health benefits of village membership september 30, 2014 andrew e. scharlach, phd carrie graham,...
TRANSCRIPT
HEALTH BENEFITS OF VILLAGE MEMBERSHIPSEPTEMBER 30, 2014
Andrew E. Scharlach, PhDCarrie Graham, PhD, MGSCenter for the Advanced Studies of Aging ServicesSchool of Social WelfareUniversity of California, Berkeley
UC Berkeley Villages Project
Village organizational development Village characteristics and types Factors associated with growth and
sustainability Cost-effectiveness Challenges and best practices
Evaluation of Village program impacts Service use Member satisfaction Physical and social well-being Ability to age in place
California Villages Study
Outcomes evaluation
Surveys of current Village members (n = 445)
Pre-post study of new Village members (n < 337)
Process evaluation
Village programs and services
Growth and sustainability
Challenges and best practices
Funded by the Archstone Foundation
Oct 2011 – Sept 2014
Potential Impacts of the Village Model
Service Access Needs met Ability to access needed services Service affordability
Community-Building Social engagement Social support
Capacity-Building Individual functioning
Physical and psychosocial well-being Reduced likelihood of relocation
Service delivery system Availability, accessibility, affordability,
appropriateness
Logic ModelVillage Social Engagement
•Social Activities•Educational Activities•Transportation
Assistance and Support
•Companionship•Housekeeping•Home maintenance•Safety modification
Wellness/Advocacy•Care coordination/advocacy•Care management•Medical transport
Civic Engagement•Volunteering •Participating in governance
Healthy Aging
Access to services
•Awareness of services•Use of services•Getting the care you need when you need it
Health/Well-being•Quality of life•Well being•Health
Self efficacy•Confidence with self care•Confidence with home care•Confidence aging in place
Social engagement•Increased social connections•Increased participation •Civic engagement•Reduced isolation
Types of Direct Outcomes
Personal care needs met
Homemaker needs met
Household chore needs met
Environmental hazards removed
Social support
Social activity/interaction/engagement
Mobility (ability to get where one
wants/needs to go)
Types of Secondary Health Outcomes Health
Disease management Falls
More appropriate/effective use of health services
Hospital use ER visits, Inpatient days
Psychological well-being/Quality of life
Safety and security Decreased use of residential care
Impact on Access to Care/Services
80.8% say they are more likely to know how to get assistance when they need it
75.9% say they know more about community services
40.5% say they use community services more
Positive correlation between number of services used and improved access to care (r=.394, p=.000)
Impact on Health and Well-Being
39.3% feel healthier than they used to
34.4% feel happier than they used to
28% are more likely to get the medical care they need, when they need it
Some Examples of Health Programs
Health and physical fitness classes
“Brain fitness” classes
Falls prevention/ hazard assessment
programs
Personal health info flashdrive (keychain)
Personal care plans
Health fairs
Care transition programs
Health Care Partnerships: Challenges and Opportunities
CMMS Innovation Opportunities
ACOs (social care + medical care = health
care)
Joint programs (e.g., health fairs)
Care transition programs
Referrals
LTC insurance benefits
Corporate social responsibility
Andrew Scharlach, PhDCenter for the Advanced Study of Aging Services
For further information, contact: