 116. Retail Mixed-Use Housing Choices: Mixed-Use
  117. 117. Retail Mixed-Use
  118. 118. Retail Mixed-Use
  119. 119. Retail Mixed-Use
  120. 120. THE DEVIL IS IN THE DETAILS
  121. 121. Aging in Place Apartment for Life large windows, low sills sheltered balcony second bedroom option for caregiver medicine cabinet location for access/light drawer dishwasher hand held shower wand doors swing out for safety “easy reach” linen closet w/d shelving transfer tub/shower emergency outlet for medical equipment bedroom large enough for two single bed option shower stall with space for portable shower chair side-by-side refrigerator full height “easy reach” pantry cabinet electric with front controls (wall oven?)
  122. 122. Accommodating Lifelong Living
  123. 123. Technology | Communications
  124. 124. Age Friendly Communities Urbanization Trends • By 2035, nearly two million more people are projected to live in the Bay Area. • “The question of aging is not about whether it will happen, but how it will happen. We can choose sprawl, or we can choose Smart Growth • How should Bay Area and other California Cities and towns accommodate a growing aging population, while creating livable communities, revitalizing existing ones and creating more housing choices for elders? • And most importantly, what should these communities look like and how should they function on the ground?
  125. 125. How to Create Alternatives? ? Think outside the Box
  126. 126. Design Perspectives: Communities of the Future Senior Living in the Age of Smart Growth Madeleine Zayas-Mart Urban Designer and Multi-Family Housing Designer, Perkins Eastman m.zayas-mart@perkinseastman.com
  127. 127. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 2. Housing: Staying Home or What? Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Aging in Place: Being at Home with Growing Old • Susanne Stadler, Principal, Stadler &: Architecture, Interior Design & Life Cycle Design (sstadler@stadlerarch.com) Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 13
  128. 128. AGING IN PLACE: AT HOME WITH GROWING OLD SELF PURPOSE BELONGING Stadler&
  129. 129. ‘HOME’ ACROSS THE LIFESPAN Stadler&
  130. 130. A NEST/ A PLAYGROUND Stadler&
  131. 131. A LAUNCHING PAD Stadler&
  132. 132. A FAMILY HUB Stadler&
  133. 133. A BASE FOR OUR WELLBEING Stadler&
  134. 134. BATH ROOM AS LIVING ROOM Stadler&
  135. 135. KITCHEN AS HEALTH CENTER Snaidero: Skylab Kitchen Stadler &: Family Kitchen Stadler&
  136. 136. GRAB BARS RAMPS DOOR LEVER HANDLES 36” DOOR WAYS WHEEL CHAIR CLEARANCE Stadler&
  137. 137. PLAY CONNECTION SAFETY/COMFORT Stadler&
  138. 138. Ceramica Flamina: Albero Shower Stadler&
  139. 139. Stadler &: Apartment ‘A’, 450SF Stadler&
  140. 140. Stadler &: Apartment ‘A’, 450SF Stadler&
  141. 141. Susanne Stadler: Stair in Senior Living Stadler &: Stair at Mills College Stadler&
  142. 142. Stadler&: Haese Residence Stadler &: Rio Apartment Stadler&
  143. 143. Stadler&: Zen Hospice Stadler &: Mills President’s House Stadler&
  144. 144. Stadler&: Erickson Residence Adolf Loos: Residence, Vienna Stadler&
  145. 145. ROOM MATES HOUSE MATES Stadler&
  146. 146. HOW CAN DESIGNERS RESPOND? LEARN FROM THE EXPERT USER Stadler&
  147. 147. MOBILITY AND IDENTITY Physically, I’m tired and it scares me a little bit because I have a heart condition and I can’t afford to be too worn out for too long a time. So, the steps become an issue. Stadler&
  148. 148. HEALTH AND HOBBY If I could do anything I want I would have a garden right outside my kitchen so I could sit out there and weed and grow more vegetables, more food. Stadler&
  149. 149. HOW CAN CITIES RESPOND? FOSTER INTERGENERATIONAL CONNECTIONS Rios Clementi Hale Studios: Grand Park, Los Angeles Stadler&
  150. 150. HOW CAN DEVELOPERS AND HEALTH CARE PROVIDERS RESPOND? UNDERSTAND THE COST/BENEFIT OF ‘FOR LIFE’ HOMES Stadler &: Independent Living, 500 SF, Christian Church Homes Stadler&
  151. 151. AT HOME WITH GROWING OLD Stadler&
  152. 152. www.stadlerarch.com sstadler@stadlerarch.com www.AtHomeWithGrowingOld.com sstadler@athomewithgrowingold.com tasneem@AtHomeWithGrowingOld.com Stadler&
  153. 153. Let’s Build the Future!!! Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 15
  154. 154. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Part 3. Community: Connections for Aging In Place Services Service Innovations: New Players in the Field • Michael Fox CEO, Goodwill Industries of Silicon Valley In-Home Care Options: Now and on the Horizon • Lori Peterson, CEO, Collaborative Consulting Connections At Home: Villages, Hubs, and Timebanks • Lisa Hendrickson, CEO Avenidas • Lori Andersen, Director of Healthy Aging, HealthTrust • Martin Entwistle, Executive Director, Druker Center for Innovation, Palo Alto Medical Foundation Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 15
  155. 155. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 3. Community: Connections for Aging In Place Services Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Service Innovations: New Players in the Field • Michael Fox CEO, Goodwill Industries of Silicon Valley Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 16
  156. 156. Positive Aging Forum Goodwill of Silicon Valley | November, 2013
  157. 157. What do we do? Transform Lives through the Power of Social Enterprise
  158. 158. GWSV Overview One of the over 165 Goodwill organizations in North America GII collectively – 3.5 Billion Retail / 4.9 Billion revenue Operate in the counties of Santa Clara and San Benito. A robust Workforce Development division $42 Mil. in annual revenue and a collection of real estate holdings • 19 stores, 24 collections sites and a contract service operation • 650+ employees • • • • •
  159. 159. A Comparison From the Funding Perspective: Second Harvest of Santa Clara County Individuals 64% Income from commercial free market activities: Corporations 25% Foundations 4% Organizations 5% Data source: SHSC annual report 2006-2007 United Way 1% Special Events 1% 0%
  160. 160. A Comparison From the Funding Perspective: Goodwill of Silicon Valley After Market 19% RETAIL 68% Data source: GWSV 2010 Financials CONTRACT WRKFORCE 6% 1% GRANT 4% Other Revenue 2% Income from commercial enterprises: 94%
  161. 161. Goodwill Business’s • Retail • 19 stores • Wholesale Business • Midwest, Shoes, Books • After Market Business • As-IS, Salvage • Recycling • E-Waste, recyclables
  162. 162. Goodwill Business’s • Mattress Recycling • Homeless Vets Reintegration Program • Contracts Business • Kitting, Packaging, Assembly, Sub Assembly, Fulfillment, Warehousing • Secure Document Shredding • Nish - Sheltered Workshop • e-commerce – Collectables and Books • Mission Services - ICD
  163. 163. Future Business’s • Auto Reconditioning Business • Ex-offendors • Home Health Care • Seniors and low education you adults/Youth 16-24 lacking high school diploma’s
  164. 164. National Goodwill Enterprises • Franchises • Housing programs • Veterans, SLE’s, Low Cost Rentals, Shelters • Senior Day Centers • Colleges • Helms College – Augusta Georgia • High end Restaurants • Culinary Academies
  165. 165. Dec 2012 Incl Year End Adjustments
  166. 166. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 3. Community: Connections for Aging In Place Services Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley In-Home Care Options: Now and on the Horizon • Lori Peterson, CEO, Collaborative Consulting Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 17
  167. 167. Housing, Community, and Longevity November 5 th , 2013
  168. 168. Providers Perspective for Home Care Service Development
  169. 169. Demographics are Right:  65+ will expand from 40 M today to 55 M in 2020  By age 65, 66% of all seniors have at least one chronic disease, 20% of those older than 65 have five or more chronic diseases  2011 the first of 78 M Baby Boomers began turning 65 at a rate of 8,640 per day or 262,800 per month  85+ could grow from 5.3M in 2006 to 18M by 2030  Approximately 70% of elders will require some long-term care services at some point in time
  170. 170. A Focus on Preference:  More demand for higher levels of service and access  More demand for choice and experience  Demand for innovative models, allowing for “aging in place”  Community as an important factor  Entering a care community at a higher level of acuity  Wellness / prevention important  Access to technology
  171. 171. Healthcare Reform (payment and delivery reform):  Change in how care is delivered and paid for  Better is Better vs. More is Better  More Managed and Coordinated Care  Prevention and Wellness  Penalties for what is not wanted, rewards for what is  Care delivered in lower cost settings  Enhanced Care Coordination  Enhanced Management of Chronic Disease
  172. 172. Opportunity: Growth and diversification Increase brand awareness Leverage existing expertise Create operational efficiencies Position and prepare for Healthcare Reform Build stronger linkages to community members Extend Mission
  173. 173. Ideas to Action Ideas to Action
  174. 174.  Increase in traditional home-based services such as Home Health and Home Care  Provision of services beyond walls (CCRC without walls)  Enhanced focus on Care Coordination Models  PACE & PACE-Like Models  Membership Models (Villages, etc.)  Hospital to Home Transitional Care Programs  House Calls  Hospital @ Home  Consumer Oriented Technology
  175. 175. Further Exploration: http://ahhqi.org/quality-initiatives/innovation-case-s
  176. 176. Thank You! Lori Peterson www.collaborativeconsulting.net lori@collaborativeconsulting.net 866. 332.3923
  177. 177. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 3. Community: Connections for Aging In Place Services Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Connections At Home: The Village to Village Network • Lisa Hendrickson, CEO Avenidas Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 18
  178. 178. VILLAGES A National movement of seniors working together to agein-place Lisa Hendrickson President & CEO Avenidas
  179. 179. The National Village Movement (www.vtvnetwork.org)
  180. 180. Components of Villages  Coordination of access to supportive services through a tiered service model    Village staff Volunteers (members and others) Preferred providers  Vetted vendors  Social, cultural, educational activities  Health and wellness activities  Volunteering and member-to-member assistance
  181. 181. Village Services Reflect Unique Community Needs
  182. 182. Emerging Models of Villages  Newly created, grassroots, standalone non-profit serving specific neighborhood (Beacon Hill Village, Foster City Village)  Volunteer First (twice as many volunteers as members, Capitol Hill Village)  Parent organization – social service agency (Avenidas Village)  Hub and Spoke model – central organization supporting separate “spokes” in larger service area (Marin, WISE and Healthy)  Village/Timebank combination (Tierrasanta Village, Plumas Rural Services Community Connections)
  183. 183. Why Do People Join A Village? To stay at home: “I feel that living in a retirement facility would present severe space limitations and too much structure. I would feel too constrained. I’m happiest in my own home.” For peace of mind: “When you are not at your optimal health or going through a trauma, it’s not the best time to have to investigate various vendors or navigate all the other obstacles all on your own. Psychologically, knowing the Village is there for me on a 24/7 basis is wonderful. I go to bed knowing that if I wake up and something is wrong, I have someone to contact for help.” To give back: “I love being able to give back to the community, and helping others.” To make friends: “ She’s lived just a few blocks from me for 40 years and I never would have met her if not for the Village. Now we are dear friends who carpool to social events and take turns driving to the Village lunch bunch gatherings.” For their children: “Our kids are sure happy we have this extra support.”
  184. 184. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 3. Community: Connections for Aging In Place Services Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Connections At Home: Hubs & Neighborhood Wellness Networks • Lori Andersen, Director of Healthy Aging, HealthTrust Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 19
  185. 185. Healthy Aging Initiative Neighborhood Wellness Networks
  186. 186. 195 The Health Trust mission is to lead the Silicon Valley community to advance wellness Healthy Eating Healthy Living Healthy Aging Ensure that older residents of Santa Clara County have access to the services and supports they need in the setting most appropriate to their needs.
  187. 187. 196 The Health Trust Role
  188. 188. 197 New THT 5 Year Strategic Plan Vulnerable population Focus Those experiencing barriers to good health due to: where they live, economic insecurity, age, language or disability Addressing Trends and New Realities - Reduced public spending – “Innovate, or else” - Demographic changes – age and diversity - Health care redesign o o o Managed care Health education/self management Rebalancing: institutional to home/community care
  189. 189. 198 Neighborhood Networks
  190. 190. 199 Wellness Hubs • Create neighborhood-based network that formally connects health and social supports to ease access to health and wellness for older adults - Sustainable – $ and in-kind resources - Core partnerships - Neighborhood ‘hub’ or gathering place o Senior/community center, senior housing, café or business, hospital…?
  191. 191. 200 Goals • Create strong sustainable networks in select neighborhoods that impact health • Increase level and quality of health and wellness services and supports • Demonstrate value of neighborhood assets including senior/community centers • Engage older adults as a voice for change in their communities • Accelerate efforts for livable, age-friendly communities
  192. 192. 201 What’s our Plan? 1. 2. 3. 4. 5. Identify “hot spots” in SCC Dive deep in 2-3 targeted neighborhoods Research and share promising models Enlist Project Advisory Committee Explore adoption of standards and certification of wellness hubs 6. Develop and engage champions 7. Grow investment in proven models
  193. 193. 202 Likely Partners – public & private • • • • • • • • • Senior/Community Centers Community clinics and hospitals Health Promotion and Wellness Low Income Housing Communities Businesses Social Service Providers Residents and Older Adult Advocates Libraries Faith-based communities
  194. 194. Aqus Community is an organization devoted entirely to building community. We are focused on furthering the connections between people of all kinds, their nonprofits and businesses in the spirit of mutual trust, support and appreciation. By focusing on this relationship-based economy, we aim to strengthen, empower and enrich our local community both for ourselves and future generations. What are the benefits of membership? By becoming a member you not only show your support of community, but also receive discounts at Aqus Community events, invitations to ‘Members Only’ events and further discounts from Aqus Community Business Member Businesses.
  195. 195. The Second Half of Life A conversation cafe to explore opportunities for building community and networks of support as we age. Tuesday October 29 6:30 –8:30 PM AqusCafé (come early if you want to eat dinner) Co-sponsored by AqusCafé and The Village Network of Petaluma
  196. 196. Thank You
  197. 197. Fifth Annual Silicon Valley Positive Aging Forum Housing, Community, & Longevity: Here Comes the Age-Wave! November 5, 2013 Cupertino CA Housing, Community, & Longevity: Here Comes the Age-Wave! Part 3. Community: Connections for Aging In Place Services Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley Connections At Home: Timebanks • Martin Entwistle, Executive Director, Druker Center for Innovation, Palo Alto Medical Foundation Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 20
  198. 198. LinkAges Successful Aging Creating Community Connections Timebanks Martin Entwistle Executive Director – Innovation Center
  199. 199. Druker Center for Health Systems Innovation @ Palo Alto Medical Foundation
  200. 200. Druker Center for Health Systems Innovation The Innovation Center acts to catalyze, invent, and deploy breakthrough innovations in wellbeing that enable PAMF to fulfill its vision as a health partner for the people and communities it serves. We apply a human-centered design approach and leverage technology as an enabler to create scalable solutions that address the pressing health challenges of our time.
  201. 201. The Problem We Are Trying to Solve Expensive Episodic Sick Care Isolated Individuals
  202. 202. Successful Aging for Seniors “The hard thing about getting older... “...is that your world dies before you do.”
  203. 203. Going Beyond Transitions of Care – Focus on Health and Wellbeing We Need a Solution That Goes Beyond Transitions of Care from Hospital – These Processes are Critical but Insufficient • Discharge care planning and coordination • Medications • Free meals • Transportation to follow-up visit • Short-term in-home assistance • Community services • Life coach
  204. 204. Evolution of Innovation – Shift from Clinic to Community
  205. 205. – Dynamic, Integrated System to Support Successful Aging Shift from focus on responses to crises and treating an acute health event Shift to systems that enable seniors to age successfully in the community Drive community support for individuals at home Change the health behaviors of individuals Enable preemptive action through signal detection Expand horizons Support and care in the context of an individual’s life
  206. 206. Our Solution Creating a Community Network to Support Aging in Place
  207. 207. PAMF linkAges™ - a dynamic, integrated system to support Successful Aging Signal Detection Identify, mitigate and manage risks to my physical and social health that could compromise my ability to live safely in my home Senior Profile Capture my needs preferences and context in order to personalize my aging in place experience Microcommunities Find and connect with other people in the community with whom I can exchange services and support that help me remain independent in my home, stay socially-engaged, and maintain a sense of purpose and value as I age Resource Matching Find and connect with resources in the community that can help manage risks to my physical and social health so I can continue to live safely in my home
  208. 208. TimeBanking Find and connect with other people in the community with who I can exchange services and support that help me remain independent in my home, stay socially engaged and retain a sense of purpose as I age.
  209. 209. A community-based service exchange network which connects neighbors with neighbors to exchange skills and interests and meet needs. Every hour of service that you spend doing something for another member earns you 1 hour (Time Dollar). Everyone gets to contribute. All contributions are valued equally. Builds intergenerational relationships. There can be 3 kinds of members : Individuals, Organizations (e.g. YMCA), businesses (e.g. Red Rock Coffee). Rebuilding community, one hour at a time
  210. 210. Offers and Requests Between TimeBank Members
  211. 211. – Sustainable Deployment • Train the trainer model coupled with community-based Peer linkAges Ambassadors lending grassroots continuity. • Designed for replicability and scale. • Toolkit available to health systems, Nonprofits, City Governments, Civic/Service groups, Businesses, Educational Institutions.
  212. 212. – Partners in Mountain View Organizations •Mtn View Senior Center •Mtn View Senior Advisory Committee •Alzheimers Association- Northern California Chapter •El Camino YMCA •Mtn View Community Services Agency •Mid Peninsula Housing Coalition •Red Rock Coffee •reAct National Coalition   • Silicon Valley Leadership Group • RSVP of Northern Santa Clara and San Mateo County • Mtn View Library Businesses • Whole Foods • Red Rock Coffee • Vaso Azzurro   Other • MV Pastors Group
  213. 213. – Mountain View Progress to Date Enrollment Engagement Total Total # # of 60+ # Total Time # Orientation Enrolled Enrollees Exchanges of Messages Attendees Exchanges 269 103 29 97 262.5 548
  214. 214. – Outcomes Making the difference • Improved quality of life and wellbeing for older adults • Improved quality of life for caregivers and families • Enriched Aging in Place • Reduced total cost of care • Increased community connections
  215. 215. It will take a Community Join us
  216. 216. Further Information Martin Entwistle Executive Director Druker Center for Health Systems Innovation Palo Alto Medical Foundation 795 El Camino Real Palo Alto CA, 94301 Cell: +1-858-717-0465 Email: EntwisM@pamf.org
  217. 217. Housing Community & Longevity: Here Comes the Age-Wave! 5th Annual Silicon Valley Positive Aging Forum November 5, 2013 Cupertino, CA Presented by: The Institute for Age-Friendly Housing www.AgeFriendlyHousing.org Serving the World from the Silicon Valley
  218. 218. Thank you to our Hosts, Sponsors & Community Partners Forum Hosts: Cupertino Quota City of Cupertino -------- Forum Sponsors & Community Partners: Age2Age Avenidas Sunnyside Gardens Assisted Living & Memory Care HealthTrust Perkins Eastman Stadler &: Architecture, Interior Design & Life Cycle Design TeleVisit Waddell & Reed Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org 23
  219. 219. Housing Community & Longevity: Here Comes the Age-Wave! 5th Annual Silicon Valley Positive Aging Forum November 5, 2013 Cupertino, CA Presented by: The Institute for Age-Friendly Housing www.AgeFriendlyHousing.org Serving the World from the Silicon Valley

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