SSeepptteemmbbeerr 22001144 
2014 Silicon Valley Positive Aging Forum 
Design Challenge: 
Aging-in-Place, Silicon Valley
SSeepptteemmbbeerr 22001144 
WELCOME !!
SSeepptteemmbbeerr 22001144
Thank You ! 
Our deep gratitude goes to each of you for spending your day designing ways to 
empower and support older adu...
SSeepptteemmbbeerr 22001144
SSeepptteemmbbeerr 22001144
SSeepptteemmbbeerr 22001144
SSeepptteemmbbeerr 22001144
SSeepptteemmbbeerr 22001144
SSeepptteemmbbeerr 22001144
SSeepptteemmbbeerr 22001144
SSeepptteemmbbeerr 22001144
SSeepptteemmbbeerr 22001144 
Aging in Place 
GAME CHANGERS!
Katy Fike 
Aging 2.0 
© 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
Sheri Peifer 
Eskaton 
© 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
Services to the Home 
Shifting from providing traditional senior housing to offering services and support 
for Aging-in-Pl...
Eskaton: Who we are 
Vision: 
Transforming the aging experience 
Mission: 
To enhance the quality of life of seniors throu...
Eskaton: What We Offer
Current Cost of Long Term Care in California 
Type of Care 
Typical Cost 
Per Year 
Medicare 
Covers 
Nursing Home 
(Semi-...
CCRC’s without Walls Model 
Objective: Bring CCRC services into a home setting through home and community based 
services....
Continuing Care at Home Model in CA 
Aging service providers throughout the United States have successfully 
offered consu...
National Model: Continuing Care at Home 
Long-Term Care 
Insurance 
Longwood at Home 
Requires an elimination 
period befo...
Expand Eskaton’s Supportive Services 
Goal: expand the integration of smart home design for all and accessible 
services t...
Livable Design by Eskaton Implementations 
The Cannery in Davis Project-100 acres-under 
development 
• Multi-generational...
Livable Design by Eskaton Implementations 
Homes with Seal of Approval 
The Wounded Warrior 
Home Project, Clark Realty 
C...
Eskaton’s Home Support Network 
Goal: 
To serve the 
95% of older 
adults who 
will choose to 
remain in 
their homes
Expand Live Well at Home 
Developing a robust integrated delivery network of home support services to thousands 
of older ...
Business to Business Model 
• Commencing October 2014 
• Focusing on “low-rising risk” 65+ older adults enrolled in Medica...
TThhaannkk yyoouu!!
Trish Dorsey 
Goodwill of Silicon Valley 
© 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
Aging in Place Forum 
Goodwill of Silicon Valley | 
September 2014
What do we do? 
Transform Lives through the 
Power of Social Enterprise
?
New Social Enterprises 
since 2009 
•Mattress Recycling 
•E-Commerce 
•Vehicle Reconditioning
Social Enterprise Venture 
Criteria 
Triple Bottom Line 
• People 
• Profit 
• Planet
Potential Goodwill Enterprises 
Feasibility Study Results 
• Home Care 
• No-Go (training/employment) 
• Remodeling for Ag...
For consideration 
● ____ ______ ___ _______ 
● ___ ___ ___ ___ __ ____ _____
2014 Silicon Valley Positive Aging Forum 
Design Challenge: 
Aging-in-Place, Silicon Valley 
© 2014 & Institute for Age-Fr...
WELCOME BACK! !! 
© 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
Coming of Age in an Aging 
Coming America of ! 
Age in 
An Aging America .. 
© 2014 & Institute for Age-Friendly Housing. ...
James Ramoni 
Santa Clara County, 
Department of Aging & 
Adult Services 
© 2014 & Institute for Age-Friendly Housing. Sep...
This last year, APS 
received over 3,700 
reports and examined 
6,500 cases – an 
increase of 16-17% 
respectively.
Over 19,100 clients 
served in FY 2014 - 
over a 9% increase 
from the prior year.
PAGC is the 
Guardian/Conservator for 
830 individuals and is the 
Public Administrator of 250 
decedent estates.
Celebrating 
40 
years of service 
Over 1.18 million meals were 
served to seniors (583,129 at 39 
Congregate Meal Sites a...
Transportation 
Volunteerism & Civic 
Engagement 
Education & Outreach 
Housing
AGEnts for Change-Santa Clara County 
A Good Place to Start 
brochure
Pragna 
Dadbhawala 
Senior Peer Advocates (SPA)
SAN FRANCISCO SAN MATEO SANTA CLARA
Senior Safari at Happy Hollow Park 
& Zoo
Housing 
Transportation 
Age- 
Friendly 
Santa Clara 
County 
Social 
participation 
Respect and 
social inclusion 
Civic ...
This last year, APS 
received over 3,700 
reports and examined 
6,500 cases – an 
increase of 16-17% 
respectively.
Over 19,100 clients 
served in FY 2014 - 
over a 9% increase 
from the prior year.
PAGC is the 
Guardian/Conservator for 
830 individuals and is the 
Public Administrator of 250 
decedent estates.
Celebrating 
40 
years of service 
Over 1.18 million meals were 
served to seniors (583,129 at 39 
Congregate Meal Sites a...
Transportation 
Volunteerism & Civic 
Engagement 
Education & Outreach 
Housing
AGEnts for Change-Santa Clara County 
A Good Place to Start 
brochure
Pragna 
Dadbhawala 
Senior Peer Advocates (SPA)
SAN FRANCISCO SAN MATEO SANTA CLARA
Senior Safari at Happy Hollow Park 
& Zoo
Housing 
Transportation 
Age- 
Friendly 
Santa Clara 
County 
Social 
participation 
Respect and 
social inclusion 
Civic ...
2014 Silicon Valley Positive Aging Forum 
Design Challenge: 
Aging-in-Place, Silicon Valley 
For More Information: 
www.ag...
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum
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Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum

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The 6th Annual Silicon Valley Postive Aging Forum
Design Challenge: Aging in Place,Silicon Valley

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  • "Life can only be understood backwards; but it must be lived forwards." - Soren Kierkegaard
  • "Life can only be understood backwards; but it must be lived forwards." - Soren Kierkegaard
  • "Life can only be understood backwards; but it must be lived forwards." - Soren Kierkegaard
  • Who is IDEO? (overview of company & process)
  • Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum

    1. 1. SSeepptteemmbbeerr 22001144 2014 Silicon Valley Positive Aging Forum Design Challenge: Aging-in-Place, Silicon Valley
    2. 2. SSeepptteemmbbeerr 22001144 WELCOME !!
    3. 3. SSeepptteemmbbeerr 22001144
    4. 4. Thank You ! Our deep gratitude goes to each of you for spending your day designing ways to empower and support older adults to thrive in their home and community. Design Challenge: Aging-in-Place, Silicon Valley has been a collaborative effort of these forward thinking, generous and brilliant organizations: Produced by: SSeepptteemmbbeerr 22001144
    5. 5. SSeepptteemmbbeerr 22001144
    6. 6. SSeepptteemmbbeerr 22001144
    7. 7. SSeepptteemmbbeerr 22001144
    8. 8. SSeepptteemmbbeerr 22001144
    9. 9. SSeepptteemmbbeerr 22001144
    10. 10. SSeepptteemmbbeerr 22001144
    11. 11. SSeepptteemmbbeerr 22001144
    12. 12. SSeepptteemmbbeerr 22001144
    13. 13. SSeepptteemmbbeerr 22001144 Aging in Place GAME CHANGERS!
    14. 14. Katy Fike Aging 2.0 © 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
    15. 15. Sheri Peifer Eskaton © 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
    16. 16. Services to the Home Shifting from providing traditional senior housing to offering services and support for Aging-in-Place.
    17. 17. Eskaton: Who we are Vision: Transforming the aging experience Mission: To enhance the quality of life of seniors through innovative health, housing and social services
    18. 18. Eskaton: What We Offer
    19. 19. Current Cost of Long Term Care in California Type of Care Typical Cost Per Year Medicare Covers Nursing Home (Semi-Private Room) $74,000-$91,00 Medicare covers up to 100 days for medically necessary treatment. Then private pay. Assisted Living $40,000- $60,000 No Medicare coverage. Home Care $40,000- $50,000 Limited Medicare coverage following hospital event. The Realities of LTC • 70% of people turning 65 can expect to use some form of LTC • Less than 1/3 of Americans 50+ have begun saving for LTC Opportunity for growth: Create a new model of care that is more affordable and supports Opportunity for growth: Create a new model of care that is more affordable and supports Source: www.longtermcare.gov aging-in-place aging-in-place
    20. 20. CCRC’s without Walls Model Objective: Bring CCRC services into a home setting through home and community based services. • What is it? A Continuing Care at Home is a service delivery model that is operated by a CCRC within a private residence • What services are included? Care coordination, companionship, home maintenance, transportation, meals, social and wellness programs, home health care, and house keeping • How flexible is the plan? Contracts can range from modest more affordable in-home services to robust contracts that include skilled nursing. Plans range in complete coverage of LTC or a lower percentage (i.e. 70%). • How is it paid for? Entrance fee can range from $20,000-$70,000 and member pays monthly fees that range from $250-$800 each month. • Eligibility requirements? Most CCAHs require the members to enter when they are healthy and living independently.
    21. 21. Continuing Care at Home Model in CA Aging service providers throughout the United States have successfully offered consumer-preferred, in-home care through CCRCs •However, California law sets limitations on the success of this type of home care model. •AB 1698 (Portantino) passed in 2012 • Under previous California Law CCRC providers were obligated to seek licensure for a senior’s private residence if providing CCAH services • Under the provision of this law CCRCs are now able to provide care and services to residents for a monthly service fee within the home BUT with a deferred entrance fee if the need of assisted living or skilled nursing arises in the future
    22. 22. National Model: Continuing Care at Home Long-Term Care Insurance Longwood at Home Requires an elimination period before benefits begin No elimination period Requires medical approval No medical approval for coverage Must need assistance with at least two ADLs Any health change will activate care Specific limits and exclusions Broad package of services Responsible for coordinating services Personal care coordinator on behalf of member Longwood at Home Statistics: •273 currently enrolled (down from 316) •Serves 5 Counties •3% have had to make a permanent move Source: www.longwoodathome.org Personal Care Services Home Care Services Care Management Skilled Nursing Long-term Care Insurance Longwood at Home in Pennsylvania fills in the gaps of long term care insurance Fee Structure • One time member entrance fee based on age at time of enrollment, which can range from $17,000-$155,000. • Member pays a low monthly fixed rate, which can range from $300-$600. • Fees depend upon the type of plan selected. Three levels offered: bronze, gold and platinum.
    23. 23. Expand Eskaton’s Supportive Services Goal: expand the integration of smart home design for all and accessible services that support aging-in-place Livable Design by Eskaton offers a forward thinking approach to home building by beautifully integrating functionality that is designed for all ages. The Seal of Approval provides verifications that home environments meet the Livable Design standards.
    24. 24. Livable Design by Eskaton Implementations The Cannery in Davis Project-100 acres-under development • Multi-generational Community • Neighborhoods (for sale, for rent, detached and attached, high-end and affordable) • Public Spaces (parks, paths, stores and plazas), • Urban Farm (7.4 acre working farm), • Green (net-zero living) • Livable Design homes (inclusive, convenient and flexible for all ages. Left to right: Ashley Feeney, Bonnie Chiu and Kevin Carson of The New Home Company; Erin Scherer, Sheri Peifer, Todd Murch and Hollie Jackson-Ng of Livable Design by Eskaton; Jim Baggarly of the New Home Company
    25. 25. Livable Design by Eskaton Implementations Homes with Seal of Approval The Wounded Warrior Home Project, Clark Realty Capital Fort Belvoir, VA The Cottages at Eskaton Village Placerville Placerville, CA Universal Design Living Laboratory Columbus, OH
    26. 26. Eskaton’s Home Support Network Goal: To serve the 95% of older adults who will choose to remain in their homes
    27. 27. Expand Live Well at Home Developing a robust integrated delivery network of home support services to thousands of older adults through Live Well at Home
    28. 28. Business to Business Model • Commencing October 2014 • Focusing on “low-rising risk” 65+ older adults enrolled in Medicare-Managed care programs • Beginning with patients from Golden Life ACO and Dignity Health Mercy Medical Group • Included services: evidenced-based prevention education, care management/coordination, Telecare, and access to community services
    29. 29. TThhaannkk yyoouu!!
    30. 30. Trish Dorsey Goodwill of Silicon Valley © 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
    31. 31. Aging in Place Forum Goodwill of Silicon Valley | September 2014
    32. 32. What do we do? Transform Lives through the Power of Social Enterprise
    33. 33. ?
    34. 34. New Social Enterprises since 2009 •Mattress Recycling •E-Commerce •Vehicle Reconditioning
    35. 35. Social Enterprise Venture Criteria Triple Bottom Line • People • Profit • Planet
    36. 36. Potential Goodwill Enterprises Feasibility Study Results • Home Care • No-Go (training/employment) • Remodeling for Aging in place – No-Go (training/employment) • Culinary Services • Keep going, you’re on to something
    37. 37. For consideration ● ____ ______ ___ _______ ● ___ ___ ___ ___ __ ____ _____
    38. 38. 2014 Silicon Valley Positive Aging Forum Design Challenge: Aging-in-Place, Silicon Valley © 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
    39. 39. WELCOME BACK! !! © 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
    40. 40. Coming of Age in an Aging Coming America of ! Age in An Aging America .. © 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
    41. 41. James Ramoni Santa Clara County, Department of Aging & Adult Services © 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.
    42. 42. This last year, APS received over 3,700 reports and examined 6,500 cases – an increase of 16-17% respectively.
    43. 43. Over 19,100 clients served in FY 2014 - over a 9% increase from the prior year.
    44. 44. PAGC is the Guardian/Conservator for 830 individuals and is the Public Administrator of 250 decedent estates.
    45. 45. Celebrating 40 years of service Over 1.18 million meals were served to seniors (583,129 at 39 Congregate Meal Sites and 599,243 in Home Delivered Meals). This is over 100,000 more meals served in the prior year.
    46. 46. Transportation Volunteerism & Civic Engagement Education & Outreach Housing
    47. 47. AGEnts for Change-Santa Clara County A Good Place to Start brochure
    48. 48. Pragna Dadbhawala Senior Peer Advocates (SPA)
    49. 49. SAN FRANCISCO SAN MATEO SANTA CLARA
    50. 50. Senior Safari at Happy Hollow Park & Zoo
    51. 51. Housing Transportation Age- Friendly Santa Clara County Social participation Respect and social inclusion Civic participation and employment Outdoor spaces and buildings Community support and health services Communication and information Source: Global Age-friendly Cities: A Guide. United Nations World Health Organization (2007).
    52. 52. This last year, APS received over 3,700 reports and examined 6,500 cases – an increase of 16-17% respectively.
    53. 53. Over 19,100 clients served in FY 2014 - over a 9% increase from the prior year.
    54. 54. PAGC is the Guardian/Conservator for 830 individuals and is the Public Administrator of 250 decedent estates.
    55. 55. Celebrating 40 years of service Over 1.18 million meals were served to seniors (583,129 at 39 Congregate Meal Sites and 599,243 in Home Delivered Meals). This is over 100,000 more meals served in the prior year.
    56. 56. Transportation Volunteerism & Civic Engagement Education & Outreach Housing
    57. 57. AGEnts for Change-Santa Clara County A Good Place to Start brochure
    58. 58. Pragna Dadbhawala Senior Peer Advocates (SPA)
    59. 59. SAN FRANCISCO SAN MATEO SANTA CLARA
    60. 60. Senior Safari at Happy Hollow Park & Zoo
    61. 61. Housing Transportation Age- Friendly Santa Clara County Social participation Respect and social inclusion Civic participation and employment Outdoor spaces and buildings Community support and health services Communication and information Source: Global Age-friendly Cities: A Guide. United Nations World Health Organization (2007).
    62. 62. 2014 Silicon Valley Positive Aging Forum Design Challenge: Aging-in-Place, Silicon Valley For More Information: www.agefriendlyhousing.org © 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.

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