The Hong Kong Housing Society operates senior care facilities and uses a business model focused on housing and care services for seniors. They have faced challenges achieving profitability due to government pricing constraints. Their next facilities will be privately financed to avoid these constraints and increase standards for resident qualifications. Overall, the experience highlights ongoing needs to develop the senior care sector and train caregivers in Hong Kong and China.
This document discusses policy interventions to address poverty among the elderly in Portugal. It summarizes the aims, methodology, and key findings of an ongoing research project analyzing aging, poverty, and social exclusion. The summary outlines Portugal's increasing aging population and dependency ratio. It also notes policy efforts like the National Inclusion Plan and Integrated Support Services Plan, and some strategic programs developed. However, it finds current measures only address basic needs and underestimate involvement in decision-making. The conclusion calls for more needs-based, participatory, and integrated policies and services to better address aging poverty amid financial crises.
KEN HARBAUGH - THE PURPOSE-DRIVEN APPROACH TO ATTRACTING NEW MEMBERSUSAA DigiMil
Ken Harbaugh is the President and COO of Team Rubicon Global, an organization that provides disaster relief services by military veterans. The organization was inspired by a quote from a U.S. Marine who lost his legs in service but maintained his desire to serve and pride in being an American. Team Rubicon Global allows veterans to continue serving through disaster relief efforts around the world.
This document provides an overview of the e-Manual for Supportive Housing Funders, which is a joint project between the Corporation for Supportive Housing and the National Council of State Housing Agencies. The e-Manual aims to provide tools and resources for effectively financing and developing supportive housing. It is organized into modules on various topics related to supportive housing finance. The document defines supportive housing and outlines key elements such as affordability, permanency, access to supportive services, and coordination among partners. It also describes common target populations and housing models for supportive housing.
Elderly care conference 2017 - The state of social care: the commissioning la...Browne Jacobson LLP
Joy looks at 'what is social care in the 21st Century and why it is important?' including the current state of the social care market and taking a look at the future.
The document summarizes the key issues identified in a 2008 audit of Ontario's community mental health services. It found that the province was still not meeting its target of spending 60% of funding on community services rather than institutions. There were also long wait times for community services and a lack of coordination between organizations. The follow-up found that some progress had been made in addressing the recommendations, but a long-term strategy was still needed to fully implement changes and ensure appropriate community capacity and equitable funding.
Common ground and permanent supportive housing in australia acga september 5 ...Sue Mowbray
This document discusses chronic homelessness in Australia and the Common Ground model of supportive housing. It outlines the systemic drivers of chronic homelessness including inadequate income, housing stock, and support services. Common Ground provides permanent housing with on-site support services to formerly homeless individuals. The document compares elements of institutional care to supportive housing and provides updates on existing Common Ground sites in Australia, noting successes in tenant retention but also challenges in addressing complex needs. It emphasizes the need for ongoing funding and partnerships to expand permanent supportive housing options.
So you’ve heard about the growing senior population. You have begun
or expanded development, preservation, and repair programs for elderly
housing. But is that enough? For seniors to age in place they need services.
Can your organization provide both the housing and services? Hear from
your peers on how they did it and why it’s important
Ayushman Bharat is India's new national health protection scheme that aims to provide universal health coverage. It has two major initiatives - upgrading subcenters to health and wellness centers that provide comprehensive primary care, and the National Health Protection Scheme that provides a Rs. 5 lakh annual health insurance cover to vulnerable families. However, there are concerns about inadequate budgets, shortage of healthcare professionals, and lack of coordination between states that could hamper the goals of universal coverage and increasing trust in public healthcare. The schemes also focus more on medical care than overall health. Success may depend on strengthening primary care and public hospitals, as well as incorporating different medical practices.
This document discusses policy interventions to address poverty among the elderly in Portugal. It summarizes the aims, methodology, and key findings of an ongoing research project analyzing aging, poverty, and social exclusion. The summary outlines Portugal's increasing aging population and dependency ratio. It also notes policy efforts like the National Inclusion Plan and Integrated Support Services Plan, and some strategic programs developed. However, it finds current measures only address basic needs and underestimate involvement in decision-making. The conclusion calls for more needs-based, participatory, and integrated policies and services to better address aging poverty amid financial crises.
KEN HARBAUGH - THE PURPOSE-DRIVEN APPROACH TO ATTRACTING NEW MEMBERSUSAA DigiMil
Ken Harbaugh is the President and COO of Team Rubicon Global, an organization that provides disaster relief services by military veterans. The organization was inspired by a quote from a U.S. Marine who lost his legs in service but maintained his desire to serve and pride in being an American. Team Rubicon Global allows veterans to continue serving through disaster relief efforts around the world.
This document provides an overview of the e-Manual for Supportive Housing Funders, which is a joint project between the Corporation for Supportive Housing and the National Council of State Housing Agencies. The e-Manual aims to provide tools and resources for effectively financing and developing supportive housing. It is organized into modules on various topics related to supportive housing finance. The document defines supportive housing and outlines key elements such as affordability, permanency, access to supportive services, and coordination among partners. It also describes common target populations and housing models for supportive housing.
Elderly care conference 2017 - The state of social care: the commissioning la...Browne Jacobson LLP
Joy looks at 'what is social care in the 21st Century and why it is important?' including the current state of the social care market and taking a look at the future.
The document summarizes the key issues identified in a 2008 audit of Ontario's community mental health services. It found that the province was still not meeting its target of spending 60% of funding on community services rather than institutions. There were also long wait times for community services and a lack of coordination between organizations. The follow-up found that some progress had been made in addressing the recommendations, but a long-term strategy was still needed to fully implement changes and ensure appropriate community capacity and equitable funding.
Common ground and permanent supportive housing in australia acga september 5 ...Sue Mowbray
This document discusses chronic homelessness in Australia and the Common Ground model of supportive housing. It outlines the systemic drivers of chronic homelessness including inadequate income, housing stock, and support services. Common Ground provides permanent housing with on-site support services to formerly homeless individuals. The document compares elements of institutional care to supportive housing and provides updates on existing Common Ground sites in Australia, noting successes in tenant retention but also challenges in addressing complex needs. It emphasizes the need for ongoing funding and partnerships to expand permanent supportive housing options.
So you’ve heard about the growing senior population. You have begun
or expanded development, preservation, and repair programs for elderly
housing. But is that enough? For seniors to age in place they need services.
Can your organization provide both the housing and services? Hear from
your peers on how they did it and why it’s important
Ayushman Bharat is India's new national health protection scheme that aims to provide universal health coverage. It has two major initiatives - upgrading subcenters to health and wellness centers that provide comprehensive primary care, and the National Health Protection Scheme that provides a Rs. 5 lakh annual health insurance cover to vulnerable families. However, there are concerns about inadequate budgets, shortage of healthcare professionals, and lack of coordination between states that could hamper the goals of universal coverage and increasing trust in public healthcare. The schemes also focus more on medical care than overall health. Success may depend on strengthening primary care and public hospitals, as well as incorporating different medical practices.
The document discusses Indiana's Permanent Supportive Housing Initiative, which aims to create at least 600 units of permanent supportive housing in Indiana over six years. It provides supportive housing to individuals experiencing long-term homelessness by combining affordable, permanent housing with voluntary support services. Studies show supportive housing is effective at improving stability and health outcomes while reducing costs to other public systems like hospitals, shelters, and jails. The initiative is a public-private partnership led by the Indiana Housing and Community Development Authority and other state agencies to adopt a housing first model and end long-term homelessness in Indiana.
Chronic homelessness costs governments significant amounts of money through repeated use of crisis services like hospitals and jails. Permanent supportive housing following a Housing First model has been shown to improve outcomes for the chronically homeless while reducing costs. It provides long-term affordable housing combined with support services for residents. Examples from Canada, the US and Australia demonstrate that this approach can successfully house people experiencing chronic homelessness while also decreasing their use of emergency services. For Australia to adopt this model more widely will require a shift towards prioritizing long-term housing over temporary options, as well as increasing housing stock and using funding to incentivize permanent outcomes.
Hearth, Inc. is a nonprofit organization focused on ending elder homelessness. It operates housing and services programs for older adults who are homeless or at risk of homelessness. Hearth partners with social service agencies and provides supportive housing, which combines affordable housing with health and social services. Supportive housing models have proven successful in helping vulnerable populations live stable lives. As the Massachusetts population ages over the next 20 years, issues like poverty, lack of affordable housing, and high living costs will continue to impact many older residents without adequate retirement or social security income. Hearth addresses these challenges through developing affordable housing communities that integrate services to support residents' well-being.
The Pinellas County Housing Authority (PCHA) is the largest public housing agency in Pinellas County, Florida. It was established in 1965 and is governed by a five member board appointed by the governor. PCHA owns and manages 1756 rental units and provides housing assistance to 3117 additional families. Its annual budget is $38 million and it employs 74 people. PCHA's mission is to provide safe, quality, and affordable housing opportunities for families in need and cultivate healthy neighborhoods in Pinellas County.
The document discusses moving towards universal access to health care in India. It defines key concepts of universal health care and outlines principles like public funding playing a central role, comprehensive services for all, and no fees at point of access. It examines issues like what services should be covered, how it will be funded through taxes or insurance, and how services will be organized between public and private sectors. Specific challenges in India like the large private sector and funding mechanisms are also discussed.
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
This document discusses increasing funding for youth housing through the Department of Housing and Urban Development (HUD). It notes that federal funding for general affordable housing is much higher than funding specifically for youth housing. The HEARTH Act expanded HUD's definition of homelessness to include more youth and increased funding for homelessness prevention and rapid re-housing. The new funding rules provide greater flexibility to fund services like transitional housing that support homeless youth.
This document discusses expanding Shared Lives schemes through social investment. Shared Lives provides personalized care where carers share their lives and homes with those they support. The document finds that Shared Lives can provide significantly greater value for money than other forms of care, with average annual net savings of £26,000 per person for those with learning disabilities. Expanding one scheme by 75 placements could generate £1.5 million in annual savings once at full capacity. Barriers to expansion include lack of upfront funding and poorly developed incentives. The document proposes a Shared Lives Incubator to provide social investment and management support to overcome these barriers and enable expansion of Shared Lives at scale.
This document discusses the relationship between housing and health, and innovative housing options for older adults. It notes that home modifications can prevent costly falls and injuries, delay entry into residential care, and reduce hospital readmissions. The document then addresses perceived challenges for organizations in providing housing and care, including developing a future vision, addressing sustainability concerns, and fostering innovation. It also discusses the health drivers for good quality housing, an aging population's changing needs and preferences, and general facts about older adults' living situations.
In the field of social protection, Poland belongs to the EU group of countries with the familybased welfare model, what is extremely visible for the long-term care where family is the main care provider for elderly individuals with limitations in activities of daily living. At the same time the proportion of elderly in the coming decades is projected to be among the highest in the European Union, what raises questions on the design of the long-term care. For the moment the system is highly unregulated and disintegrated between social assistance and health care services. But it is the health sector that concentrates policy debate with a proposal of an introduction of nursing insurance. In the social sector, the significant changes that were favorable to LTC services development were introduced by the
law on the social assistance (2004) and family benefits (2003) widening the scope of care available at home and in adult day care centers. But still provision of services is insufficient and a market of private services, paid out-of-pocket rapidly develops. It seems that main problems of the long-term care development in the future will be raising demand against insufficient resources and diversified priorities of the health care system.
Authored by: Stanislawa Golinowska
Published in 2010
Dalberg_RCRC Final strategy document.pptxRenu Lamba
RCRC has identified four strategic priorities to address challenges faced by marginalized communities and civil society organizations in India. The priorities are: (1) Increasing awareness and attention on issues faced by marginalized groups, (2) Improving access to basic services and entitlements for marginalized communities, (3) Enhancing representation of marginalized voices in decision making circles, and (4) Building the capacity of civil society organizations through collaboration and networking. RCRC is well positioned to work on these priorities due to its large network of civil society organizations across India, access to marginalized communities, relationships with government and donors, and ability to aggregate funding at scale.
This document discusses approaches to providing affordable housing. It begins by outlining the historical housing problem of insufficient affordable housing for workers under capitalism. It then discusses modern housing questions around providing shelter for the urban poor, combating segregation, and fostering social integration. Key debates addressed include whether housing should be owner-occupied or rental, and whether it should only target the urban poor or integrate different social classes. The document uses examples from Europe and Asia to illustrate different approaches to these issues.
This document provides an overall summary of a project exploring the implications of personalization and personal budgets for specialist housing for older people. Key points include:
- Personalization is now the basis of social care policy and aims to focus services on what people want through greater choice and control.
- While personal budgets have potential benefits, the IBSEN report found they did not always work well for older people and could increase stress and reduce well-being.
- Housing providers need to get involved in discussions with commissioners to address issues around personalization and ensure the needs and views of older residents are represented.
- Issues around workforce, risk management, funding, and equality and diversity all require consideration as personalization is implemented
- Supportive housing provides permanent affordable housing combined with flexible voluntary services to help people live stable lives and reduce cycling between homelessness, incarceration, hospitals and shelters.
- Research shows supportive housing reduces recidivism and costs to criminal justice systems while improving health outcomes for tenants. It is an effective approach for people leaving incarceration who often face homelessness and other challenges.
- The document advocates for investing in supportive housing as part of comprehensive reentry efforts to improve lives and more efficiently use public resources.
This document discusses supportive housing and its innovations and applications. Supportive housing combines permanent affordable housing with supportive services to help vulnerable people live stable, independent lives. It can take various forms, such as single-site or scattered-site housing. Supportive housing addresses multiple social problems by increasing housing stability and reducing incarceration and health costs. The document provides examples of integrated supportive housing projects that reserve a portion of units for special needs tenants.
The document discusses the potential benefits of adopting a "one budget" approach that fully integrates health and social care budgets in the UK. Key points include:
- Integrating budgets could end cost-shifting between health and social care, incentivize preventative social care, and allow services to be commissioned based on integrated outcomes rather than artificial divisions.
- Challenges include ensuring resources aren't just pulled back to hospitals, determining personal budgets under a single system, and adapting regulations for integrated providers.
- Health and wellbeing boards could provide local governance structures but may require primary legislation to fully implement a single budget approach.
The document provides an overview and summary of a presentation on Medicaid, health care reform, and opportunities for advocacy. It begins with introductions and a poll of attendees' backgrounds. It then provides a Medicaid and health reform "pop quiz". The bulk of the document outlines how Medicaid can help address homelessness by helping people obtain and maintain housing, preventing homelessness, redirecting housing funds, and saving money. It discusses opportunities created by the Affordable Care Act, including Medicaid eligibility expansion. The document concludes by discussing long-term care opportunities under health reform.
Practical Strategies for Austere times: Effective Partnerships to Build Homes...Wellesley Institute
This document discusses strategies for affordable housing in austere times. It summarizes that:
1) Housing insecurity is deep and persistent in Canada despite partnerships between different levels of government and organizations to build homes.
2) Federal funding for housing and homelessness programs has been cut significantly in recent years at the same time that housing costs have risen faster than incomes.
3) Multiple sectors including all levels of government, the community sector, private sector, and social innovators must work together to develop new tools and solutions to address the ongoing affordable housing crisis.
Delivering personalised housing_servicesCarl Miller
Investing in home adaptations and improving energy efficiency in homes can save the NHS money by reducing costs associated with emergency services and hospital stays. As the population ages, more people will live with long-term health conditions that could be exacerbated by poor housing, leading to increased healthcare needs. Integrating housing and health policies around issues like home adaptations, assistive technologies, and support services can help people live independently for longer while saving on acute healthcare costs.
(Vacant) Billingham) (Sue Williams)
Older People's Services Family Support Services
(Gillian Thomas) (Vacant)
Care Management (OP) Children's Disability Services
(Sue Williams) (Vacant)
Home Care (OP) Child Protection
(Vacant) (Vacant)
Fostering and Adoption
(Vacant)
Residential Care
(Vacant)
Youth Support Services
(Vacant)
Early Years
(Vacant)
Education
(Vacant)
Legal Services
(
Seattle Chinese Chamber of Commerce - The US-China RelationshipBenjamin Shobert
What can we say about this key relationship in light of the 2016 Presidential election? What changes should we anticipate? How do we work together to ensure trade and investment between the two countries continues to grow?
The document discusses the changing landscape for pharmaceutical marketing in China, noting that compliance concerns, restrictions on promotional activities, and drug approval lags are forcing companies to transition from sales-driven to more strategic, marketing-focused models. Interviews with industry executives found that while China remains important, challenges around market access, disconnects between policy and implementation, and macroeconomic factors are affecting business. The paper aims to explore the context of changes in China's healthcare system and offer recommendations for how companies can adapt their marketing approaches.
The document discusses Indiana's Permanent Supportive Housing Initiative, which aims to create at least 600 units of permanent supportive housing in Indiana over six years. It provides supportive housing to individuals experiencing long-term homelessness by combining affordable, permanent housing with voluntary support services. Studies show supportive housing is effective at improving stability and health outcomes while reducing costs to other public systems like hospitals, shelters, and jails. The initiative is a public-private partnership led by the Indiana Housing and Community Development Authority and other state agencies to adopt a housing first model and end long-term homelessness in Indiana.
Chronic homelessness costs governments significant amounts of money through repeated use of crisis services like hospitals and jails. Permanent supportive housing following a Housing First model has been shown to improve outcomes for the chronically homeless while reducing costs. It provides long-term affordable housing combined with support services for residents. Examples from Canada, the US and Australia demonstrate that this approach can successfully house people experiencing chronic homelessness while also decreasing their use of emergency services. For Australia to adopt this model more widely will require a shift towards prioritizing long-term housing over temporary options, as well as increasing housing stock and using funding to incentivize permanent outcomes.
Hearth, Inc. is a nonprofit organization focused on ending elder homelessness. It operates housing and services programs for older adults who are homeless or at risk of homelessness. Hearth partners with social service agencies and provides supportive housing, which combines affordable housing with health and social services. Supportive housing models have proven successful in helping vulnerable populations live stable lives. As the Massachusetts population ages over the next 20 years, issues like poverty, lack of affordable housing, and high living costs will continue to impact many older residents without adequate retirement or social security income. Hearth addresses these challenges through developing affordable housing communities that integrate services to support residents' well-being.
The Pinellas County Housing Authority (PCHA) is the largest public housing agency in Pinellas County, Florida. It was established in 1965 and is governed by a five member board appointed by the governor. PCHA owns and manages 1756 rental units and provides housing assistance to 3117 additional families. Its annual budget is $38 million and it employs 74 people. PCHA's mission is to provide safe, quality, and affordable housing opportunities for families in need and cultivate healthy neighborhoods in Pinellas County.
The document discusses moving towards universal access to health care in India. It defines key concepts of universal health care and outlines principles like public funding playing a central role, comprehensive services for all, and no fees at point of access. It examines issues like what services should be covered, how it will be funded through taxes or insurance, and how services will be organized between public and private sectors. Specific challenges in India like the large private sector and funding mechanisms are also discussed.
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
This document discusses increasing funding for youth housing through the Department of Housing and Urban Development (HUD). It notes that federal funding for general affordable housing is much higher than funding specifically for youth housing. The HEARTH Act expanded HUD's definition of homelessness to include more youth and increased funding for homelessness prevention and rapid re-housing. The new funding rules provide greater flexibility to fund services like transitional housing that support homeless youth.
This document discusses expanding Shared Lives schemes through social investment. Shared Lives provides personalized care where carers share their lives and homes with those they support. The document finds that Shared Lives can provide significantly greater value for money than other forms of care, with average annual net savings of £26,000 per person for those with learning disabilities. Expanding one scheme by 75 placements could generate £1.5 million in annual savings once at full capacity. Barriers to expansion include lack of upfront funding and poorly developed incentives. The document proposes a Shared Lives Incubator to provide social investment and management support to overcome these barriers and enable expansion of Shared Lives at scale.
This document discusses the relationship between housing and health, and innovative housing options for older adults. It notes that home modifications can prevent costly falls and injuries, delay entry into residential care, and reduce hospital readmissions. The document then addresses perceived challenges for organizations in providing housing and care, including developing a future vision, addressing sustainability concerns, and fostering innovation. It also discusses the health drivers for good quality housing, an aging population's changing needs and preferences, and general facts about older adults' living situations.
In the field of social protection, Poland belongs to the EU group of countries with the familybased welfare model, what is extremely visible for the long-term care where family is the main care provider for elderly individuals with limitations in activities of daily living. At the same time the proportion of elderly in the coming decades is projected to be among the highest in the European Union, what raises questions on the design of the long-term care. For the moment the system is highly unregulated and disintegrated between social assistance and health care services. But it is the health sector that concentrates policy debate with a proposal of an introduction of nursing insurance. In the social sector, the significant changes that were favorable to LTC services development were introduced by the
law on the social assistance (2004) and family benefits (2003) widening the scope of care available at home and in adult day care centers. But still provision of services is insufficient and a market of private services, paid out-of-pocket rapidly develops. It seems that main problems of the long-term care development in the future will be raising demand against insufficient resources and diversified priorities of the health care system.
Authored by: Stanislawa Golinowska
Published in 2010
Dalberg_RCRC Final strategy document.pptxRenu Lamba
RCRC has identified four strategic priorities to address challenges faced by marginalized communities and civil society organizations in India. The priorities are: (1) Increasing awareness and attention on issues faced by marginalized groups, (2) Improving access to basic services and entitlements for marginalized communities, (3) Enhancing representation of marginalized voices in decision making circles, and (4) Building the capacity of civil society organizations through collaboration and networking. RCRC is well positioned to work on these priorities due to its large network of civil society organizations across India, access to marginalized communities, relationships with government and donors, and ability to aggregate funding at scale.
This document discusses approaches to providing affordable housing. It begins by outlining the historical housing problem of insufficient affordable housing for workers under capitalism. It then discusses modern housing questions around providing shelter for the urban poor, combating segregation, and fostering social integration. Key debates addressed include whether housing should be owner-occupied or rental, and whether it should only target the urban poor or integrate different social classes. The document uses examples from Europe and Asia to illustrate different approaches to these issues.
This document provides an overall summary of a project exploring the implications of personalization and personal budgets for specialist housing for older people. Key points include:
- Personalization is now the basis of social care policy and aims to focus services on what people want through greater choice and control.
- While personal budgets have potential benefits, the IBSEN report found they did not always work well for older people and could increase stress and reduce well-being.
- Housing providers need to get involved in discussions with commissioners to address issues around personalization and ensure the needs and views of older residents are represented.
- Issues around workforce, risk management, funding, and equality and diversity all require consideration as personalization is implemented
- Supportive housing provides permanent affordable housing combined with flexible voluntary services to help people live stable lives and reduce cycling between homelessness, incarceration, hospitals and shelters.
- Research shows supportive housing reduces recidivism and costs to criminal justice systems while improving health outcomes for tenants. It is an effective approach for people leaving incarceration who often face homelessness and other challenges.
- The document advocates for investing in supportive housing as part of comprehensive reentry efforts to improve lives and more efficiently use public resources.
This document discusses supportive housing and its innovations and applications. Supportive housing combines permanent affordable housing with supportive services to help vulnerable people live stable, independent lives. It can take various forms, such as single-site or scattered-site housing. Supportive housing addresses multiple social problems by increasing housing stability and reducing incarceration and health costs. The document provides examples of integrated supportive housing projects that reserve a portion of units for special needs tenants.
The document discusses the potential benefits of adopting a "one budget" approach that fully integrates health and social care budgets in the UK. Key points include:
- Integrating budgets could end cost-shifting between health and social care, incentivize preventative social care, and allow services to be commissioned based on integrated outcomes rather than artificial divisions.
- Challenges include ensuring resources aren't just pulled back to hospitals, determining personal budgets under a single system, and adapting regulations for integrated providers.
- Health and wellbeing boards could provide local governance structures but may require primary legislation to fully implement a single budget approach.
The document provides an overview and summary of a presentation on Medicaid, health care reform, and opportunities for advocacy. It begins with introductions and a poll of attendees' backgrounds. It then provides a Medicaid and health reform "pop quiz". The bulk of the document outlines how Medicaid can help address homelessness by helping people obtain and maintain housing, preventing homelessness, redirecting housing funds, and saving money. It discusses opportunities created by the Affordable Care Act, including Medicaid eligibility expansion. The document concludes by discussing long-term care opportunities under health reform.
Practical Strategies for Austere times: Effective Partnerships to Build Homes...Wellesley Institute
This document discusses strategies for affordable housing in austere times. It summarizes that:
1) Housing insecurity is deep and persistent in Canada despite partnerships between different levels of government and organizations to build homes.
2) Federal funding for housing and homelessness programs has been cut significantly in recent years at the same time that housing costs have risen faster than incomes.
3) Multiple sectors including all levels of government, the community sector, private sector, and social innovators must work together to develop new tools and solutions to address the ongoing affordable housing crisis.
Delivering personalised housing_servicesCarl Miller
Investing in home adaptations and improving energy efficiency in homes can save the NHS money by reducing costs associated with emergency services and hospital stays. As the population ages, more people will live with long-term health conditions that could be exacerbated by poor housing, leading to increased healthcare needs. Integrating housing and health policies around issues like home adaptations, assistive technologies, and support services can help people live independently for longer while saving on acute healthcare costs.
(Vacant) Billingham) (Sue Williams)
Older People's Services Family Support Services
(Gillian Thomas) (Vacant)
Care Management (OP) Children's Disability Services
(Sue Williams) (Vacant)
Home Care (OP) Child Protection
(Vacant) (Vacant)
Fostering and Adoption
(Vacant)
Residential Care
(Vacant)
Youth Support Services
(Vacant)
Early Years
(Vacant)
Education
(Vacant)
Legal Services
(
Seattle Chinese Chamber of Commerce - The US-China RelationshipBenjamin Shobert
What can we say about this key relationship in light of the 2016 Presidential election? What changes should we anticipate? How do we work together to ensure trade and investment between the two countries continues to grow?
The document discusses the changing landscape for pharmaceutical marketing in China, noting that compliance concerns, restrictions on promotional activities, and drug approval lags are forcing companies to transition from sales-driven to more strategic, marketing-focused models. Interviews with industry executives found that while China remains important, challenges around market access, disconnects between policy and implementation, and macroeconomic factors are affecting business. The paper aims to explore the context of changes in China's healthcare system and offer recommendations for how companies can adapt their marketing approaches.
This document provides information on best practices for in-home caregiving for seniors. It discusses the importance of preventing falls and injuries, helping seniors stay engaged in activities and maintain a regular diet and medication schedule, and preventing social isolation through companionship. Professional in-home caregivers can help seniors live safely and actively in their own homes. The document also covers common chronic conditions in seniors like dementia, Alzheimer's, and Parkinson's disease.
The document discusses trends in China's senior housing market from 2015-2040. It finds that while real estate developers view senior living as a real estate play, care needs are not adequately met. Preference is for facilities within cities rather than suburbs. The market is narrower than expected and products are needed for the middle class. Redevelopment of existing properties is more successful than greenfield projects. Operational capabilities for assisted living/memory care often do not match advertised services.
Latitude Health, a new affiliate firm of Rubicon Strategy Group, is a leading healthcare consulting firm located in Shanghai. This slide deck introduces their capabilities in more detail.
This report provides a comprehensive analysis of China's senior care market through 2050. It profiles major operators, analyzes regulations, and identifies best practices. Interviews with industry leaders provide key lessons on market acceptance and scaling a senior care business in China. While the elderly population is large, consumers are cautious due to economic instability. Expanding private long-term care funding will be critical to drive industry growth by offering benefits to both working adults and their parents. The report offers practical guidance for domestic and foreign operators seeking to execute successfully in China's developing senior care sector.
Washington State Life Science Business Investment Mission to China - October ...Benjamin Shobert
Rubicon Strategy Group has been facilitating a round of meetings in Beijing and Shanghai for Washington state life-science and medical device companies. Our kick-off presentation to the group follows.
The Promise & Peril of China's Healthcare Reforms - February 2014Benjamin Shobert
Mr. Shobert kicked off the event by talking about China’s priorities in the early 1980’s, which then only consisted of massive economic development plans. Shobert discussed how China, like America during the industrial revolution, compromised their personal health for economic wealth. He then spoke about China’s foreign direct investment life cycle. He explained that foreign companies in China are welcomed
when needed, but are eventually shown the door when domestic counterparts are able to replace them.
According to Shobert, this phenomenon has been happening since the medieval days of Chinese emperors and dynasties.
Mr. Shobert extensively talked about the promise of China’s healthcare economy. He talked about the billions of dollars spent by the Chinese on healthcare every year, and he showed a survey that explained how the Chinese value healthcare spending above anything else. He discussed the geographic differences of China, which is one of the biggest countries in the world and the home to 1.3 billion people. He then highlighted how motivated the government is in seeking the best healthcare for all their people.
Shobert also talked about the perils and the challenges of China’s healthcare economy. Initially, he gave generalized comments regarding business laws not being implemented and applied to local companies. He highlighted how global pharmaceutical companies are coping with this disadvantage, and he also touched based on the challenges of building a medical staff/team in China.
Towards the end his speech, Mr. Shobert emphasized the expectations of the Chinese economy. He said he believed that the glory days in the 1990’s and early 2000’s of double digit growth every year have passed, and we could expect China to grow “only” at around 7.5% of its GDP per year.
Nevertheless, he reminded everybody that China is still a land of massive growth, and that big opportunities remain for
companies seeking to do business there.
The ethical challenges of doing business in china's healthcare economyBenjamin Shobert
The document discusses China's healthcare system and the ethical challenges of doing business in the sector. It notes that healthcare was better under Mao due to the "Barefoot Doctor Brigades" providing basic care. Economic reforms dismantled this system without replacing it, leading to declining government spending and many people unable to afford care. This created incentives for corruption as hospitals and doctors sought other revenue sources. A large pharmaceutical company was recently fined for bribery, though it's debated whether this was truly unethical or necessary to do business in China's broken system. The document considers companies' options moving forward such as maintaining ethics, changing strategies, or exiting China.
Developing the right public private partnerships for china's emerging senior ...Benjamin Shobert
What lessons should China learn from the American experience in senior housing during the 1980s and 90s? What is the right role of the Chinese government as regulator of the sector?
An introduction to Myanmar's current healthcare system with an eye on whether the country is ready for meaningful foreign direct investment in the sector.
China's healthcare reforms: the promise & the peril - 01-29-13Benjamin Shobert
China's healthcare system was better under Mao due to the "Barefoot Doctor Brigades" providing basic care to rural communities. However, economic reforms dismantled this system without replacing it, reducing government healthcare spending and insurance coverage. As a result, many Chinese cannot afford medical care. However, China is now investing heavily to reform its healthcare system, with plans to spend over $4 trillion to expand insurance coverage, build hospitals, and increase the healthcare workforce to address the growing elderly population. This massive investment presents opportunities for foreign companies in areas like primary care, technology, training, and senior care.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Cherish Yearn is a retirement community in China with residential buildings, amenities, and an on-site hospital. The community has over 15 buildings including hotel-style residences, administrative offices, a gym, dining hall, and activity areas. Housing options include 1-bedroom and 2-bedroom units, all furnished. Amenities include a fishing pond and calligraphy studio. The on-site hospital offers three levels of care. Monthly fees vary from 1,500 to 10,000 RMB depending on the room and level of care. The developer provides contact information for more details.
The document discusses opportunities for Truper in the North American lawn and garden tool industry. It notes vulnerabilities of North American OEMs, including financial distress, management turnover, outdated infrastructure, overreliance on low costs, and underinvestment in branding, innovation and marketing. Retailers are seeking new products and brands as they differentiate themselves, opening opportunities for suppliers that can develop innovative products and fill gaps left by weaker vendors. The document evaluates Truper's potential to take advantage of these industry shifts.
NoseBudd is a patented product that helps stop nosebleeds using cold therapy and gentle finger pressure. It addresses the large problem of nosebleeds in the US which are caused by factors like sports, dry air, and blood thinners. Unlike other nosebleed treatments, NoseBudd is non-invasive, inexpensive, and easy to use. The document outlines NoseBudd's marketing partnerships, distribution in stores and to medical groups, and advertising in publications targeting relevant audiences like school nurses.
The document discusses strategies for improving organizational performance through aligning operations with strategic goals. It introduces the balanced scorecard approach, which translates strategy into objectives and initiatives across four perspectives: financial, customer, internal processes, and learning and growth. Sample strategy maps and scorecards are provided for several strategic themes, including achieving a low-cost market position, product innovation, improving sales performance, and optimizing resource allocation. The balanced scorecard framework is intended to help organizations execute strategy through consistent focus, measurement, and resource allocation.
1. +
Hong Kong Housing
Society’s Senior Care
Facility and Business
www.AsiaHealthcareBlog.com Model
www.RubiconStrategyGroup.com
2. +
Overview
Hong Kong Housing Society (HKHS)
History of the Organization
HKHS’ Mission and Mandate
Role of the Hong Kong Government (past, present, future)
Structure of Senior-Care Market in Hong Kong
Role of the Family as Caregiver
Available Residential and In-Home Care Options
Role of Government and Private Insurance as Payer
HKHS’ Solution
Facility Structure (Services, Amenities, Infrastructure)
Payment Options (Financing, Qualification Standards)
Role of Government (Land Incentives, Eldercare Regulation)
What HKHS Plans to do Differently
How Their Next Two Facilities will be Different
How They Want to Shift Their Relationship with the Hong Kong Government
3. +
Hong Kong Housing Society
History of the Organization
Mission & Mandate
Role of the Hong Kong Government (Past, Present and Future)
4. +
Hong Kong Housing Society
History of the Organization
Started in 1948.
Play a role renovating existing properties,
rebuilding distressed properties, or providing
housing for people who have lost housing due to
reclamation.
As of today, have built over 67,000 individual
housing units.
Today, in addition to managing their own
properties, they provide commercial property
owners with housing management services and
retail leasing as well.
Mission & Mandate
Help create housing initially for low-income
families.
As housing in Hong Kong become more
expensive, mission migrated to address housing
needs of middle-income families also.
Role of the Government
Past: Government funded the HKHS.
Present: Government offers incentives and
some remediation, but little direct support.
Future: Government may continue to offer
incentives, but HKHS sees its reliance in
government support dwindling.
5. +
Structure of the Senior Care
Market in Hong Kong
Role of the Family as the Caregiver
Available Residential and In-Home Care Options
Role of Government and Private Insurance as Payer
Public versus Private Residential Senior-Care
Key Similarities & Dissimilarities Between Hong Kong & China
6. +
The Family
Role of the Family as Caregiver
74.1% of the elderly population live w/ family1.
17% of elderly over 60 are receiving social security2.
55% of elderly over 65 are also receiving old age allowance3.
Even with elderly parents who have dementia, families are reluctant
to turn over caregiving services to outsiders.4
Studies of ex-pat Chinese and Hong Kong communities in Boston,
Vancouver and Toronto show that cultural barriers to third-party care
giving continue to lower; however, strong concepts of familial piety
still govern how Hong Kong families view senior care.5
1Report no. 27: Life, Health and Financial Conditions of Elderly Persons and Middle-Aged Persons – Census and Statistics Department 2000.
2”Elderly Services in Hong Kong” – The Hong Kong Council of Social Service.
3Ibid.
4”Caregivers’ Informational Needs on Dementia and Dementia Care”, Asian Journal of Gerontology & Geriatrics, Vol 2, No 2, August 2007.
5Intergenerational Family Support for Chinese Older Adults, International Journal of Social Welfare, Volume 20, Supplement 1, October 2011.
7. +
The Market
Hong Kong
Government Provided
Community Care &
Support Services
District Elderly
Community Centers & Social Centers for the Residential Care
Neighborhood Elderly Elderly Services (RCH)
Centers
Services for active and healthy More involved services which RCH can be subsidized (what HKG
seniors: education, social provide the option of either center- government calls “subvented”), or
development, career support, based services or some minimal in- some combination of public/private.
outreach, networking, basic home care. These are more involved services
counseling, meals, referrals to service than social centers.
providers, etc.
NOTE: After this stage, the HKG
government does provide limited
assessment-based subsidized long-
term care.
As a HKG senior moves further to the right, services get more involved to reflect growing healthcare
needs and typically diminished ability to pay for these services themselves.
8. +
Available Residential & In-Home
Care Options
Number of Facilities
17% 3%
RCH Hybrids
15%
RCH Non-Subsidised
65%
EBS
Private
RCH Hybrids are combinations of subsidized (public and NGO), self-financing, contract, contract-based, etc.
RCH Non-Subsidized receive no government assistance but are not self-financing. These are NGOs.
EBS (also called EBPS for Enhanced Bought Place Scheme) are facilities purchased by the HKG Social Welfare Department.
Private facilities are individually run, for-profit senior housing operators.
NOTE: Data compiled from four databases provided by the HKG Social Welfare Department; 2 (the RCH components) updated 9/30/2011
and 2 (EBS and Private) updated 11/30/2011.
9. +
Available Residential & In-Home
Care Options
RCH Openings
0% 2%
Hostel
16%
Home
48%
Care & Attention
34%
Care & Attention Plus
Continuum of Care
Nursing Home
These are only openings for RCH categorized senior care facilities.
The “Hostel” and “Home” categories can essentially be overlooked (2% of the total); categories not of practical analytical value.
“Care & Attention” – basic in-home services ranging from social visitation to basic medical care.
“Care & Attention Plus Continuum of Care” – more involved medical care up to hospice.
NOTE: Data compiled from four databases provided by the HKG Social Welfare Department; 2 (the RCH components) updated 9/30/2011
and 2 (EBS and Private) updated 11/30/2011.
10. +
Available Residential & In-Home
Care Options
Number of Facilities Number of Openings
(% of Total) (% of Total)
RCH Hybrids 147 (16.5%) 17,739 (17.8%)
RCH Non-Subsidized 29 (3.3%) 1,304 (1.3%)
EBS 136 (15.3%) 21,698 (21.8%)
Private 578 (64.9%) 58,744 (59%)
Total: 890 99,485
Estimates are that there are 19,000 on the waiting list currently for the RCH Hybridized senior care.1
NOTE: Data compiled from four databases provided by the HKG Social Welfare Department; 2 (the RCH components)
updated 9/30/2011 and 2 (EBS and Private) updated 11/30/2011.
1”Who Pays for Long Term Care in Hong Kong”, Laurence Wing Him Ho, Chief Executive, Hong Kong Policy Research
Institute.
11. +
In Case You Are Curious
How that stacks up against the need in Hong Kong …
Number of Seniors 65+ Percentage of Population
2009 913,000 13.01%
2025 1,766,000 24.01%
2050 2,427,000 39.32%
Suggests Hong Kong has services in place for about 11% of seniors.
Current dependency ratio is 168:1000 (seniors over 65 : workers).
Projections are by 2023 this will rise to 282:1000, by 2033 to 428:1000.
12. +
A Word About EBS
The “Enhanced Bought Place Scheme” was the outgrowth of a major
policy review by the Hong Kong government where they attempted to
develop solutions to the shortage of senior care facilities. With the EBS,
the government purchases an existing privately owned senior care operation
and upgrades them (there are two standards as shown below: EA1 offers more
care than EA2). The government saves CapEx by renovating an existing facility.
EA1 EA2
Per Capita Net Floor Area 9.5 m2 8 m2
Home Manager 1 1
Registered Nurse 2 0
Physiotherapist 0.5 0
Health Worker 2 4
Care Worker 8 8
Ancillary Worker 8 6
Total 21.5 19
Note: Source data from Hong Kong Social Welfare Department and “Who Pays for Long Term Care in Hong
Kong”, by Laurence Wing Him Ho, Chief Executive, Hong Kong Policy Research Institute.
13. +
Payer – Government & Insurance
How seniors in Hong Kong pay for services:
12% who are 60+ are still working in some part-time capacity.
80% are living off of savings.
17% receive social security allowance.
55% over 65 receive additional old age allowance.
Private insurance plays a very small role.
New efforts by the Health & Wealth Bureau are recommending a
required 2% contribution of salary to Health Protection Account for
use in retirement.
14. +
HKHS’ Solution
Facility Structure (Services, Amenities, Infrastructure)
Payment Options (Financing, Qualification Standards)
Role of Government (Land Incentives, Eldercare Regulations)
15. +
HKHS’ Solution – Facility Structure
Cheerful Court Jolly Place
Location No. 55 Choi Ha Road, Ngau Tau Kok, Kowloon No. 2 Pui Shing Lane, Tseung Kwan O
Number of Units One Bedroom Flat 254 162
Studio Flat 79 81
Total: 333 243
Floor Area (sqm) One Bedroom Flat 35 37
Studio Flat 23 25
Carparks Private Cars 48 14
Motorcycles 0 5
Hospice Beds 57 40
Club Facilities Restaurant, Convenience Store, Coffee Bar, Hair Lounge, Restaurant, Hobby Room, Multi-
Salon, Music Room, Chinese Medicine Store, Purpose Hall, Garden, Games, Gymnasium,
Library & Hobby Room, Indoor Swimming Pool, Reading Room
Hydropool, Garden, Fitness / Rehab Room,
Dancing Room
16. +
HKHS’ Solution – Facility Structure
These pictures were taken during a site visit at Cheerful Court in November 2011. They show
the one-bedroom flat in their model configuration. Kitchen to the LEFT, Dining Area to RIGHT.
As pictured, this unit would sell for approximately $600,000 HKD.
17. +
HKHS’ Solution – Facility Structure
These pictures were taken during a site visit at Cheerful Court in November 2011. They show
the one-bedroom flat in their model configuration. Living Room to the LEFT, Bedroom to the RIGHT.
18. +
HKHS’ Solution – Payment Options
HKHS is one of the other major policy initiatives that came from the Hong Kong municipal
government’s review of senior housing and the chronic shortage.
With HKHS, the government chose to offer land incentives for development versus additional
subsidization of those seniors who wanted to move to either Cheerful Court or Jolly Garden.
Consequently, HKHS has some financial criteria that potential candidates must meet in order to
move to one of these residences:
Residents must have net assets between $1-5m HKD.
If less than this, the income of the children can be used to qualify.
In this eventuality, the children’s income must total $29,000 HKD/month.
Services for in-home care range from:
Minimum of the basic management fee of $1,260 HKD/month plus a $300 HKD/person/month for
basic care services.
A la carte services (social visits to in-home hospice) range from $10,000-$30,000 HKD/month.
Families can provide their own in-home care through a maid or other domestic help.
19. +
HKHS’ Solution – Payment Options
Some additional points:
Rights of ownership are not inheritable.
Projected turnover was 10% when they opened; actual turnover has
been 4% (project is only 7 years old, so this could adjust in time).
10% of the population has some sort of dementia.
90%+ is over 70 years of age.
Average age currently is between 72-73.
Homes feature panic buttons, two-way locks, non-slip tiles, stabilizer
bars throughout home, etc.
20. +
HKHS Solution – Role of
Government
The Hong Kong government agreed
to sell these two plots of land to the
developer for $1 each.
HKHS has a 10-year management
contract w/ the government.
As of year 7, they are not yet
profitable because in order to take
advantage of the $1 land purchase
price, they had to agree to service
pricing schemes that have been too
aggressive.
The Hong Kong government has
2,167 accredited assessors that can
assess the needs of seniors who are
receiving public money.
21. +
What HKHS Plans to do
Differently
How Their Next Two Facilities will be Different
How They Want to Shift Their Relationship with the Government
22. +
What HKHS Plans to do Differently
HKHS has two new facilities in the works:
Tanner Hill (600 units) and Tin Shui Wai (1,000 units).
These will be purchased w/o government subsidies.
Consequently, the Hong Kong government cannot set prices (for either the
flat or the services offered).
The HKHS has not been happy w/ the role of the government and believes
they may not be able to operate profitably unless the government
reimbursement model changes.
These two new facilities will double the income and net-asset
requirements in order for a senior to qualify.
HKHS is moving away from what the Hong Kong government intended as
a solution for middle-class seniors to a higher-end offering.
23. +
Conclusions
The four lessons from HKHS’ experience
24. +
The Four Lessons from HKHS’
Experience
The role of government was not helpful.
A middle-income solution is still needed.
Longer lifespans mean longer ROI horizon.
Even in Hong Kong, the need for soft-skills (nursing) is high.
Each of these begs the question of whether the elder care
market in China is ready to explode or whether more
development work is necessary before the Chinese market
can be ready. Perhaps the bigger market opportunity in
China is not housing, but training the trainers?
25. +
Contact Information
Benjamin Shobert
Founder, Managing Director
Rubicon Strategy Group, LLC
Two Union Square
601 Union Street, Suite 4200
Seattle, WA 98101
Phone: 206-652-3572
Fax: 206-652-3205
Mobile: 317-777-2926
Email: bshobert@rubiconstrategygroup.com
URL: www.CrossTheRubiconBlog.com or www.AsiaHealthcareBlog.com