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Referral!Guide!
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Guide to Senior Care Options & Patient Care Assisted / Alzheimer’s – Home Healthcare – Hospice – Home Care Senior Living - Skilled Nursing & Rehabilitation – Rehabilitation MOBILE'AND'DIGITAL'AVALIABLE''
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CONTENTS
Volume 1 Issue 3 Illinois
In !January 2011, surgeon Atul Gawande wrote an !article in The New Yorker magazine that helped change the way many of us look at the quality and cost of health care delivery.
! How Good Data Can Help Lowncome Elderly Levels of Care Age in Community
ALZHEIMER’S 4 Programs and assistance designed with those with memory loss; some communities will provide specially Gawande's article, called "The Hottrained securitysuggested measures tothat prevent residents Spotters," we might be from wandering. able to lower medical costs "by giving
he neediest better care." 5 ASSISTEDpatients LIVING HOME
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HOME CARE 9 Allowing a non-medical home care assistant (caregiver) provide transportation, and dailysent needs. Together, the meals, two buildings 900
people to the hospital over two years HOSPICE 14 - Inallhome to the about of tune facilityofend of life$200 care million. for the terminally ill with pain management,
comfort, over and emotional being the Pouring his data,support Brenner came Along with assistance, residents enjoy primary mission for the family. daily "patients" activities, some level of healthcare Change to "residents" and to a startling conclusion. Only 1 services, article and daily meals. Gawande's holds a valuable percent of the people using Camden's esson for those of us who care about medical facilities accounted for 30 HOME and HEALTHCARE he health wellbeing of low- 6 percent of health care costs in those Allowing patients to remain at home ncome older adults living in publically facilities. He used that knowledge to eliminating travel for treatment; alternative subsidized housing. develop a highly coordinated care to hospital stay or a skilled nursing facility. delivery model to serve a targeted group of health care "super-utilizers." Gawande tells the story of a young In the process, he helped reduce doctor in Camden, NJ, who hospitalizations by 40 percent and championed a "Compstat approach" facebook/casemgmt! hospital bills by 56 percent for his first o evaluating how his city handled its group of 36 patients. health care delivery. Using a © !2014 CMSW 3! ! CASEMANAGEMENTSOCIALWORK.COM! database he created, Dr. Jeffrey ! mapped the City of ! Brenner literally And to think it all started with data.
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• Caregiver Support • Educational Programs
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The Complete Continuum of Care
Free daily telephone reassurance calls
Compassionate non-medical in-home care
Save up to 65% with Free ABC Rx cards
Escorted tours of assisted living communities
Always Best Care Senior Services ®
Non-medical in-home care • Assisted living services Dedicated to exceeding your expectations ... always
Call one of our Chicago locations today!
Chicago North Chicago West Chicago Southwest
(847) 730-5930 (855) 761-9755 (708) 320-8222
Independently owned and operated offices throughout the United States
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In January 2011, surgeon Atul Gawande wrote an ! ! article in The New Yorker magazine that helped change the way many of us look at the quality and cost of health care delivery.
How Good Data Can Help LowIncome Elderly Age in Community Gawande's article, called "The Hot Spotters," suggested that we might be able to lower medical costs "by giving the neediest patients better care." Change "patients" to "residents" and Gawande's article holds a valuable lesson for those of us who care about the health and wellbeing of low-income older adults living in publically subsidized housing. Gawande tells the story of a young doctor in Camden, NJ, who championed a "Compstat approach" to evaluating how his city handled its health care delivery. Using a database he created, Dr. Jeffrey Brenner literally mapped the City of Camden to find out which blocks generated the highest health care costs. Two blocks stood out. A nursing home was on one block. An affordable housing property stood on the other.
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Together, the two buildings sent 900 people to the hospital over two years -- all to the tune of about $200 million. Pouring over his data, Brenner came to a startling conclusion. Only 1 percent of the people using Camden's medical facilities accounted for 30 percent of health care costs in those facilities. He used that knowledge to develop a highly coordinated care delivery model to serve a targeted group of health care "superutilizers." In the process, he helped reduce hospitalizations by 40 percent and hospital bills by 56 percent for his first group of 36 patients. And to think it all started with data. Hot Spotting HUD-Assisted Housing Properties The LeadingAge Center for Applied Research has been involved in analyzing similarly exciting data over the past few
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years. We did this while working as a subcontractor to the Lewin Group on a study funded ! by the U.S. Departments of Health! and Human Services (HHS) and Housing and Urban Development (HUD). The researchers who collaborated on this study were able, for the first time, to successfully link administrative data from HUD and HHS. The new, merged data provide important insights into the health and health care utilization of low-income older residents of HUD-subsidized housing in 12 geographic areas. An initial analysis of this data has led us to many of the same general conclusions that Jeffrey Brenner reached after mapping Camden's health care data. Like Brenner, we found evidence that subsidized housing properties are the "hotspots" of health care need. Our report, Picture of Housing and Health: Medicare and Medicaid Use Among Older Adults in HUD-Assisted Housing, affirms that older people living in subsidized housing: Have more chronic conditions than their peers in the community who do not receive HUD assistance. • Are highly likely to be eligible for • Medicaid, in addition to Medicare. • Run a higher risk of being • hospitalized or using the emergency • department than their peers in the • community who do not receive HUD • assistance. Have higher health care • costs than the average older person-
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and even higher costs than community-dwelling elders not receiving HUD assistance who are also eligible for both Medicare and Medicaid.
The Message Behind the Data You could view our analysis as a depressing statement on the challenges facing low-income older people in this country. But, influenced by Jeffrey Brenner's experience, I choose to see a much more hopeful message here. It's a message about the dramatic difference that affordable senior housing properties could make in the lives of low-income older adults. Imagine the good work we could do if we used those housing properties as platforms for delivering health and social services that would help low-income residents manage their health and improve their functional status--all while saving health care dollars. At the Center for Applied Research, we have recognized this potential for many years. That's why we established the Center for Housing Plus Services and why we facilitate a Housing Plus Services Learning Collaborative to help affordable senior housing providers develop and test models for bringing health and supportive services into their housing properties. Next Steps for Housing Providers The merged HUD-HHS data make it hard to ignore the great need that exists in publically subsidized housing properties and the great potential that those properties hold for filling that need.
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! These data! give advocates for low-income older adults some great information about how we! can intervene to improve health among low-income seniors and where we should target our resources for the greatest return. They also give housing providers the evidence they need to expand their role in meeting the needs of the "superutilizers" of health care -- and in garnering the support they need to be successful. Becoming a platform to alleviate our health care hotspots means nothing less than reinventing affordable senior housing. We can no longer be the kind of housing providers who collect the rent and leave residents to fend for themselves. Instead, we need to envision a new kind of housing provider that recognizes how prevalent aging in community is becoming, understands the challenges facing lowincome older adults, and wants to be part of the solution. Robyn Stone, Leading Age
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HOSPICE !
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Is persistent overcrowding a problem for your ED?
VITAS breaks the cycle
A recent survey by the American Hospital Association reveals more than 50 percent of surveyed urban and teaching hospitals had EDs that were at or over capacity.1 VITAS care transition support services can help keep your beds turning. • We offer clinical staff trained to discuss goals of care and hospice benefits. • The VITAS admission team is available 24/7. • We can alleviate congestion in EDs by transitioning end-of-life patients to home. • VITAS can provide 24-hour nursing care (continuous care) in the patient’s home, nursing home or assisted living community, when appropriate, to control symptoms • VITAS after hours program provides direct, 24-hour access to clinical experts who have patient information and can dispatch a team member to the bedside any hour of the day or night, even on holidays. A referral to VITAS expands alternatives for transitioning your end-of-life patients.
1.800.93.VITAS • VITAS.com/Illinois 1
American Hospital Association “Taking the Pulse: The State of America’s Hospitals.” Results of AHA Survey of Hospital Leaders, March/April 2010-May 24, 2010.
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Welcome to the Chicago Chapter of Case Management Society of America! We are a non-profit, multidisciplinary group of healthcare professionals working together in case management. CMSA Chicago has been affiliated with the National Chapter of CMSA since 1993. We host seven Monthly (September - May) Educational Meetings and one Annual Conference (April). The location of the events is rotated throughout the communities we serve. Our membership strives to collaborate with the patient, family, healthcare provider and employer to provide the highest possible standard of professional healthcare. Please join us to collaborative efforts through networking and educational efforts. Our mission is to encourage standards of excellence throughout the case management process by providing opportunities for education and networking with other case managers and health care professionals that would improve healthcare outcomes. !
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CMSA Chicago The CMSA Chicago Chapter PO Box 726 Oak Park, IL 603030726 Telephone: (630) 415-2203 E-Mail: info@cmsa-chicago.org
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CASEMANAGEMENTSOCIALWORK.COM!
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The Complete Continuum of Care
Free daily telephone reassurance calls
Compassionate non-medical in-home care
Save up to 65% with Free ABC Rx cards
Escorted tours of assisted living communities
Always Best Care Senior Services ®
Non-medical in-home care • Assisted living services Dedicated to exceeding your expectations ... always
Call one of our Chicago locations today!
Chicago North Chicago West Chicago Southwest
(847) 730-5930 (855) 761-9755 (708) 320-8222
Independently owned and operated offices throughout the United States
!! PLEASE SAY, “I FOUND YOU IN CASEMANAGEMENT SOCIALWORK.” !
16! www.alwaysbestcare.com