Design Challenge: Aging in Place,Silicon Valley at the 2014 Positive Aging Forum

September 2014September 2014

2014 Silicon Valley Positive Aging Forum

Design Challenge: Aging-in-Place, Silicon Valley


WELCOME !!



Thank You !

Our deep gratitude goes to each of you for spending your day designing ways to empower and support older adults to thrive in their home and community.

Design Challenge: Aging-in-Place, Silicon Valley has been a collaborative effort of these forward thinking, generous and brilliant organizations:

Produced by:

Forum Partners










Aging in Place GAME CHANGERS!

© 2014 & Institute for Age-Friendly Housing. All Rights Reserved.

September 2014

Katy FikeAging 2.0


September 2014

Sheri PeiferEskaton

Services to the Home

Shifting from providing traditional senior housing to offering services and support for Aging-in-Place.

Vision:Transforming the aging experience

Mission:To enhance the quality of life of seniors through innovative

health, housing and social services

Eskaton: Who we are

Eskaton: What We Offer

Current Cost of Long Term Care in California

Type of Care Typical Cost Per Year

Medicare Covers

Nursing Home (Semi-Private

Room)

$74,000-$91,00 Medicare covers up to 100 days for medically necessary treatment. Then private pay.

Assisted Living $40,000-$60,000

No Medicare coverage.

Home Care $40,000-$50,000

Limited Medicare coverage following hospital event.

Source: www.longtermcare.gov

• 70% of people turning 65 can expect to use some form of LTC

The Realities of LTC

• Less than 1/3 of Americans 50+ have begun saving for LTC

Opportunity for growth: Create a new model of care that is more affordable and supports aging-in-place

Opportunity for growth: Create a new model of care that is more affordable and supports aging-in-place

CCRC’s without Walls Model

Objective: Bring CCRC services into a home setting through home and community based services.

• What is it? A Continuing Care at Home is a service delivery model that is operated by a CCRC within a private residence

• What services are included? Care coordination, companionship, home maintenance, transportation, meals, social and wellness programs, home health care, and house keeping

• How flexible is the plan? Contracts can range from modest more affordable in-home services to robust contracts that include skilled nursing. Plans range in complete coverage of LTC or a lower percentage (i.e. 70%).

• How is it paid for? Entrance fee can range from $20,000-$70,000 and member pays monthly fees that range from $250-$800 each month.

• Eligibility requirements? Most CCAHs require the members to enter when they are healthy and living independently.

Continuing Care at Home Model in CA

•However, California law sets limitations on the success of this type of home care model.

•AB 1698 (Portantino) passed in 2012• Under previous California Law CCRC providers

were obligated to seek licensure for a senior’s private residence if providing CCAH services

• Under the provision of this law CCRCs are now able to provide care and services to residents for a monthly service fee within the home BUT with a deferred entrance fee if the need of assisted living or skilled nursing arises in the future

Aging service providers throughout the United States have successfully offered consumer-preferred, in-home care through CCRCs

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=rAwvP2j4dGKeqM&tbnid=TNlsCsnHkc952M:&ved=0CAcQjRw&url=http://www.3stepdivorce.com/cities/sandiego.shtml&ei=IxcaVOfHD4T4yQSD9YD4Cw&bvm=bv.75097201,d.aWw&psig=AFQjCNHbSBdWTJ4GJYU9pUq8jUzRSFoLFg&ust=1411082380816526

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=rAwvP2j4dGKeqM&tbnid=TNlsCsnHkc952M:&ved=0CAcQjRw&url=http://www.3stepdivorce.com/cities/sandiego.shtml&ei=IxcaVOfHD4T4yQSD9YD4Cw&bvm=bv.75097201,d.aWw&psig=AFQjCNHbSBdWTJ4GJYU9pUq8jUzRSFoLFg&ust=1411082380816526

National Model: Continuing Care at Home

Long-Term Care Insurance Longwood at Home

Requires an elimination period before benefits

begin

No elimination period

Requires medical approval No medical approval for coverage

Must need assistance with at least two ADLs

Any health change will activate care

Specific limits and exclusions

Broad package of services

Responsible for coordinating services

Personal care coordinator on behalf of member

Statistics:•273 currently enrolled (down from 316)•Serves 5 Counties•3% have had to make a permanent move

Source: www.longwoodathome.org

Personal Care

Longwood at Home Services

Home Care Services

Care Management

Skilled Nursing

Long-term Care Insurance

Longwood at Home in Pennsylvania fills in the gaps of long term care insurance

Fee Structure• One time member entrance fee based on age at time of

enrollment, which can range from $17,000-$155,000. • Member pays a low monthly fixed rate, which can range

from $300-$600.• Fees depend upon the type of plan selected. Three levels

offered: bronze, gold and platinum.

Expand Eskaton’s Supportive ServicesGoal: expand the integration of smart home design for all and accessible

services that support aging-in-place

Livable Design by Eskaton offers a forward thinking approach to home building by beautifully integrating

functionality that is designed for all ages.

The Seal of Approval provides verifications that home environments meet the Livable Design standards.

Livable Design by Eskaton Implementations

Left to right: Ashley Feeney, Bonnie Chiu and Kevin Carson of The New Home Company; Erin Scherer, Sheri Peifer, Todd Murch and Hollie Jackson-Ng of Livable Design by Eskaton; Jim Baggarly of the New Home Company

The Cannery in Davis Project-100 acres- under development

• Multi-generational Community

• Neighborhoods (for sale, for rent, detached and

attached, high-end and affordable)

• Public Spaces (parks, paths, stores and plazas),

• Urban Farm (7.4 acre working farm),

• Green (net-zero living)• Livable Design homes (inclusive, convenient

and flexible for all ages.

Livable Design by Eskaton Implementations

Homes with Seal of Approval

The Wounded Warrior Home Project, Clark Realty

CapitalFort Belvoir, VA

The Cottages at Eskaton Village

PlacervillePlacerville, CA

Universal Design Living Laboratory

Columbus, OH

Eskaton’s Home Support Network

Goal:To serve the 95% of older adults who

will choose to remain in

their homes

Expand Live Well at Home Developing a robust integrated delivery network of home support services to thousands

of older adults through Live Well at Home

Business to Business Model

• Commencing October 2014

• Focusing on “low-rising risk” 65+ older adults enrolled in Medicare-Managed

care programs

• Beginning with patients from Golden Life ACO and Dignity Health Mercy

Medical Group

• Included services: evidenced-based prevention education, care

management/coordination, Telecare, and access to community services

Thank you!Thank you!


September 2014

Trish DorseyGoodwill of Silicon Valley

Aging in Place Forum

Goodwill of Silicon Valley | September 2014

What do we do?

Transform Lives through the Power of Social Enterprise

?

New Social Enterprises since 2009

•Mattress Recycling

•E-Commerce

•Vehicle Reconditioning

Social Enterprise Venture Criteria

Triple Bottom Line

• People• Profit• Planet

Potential Goodwill Enterprises Feasibility Study Results

• Home Care • No-Go (training/employment)

• Remodeling for Aging in place– No-Go (training/employment)

• Culinary Services• Keep going, you’re on to something

● ____ ______ ___ _______

● ___ ___ ___ ___ __ ____ _____

For consideration


September 2014




September 2014

WELCOME BACK! !!


September 2014

Coming of Age in An Aging America ..

Coming of Age in an Aging America !


September 2014

James RamoniSanta Clara County,

Department of Aging & Adult Services

This last year, APS received over 3,700 reports and examined 6,500 cases – an increase of 16-17% respectively.

Over 19,100 clients served in FY 2014 - over a 9% increase from the prior year.

PAGC is the Guardian/Conservator for 830 individuals and is the Public Administrator of 250 decedent estates.

Celebrating

40 years of service

Over 1.18 million meals were served to seniors (583,129 at 39 Congregate Meal Sites and 599,243 in Home Delivered Meals). This is over 100,000 more meals served in the prior year.

Transportation

Volunteerism & Civic Engagement

Education & Outreach

Housing

A Good Place to Start brochure

AGEnts for Change-Santa Clara County

Pragna Dadbhawala

Senior Peer Advocates (SPA)

SAN FRANCISCO SAN MATEO SANTA CLARA

Senior Safari at Happy Hollow Park & Zoo

http://www.hhpz.org/index.cfm/id/238

https://healthy.kaiserpermanente.org/html/kaiser/index.shtml

Age-Friendly

Santa Clara County

Housin

g

Social

participationCivic participation

and employm

ent

Respect and

social inclusion

Communication

and in

form

ationCommunity support

and health services

Outdoor spaces

and buildings

Transportation

Source: Global Age-friendly Cities: A Guide.United Nations World Health Organization (2007).

This last year, APS received over 3,700 reports and examined 6,500 cases – an increase of 16-17% respectively.

Over 19,100 clients served in FY 2014 - over a 9% increase from the prior year.

PAGC is the Guardian/Conservator for 830 individuals and is the Public Administrator of 250 decedent estates.

Celebrating

40 years of service

Over 1.18 million meals were served to seniors (583,129 at 39 Congregate Meal Sites and 599,243 in Home Delivered Meals). This is over 100,000 more meals served in the prior year.

Transportation

Volunteerism & Civic Engagement

Education & Outreach

Housing

A Good Place to Start brochure

AGEnts for Change-Santa Clara County

Pragna Dadbhawala

Senior Peer Advocates (SPA)

SAN FRANCISCO SAN MATEO SANTA CLARA

Senior Safari at Happy Hollow Park & Zoo

http://www.hhpz.org/index.cfm/id/238

https://healthy.kaiserpermanente.org/html/kaiser/index.shtml

Age-Friendly

Santa Clara County

Housin

g

Social

participationCivic participation

and employm

ent

Respect and

social inclusion

Communication

and in

form

ationCommunity support

and health services

Outdoor spaces

and buildings

Transportation

Source: Global Age-friendly Cities: A Guide.United Nations World Health Organization (2007).


September 2014



For More Information:www.agefriendlyhousing.org