2. TIPs Overview

2.1 PROGRAM DESCRIPTION

TIPs is a multi-award-winning, affinity and congregate setting, multi-disciplinary, intergenerational, high-tech/high-touch, remote patient monitoring program enhanced with wraparound social services programs targeting low-income, high health risk, underserved communities.

Using on-site telehealth equipment, Telehealth Technician Assistants (TTA’s) check vital signs, ask behavioral health status questions that are predictive of hospitalization and/or counsel participants and caregivers on available assistance. Telehealth equipment includes HIPAA-compliant Bluetooth blood pressure, blood oxygen, and weight scale connected to Wi-Fi. Information transmits to an electronic database dashboard, which a Registered Nurse reviews and uses to provide follow-up to the participant, primary care physician, and/or caregiver. Social programming, co-produced with residents, is delivered on-site to support and enhance the telehealth services.

The TIPs model has proven that cost-efficient, long-term weekly remote patient monitoring (RPM) of basic vital signs and behavioral health status, along with “wraparound” social services is an early warning preventive strategy enabling participants to remain in community, significantly improve individual and community health, prevent hospitalization/ER incidents, and reduce individual and health system costs.

2.2 PARTNERSHIP

Community Opportunity Fund partnered with The Westchester Public/Private Membership Fund for Aging Services (WPPP) and Jonathan Rose Companies to launch Telehealth Intervention Programs (TIPs) at Grace West. Our project team also includes Professor Matthew Neidell from the Columbia University Mailman School of Public Health, whose role is to analyze the data and draw conclusions on cost savings in the health care system as a result of the preventative care being delivered through TIPs.

2. TIPs Overview

7

2.3 GRACE WEST MANOR - PROPERTY PROFILE

In June 2013, the Rose New Jersey Green Affordable Housing Preservation Fund acquired Grace West Manor, a 429-unit, affordable Section 8 property in Newark, New Jersey.

The property consists of a 12-story senior tower with 325 units, and family townhomes with 104 units. Grace West benefits from a long-term project-based Section 8 Housing Assistance Payment (HAP) contract. 100% of units are reserved for households earning below 50% of Area Medium Income. Between 2013 and 2018 approximately $4M of upgrades were undertaken, including modernized elevators in the senior tower, new energy-efficient boilers in the townhomes and a new community center. In October 2018 the property was refinanced using Low Income Housing Tax Credits, enabling further capital improvements.

Physical improvements included upgrades to resident units as well as community spaces. The Community Room with the senior tower was modernized, and an all-season room was added to the senior tower community room to increase useable space and create a cohesive flow between the indoor and outdoor community areas. A fitness room and a consultation room were also added to the senior tower. These additional community spaces are part of Rose’s mission to build a culture of health at all Rose properties. The consultation space has been used for health screenings and benefits consultations.

Grace West benefits from two full-time Resident Service Coordinators (RSCs), one working primarily with seniors, and the other focused on the families and youth. The RSCs work with residents and community partners to coordinate programs and events, make referrals, and support resident wellbeing through case management. The rapport built between the RSC’s and Grace West residents was pivotal in the successful recruitment for and launch of the TIPs program.

In addition to two full time service coordinators previously in place prior to the launch of TIPs, an additional part-time service coordinator, specifically dedicated to the TIPs program, was hired in July 2019. This RSC assisted with recruitment of participants, raising awareness, and generating excitement about the Telehealth program. Upon the launch of screenings in September 2019, she also worked with community partners to coordinate wrap around services, continued to build rapport with residents to ensure their regular participation in the program, and is essential to the continued recruitment of new participants and in supporting and coordinating many aspects of the TIPs program.

8

Community Opportunity Fund

TIPs Research Report 2021

2. TIPs Overview

9

10

Community Opportunity Fund

TIPs Research Report 2021