1. An Alternate Reality: The Experience of Real People in
Our Health and Senior Care System
MAY 2016
ANNE TUMLINSON INNOVATIONS 

2. VIDEO

3. Feeling 100% responsible for a
Failure
Feeling 100% responsible for a
high stakes situation
over which you have
no control.

4. Families: The Ultimate Accountable Care Organizations
Post-Acute Care
Doctors
And Needs Go Unmet
Complex Medical Need
Hospital
FAMILY:
Management
Coordination
Unpaid Caregiving
Legal
Financial
Frail Older Adult
Long-Term Services & Support
Need
Nursing Home
Home
Care
Senior Housing

5. Accountable Care Organizations Without Information
Yellow Pages Problem

6. Average Care Costs Per Older Adult with High Needs: $250,000
Or Money
Average Care Costs Per Older Adult with High Needs: $250,000

8. unprepared The country is To meet the needs and desires of
an aging population and their families.
Convey here a sense of urgency and a sense of opportunity

9. 52% of 65+ will have severe need
Source: ASPE, 2015

10. These Are People Whose Need Lasts a Long Time
25% will live more than 5 years
These Are People Whose Need Lasts a Long Time
52%
36%
15%
23%
26%
% of High Need
65+
<
YEARS OF HIGH LEVEL NEED
Source: ASPE, 2015

11. A Lot of People Needing a Lot of Care
Data pulled from the Avalere Long-Term Care Policy Simulator, June 25, 2013

12. And, they cost Medicare 2X as much
Annual Per Capita Medicare Spending in 2006,
by Number of Chronic Conditions & Presence of Frailty
Source: Data from Avalere Health, LLC analysis of 2006 Medicare Current Beneficiary Survey (MCBS) Cost and Use file. Prepared for: The SCAN Foundation. DataBrief No.22: Medicare spending by functional impairment and chronic conditions.

13. Solutions?
Real Accountable Care
Through
Partnership

14. Livable, Connected Communities
Hubs of Accountability
Service Coordination and Management
Medical Management
Trusted Hands-on In-Home Care Providers Supplemented
With Tech
Livable, Connected Communities
In-home
Technology
Home Modifications/Renovations

15. CLINICAL/ MEDICAL INTEGRATION
Require Partnerships
Home Care
Care Mgmt
Tech Solutions
CLINICAL/ MEDICAL INTEGRATION
Housing
SNFs
Hospitals
Doctors

16. In Order to Integrating Care for High Need Individuals and Families
Manage Complex Medical Needs
INNOVATIVE
HOUSING
MODELS
Individual Consumer and Family
Life Management Services
Support Safety AND Independent Living through Assistance with Daily Tasks

17. It’s Time
To Start A
Movement

18. “Your Efforts Are Good Enough” Creating Content and Communities
WHAT IS
DAUGHTERHOOD?
“Your Efforts Are Good Enough”
Creating Content and Communities
that Inform and Inspire