1. Collaborating for a New Tomorrow
MHCA Pilot Project

2. Future Reality The need for services for seniors will triple by 2050*
There will be 1.3 million Minnesotans over age 65 by 2030*
* Source: Long-Term Care Imperative

3. Changing Demographics
Source: Minnesota Office of Demographer Estimates of Total Population 2005 – 2030, accessed 2006

4. Problem or Opportunity?
Could be viewed as a PROBLEM but we view it as an opportunity to:
Restore viability to local communities
Improve business opportunities
Expand job growth for all ages

5. Opportunity
74% of people age 65 and over rated their health as good or better *
80% of seniors are healthy (20% with chronic illness)
Proportion of people age 65 and over with a functional limitation DECLINED by 7% from 1992 to 2005*
40 % of male veterans (1/2 of whom were over age 65) of World War II, Korean War, or Vietnam were in labor force in 2007 (Dept of Labor)
* Source: Older Americans 2008 Key Indicators of Well-Being, Federal Interagency Forum on Aging-Related Statistics

6. Gifts to the Community 85+ Population 85+ 2000-2030 Change
Population
85+
Change
 Geographic Area
2000
2010
2030
Absolute %
Total
83,129
106,754
163,330
80,201
96.5%

7. MHCA Pilot Project: What is it?
“Building lifelong communities where seniors actively contribute to the vitality of the community”

8. MHCA Pilot Project: Based On
Identification of Service and Business Opportunities
Strong Relationships Between Local Providers and Seniors
Development of a Wide Array of Accessible Services
Focus on Health and Wellness for all Ages
Strengthening Workforce Options for all ages, including Seniors

9. MHCA Pilot Project: Based On
Keeping Seniors Active and Healthy in their Homes
Not relying on public dollars
Actively engaging volunteers
Reaching out to community leaders to sustain local project success

10. Project Focus All Seniors 65 and over All income levels
All cultural groups residing in their local community

11. Engagement Community-based collaborative Intergenerational Mentoring
Seniors actively contributing to their community
Local Businesses
Local Resources
Community Leaders
Intergenerational Mentoring

12. Positive Theme Flexible work for seniors Volunteer opportunities
Seniors contributing to the vitality of the community
Everyone participates
Continued support to keep people in the community
Redistribution of dollars back into the community
Flexible work for seniors
Volunteer opportunities
Maximize existing programs to meet individual needs

13. Basic Elements Family education and support Person-centered
Patient advocate
Interdisciplinary team approach
Active use of volunteers
One-Stop Shop for Health and Wellness

14. Basic Elements Navigation through the health system
Track needs
Promote local resources
Continued connection to minimize acute episodes
Expand work opportunities
Limited use of public dollars

15. Opportunity for Community
Develop local support network for seniors
Business Focus on needs of seniors
Opportunities for seniors to “contribute” to their communities through volunteering or part-time work
Support Health and Wellness strategies
Link faith communities with health and human service to fill in service options gaps

16. Project Foundation: Focus on Wellness and Prevention

17. Virtual Center Could Be
Senior Center
Home Care
Public Health
Block Nurse
Other

18. PROJECT PLAN Project Plan Basics Seek Grants & other investment Monies
Get Advisory Board Input
Inform Key Partners & Stakeholders
Determine Project Demonstration Sites
Establish plan infrastructure & service delivery
Evaluate Project Effectiveness
Establish Performance Targets/Research

19. Project Uniqueness Virtual Center Small, flexible Use of volunteers
Partnership between seniors, business, health & human services and community resources

20. Project Uniqueness
Built in connection/monitoring when not part of formal health care system
Centered on local communities - anywhere
Limited reliance on public monies 20

21. Technology is Key to Success!
Technology Creates
Opportunities for:
Seniors
Businesses
Communities

22. Technology Use Smart-home Technology Swipe Cards
Access Individual Health Information & Health Services Currently Using
Tele-homecare
Electronic Medical Record
Real-Time Database Management

23. Advantages for Seniors
Increased Independence
Improved satisfaction
Encourage consumer choice & self-directed care
Enhance ability to remain at home
Decreased use of costly health care services (emergency rooms, hospitals etc.)
Build relationships with local businesses & resources
Provide ongoing support when not in formal health system
Support family care-giving

24. Advantages for Community Businesses
Increased worker productivity
Needs of parents are met
Maintain viable business community
Actively engage people included in the age wave
Develop models to keep seniors safe in the community
Community working together to support seniors

25. Who Pays? Virtual Center initially funded by grants
Local funding to sustain virtual center – school district, city/county support, private resources
Services offered through the use of volunteers
Private Insurance
State & Federal (minimal)

26. Desired Outcomes
Track community resources used instead of state/federal dollars
Conduct Urban and Rural Pilot Projects
Track Re-hospitalization Rates
Monitor client satisfaction rates
Dollar expenditure tracking
Use of technologies: In-home and clinical

27. Desired Outcomes Work with Public Health to enhance health outcomes
Evaluation of existing client relationships
Beneficial to the client
Not beneficial to the client
Analyze relationship between use of resources & savings
Project Sustainability
Rapid response to necessary changes 27

28. Case Example Situation:
Out-of-control diabetic with frequent ER visits
Foot wound
Unable to see well enough to draw up correct insulin dosage
Simple Unconventional Provider Solution:
Provider bought lamp for $19.99 – better vision
No further ER visits

29. Case Example Situation:
MS client living on 4th floor – could not get to food served on first floor & no refrigerator in apartment (one-room apartment)
End stage renal disease
Bedsores due to springs poking out of mattress and into skin
Simple Unconventional Provider Solution:
Provider bought new mattress, food & small refrigerator
Involved MS Society who helped move client to livable apartment
Client able to die in dignity

30. Planning for the Future
Plan to develop four Pilot Sites:
Large Metropolitan area;
Larger Community, near or outside metro area;
Moderate-sized community in Greater Minnesota
Smaller rural community in Greater Minnesota
Looking for Home Care Providers interested in committing to this project in their community
Call MHCA for more information: