housing, community & longevity: here comes the age-wave! (2013 silicon valley positive...

5th Annual Silicon Valley Positive Aging Forum

November 5, 2013 Cupertino, CA

Housing Community & Longevity: Here Comes the Age-Wave!

Presented by: The Institute for Age-Friendly Housing www.AgeFriendlyHousing.org

Serving the World from the Silicon Valley

http://www.AgeFriendlyHousing.org/

2Institute for Age-Friendly Housing © 2011 www.agefriendlyhousing.org

Thank you to our Hosts, Sponsors & Community Partners

Forum Hosts:Cupertino Quota

City of Cupertino--------

Forum Sponsors & Community Partners:

Age2Age

Avenidas

Sunnyside Gardens Assisted Living & Memory Care

HealthTrust

Perkins Eastman

Stadler &: Architecture, Interior Design &Life Cycle Design

TeleVisit

Waddell & Reed


Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley

Aging is a Global Issue: Key Themes from the World Health Organization (WHO) • Chris Kennedy, Executive Director, Institute for Age-Friendly Housing

Game Changers: Where and How We Live• Richard Adler, Institute for the Future

“Retirement” Living: What’s Changing & Why• Frank Rockwood, Rockwood Pacific, Founder. LeadingAge California, Board Member

Bringing Global to Local: WHO Global Network of Age-friendly Cities and Communities • Anabel Pelham, Professor of Gerontology SFSU, and Director, Center for Age-Friendly Excellence

Fifth Annual Silicon Valley Positive Aging ForumHousing, Community, & Longevity: Here Comes the Age-Wave!

November 5, 2013 Cupertino CA

Part 2. Housing: Staying Home or What? New Housing Options: Collaborative Communities & Funding Strategies

• Chris Kennedy, Executive Director, Institute for Age-Friendly Housing

Design Perspectives: Communities of the Future• Madeleine Zayas–Mart, Architect & Housing Specialist, Perkins Eastman

Aging in Place: Being at Home with Growing Old• Susanne Stadler, Principal, Stadler &: Architecture, Interior Design & Life Cycle Design

Part 3. Community: Connections for Aging In Place Services

Service Innovations: New Players in the Field• Michael Fox CEO, Goodwill Industries of Silicon Valley

In-Home Care Options: Now and on the Horizon• Lori Peterson, CEO, Collaborative Consulting

Connections At Home: Villages, Hubs, and Timebanks• Lisa Hendrickson, CEO Avenidas• Lori Andersen, Director of Healthy Aging, HealthTrust• Martin Entwistle, Executive Director, Druker Center for Innovation, Palo Alto Medical Foundation


Part 1.

Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley

Aging is a Global Issue: Key Themes from the World Health Organization (WHO)


Game Changers: Where and How We Live• Richard Adler, Institute for the Future

“Retirement” Living: What’s Changing & Why• Frank Rockwood, Rockwood Pacific, Founder. LeadingAge California, Board

Member

Bringing Global to Local: WHO Global Network of Age-friendly Cities and Communities

• Anabel Pelham, Professor of Gerontology SFSU, and Director, Center for Age-Friendly Excellence





Aging is a Global Issue: Key Themes from the World Health Organization (WHO)

• Chris Kennedy, Executive Director, Institute for Age-Friendly Housing ([email protected])

Fifth Annual Silicon Valley Positive Aging Forum November 5, 2013 10:00 to 4:30 Quinlan Community Center, Cupertino CA

Housing, Community, & Longevity:Here Comes the Age-Wave!


mailto:[email protected]


Age 65 & Older

Age 5 & Younger

Age 5 & Younger

Age 65 & Older

For generations to come, the world’s population will never be as young as it is today.

Image Courtesy of:


World Health Organization: 8 Domains of Age-Friendly Cities & Counties

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

AGE-FRIENDLY

CITY

COMMUNITY SUPPORT

AND HEALTH SERVICES

SOCIAL PARTICIPATION

TRANSPORTATION HOUS

ING

OUTDOOR SPACES

AND BUILDINGS

RESPECT AND

SOCIAL INCLUSIONCIVIC PARTICIPATION

AND EMPLO

YMENTCO

MM

UNIC

ATIO

N

AND

INFO

RMAT

ION


WHO Global Network of Age-friendly Cities and Communities

2nd International Conference on Age-Friendly Cities & Communities Quebec City, September, 2013

Key Conference Theme:

Intergenerational = Olders & Youngers Helping Each Other

Image Courtesy of:





Getting Out of the Silos

Image Courtesy of:





“Joined-Up” Thinking / Collaborative Planning

Image Courtesy of:





Projects Resulting from “Joined-Up” Thinking Integrate the Age-friendly Domains, Serving All Ages

Image Courtesy of:


Age2Age Collaborative Visual RecordingWHO Global Network of Age-friendly Cities and Communities



The Age-Friendly Cities Project Acts Like a Magic Wand for Ideas & Programs

Image Courtesy of:




Key Conference Theme: AFC is like a Magnet, Attracting Cross-Sectoral Involvement:

Government, Business, Technology, Education, Funding & People of All Ages

Image Courtesy of:




Key Conference Theme: Ongoing Global Connections to Share & Learn



Game Changers: Where and How We Live• Richard Adler, Institute for the Future ([email protected])





Richard Adler2013 Positive Aging Forum

Cupertino, CANovember 5, 2013

Source: US Census Bureau 18

19

1948

1964

1992

2005

20

Women

Men

Source: Oeppen and Vaupell Broken Limits to Life Expectancy, Science, May 10., 2002

1.The systems and solutions developed over the past half century to support later life in the US (e.g., Social Security, Medicare, Older Americans Act) will not scale up to support the next generation(s) of seniors.

2.In a time of constrained public resources, the old paradigm of how we solve problems….

identify the problem; develop a program to address the

problem; fund the program; problem solved

….is no longer working reliably.

3. Therefore, to address the growing needs of an aging population, we need a new wave of entrepreneurial innovation, in both the public and private sectors, mainly on the local grassroots level.

31

The best way to predict the future is to

invent it.



“Retirement” Living: What’s Changing & Why

• Frank Rockwood, Rockwood Pacific, Founder. LeadingAge California, Board Member ([email protected])





“Retirement” LivingWhat is Changing and Why

November 5, 2013

Welcome & Introduction

Frank Rockwood, Rockwood Pacific

Session Objectives:(i)Understanding Past Trends(ii)Identifying Key Forces(iii)Gauging Future Need

1950-1980 - Major Growth Period

After 1980 Population Growth Moderates

75+ Age Cohort Has Increased ~6x

SCC 75+ Ratio Expected To Grow Faster

Population x Unit Ratio = Implied Total Demand

1.Transparent

2.Appropriately Imprecise

3.Grounded in Place

4.Visual

New Approach

Population Relatively Straightforward

90,000

110,000

-

-

50,000

100,000

150,000

200,000

250,000

2010 2020

Popu

lation

75+ Population AnalysisSanta Clara County

75+ 65-75 [2010 Only] Net Migration

81,400

35%

74%

31,500

Key Metric: Unit RatiosUnit RatiosUnits / (thousands of 75+ population)

1990 2000 2010ILu 30.7 32.5 31.9 ALu 14.7 15.4 22.2 MCu 0.7 2.1 4.4 SNFb 93.4 68.5 57.4 TOTAL (excl. ILu) 108.7 86.1 84.0

Assuming constant Unit Ratios +20k

Units by Category 2050 Imputed Need Based on Constant Unit Ratio Assumption

Category 2000 2010 2020 2030 2040 2050 IncreaseILu 1,570 2,382 2,900 3,600 5,400 7,900 5,500 ALu 752 1,129 2,000 2,500 3,700 5,500 4,400 MCu 34 156 400 500 700 1,100 900 SNFb 4,779 5,026 5,200 6,500 9,700 14,200 9,200 Total Units 7,135 8,693 10,500 13,100 19,500 28,700 20,000

+/- Unmet Demand / Over Supply

+/- Change in Need for Services

+/- Age Distribution

+/- Income / Wealth

+/- Substitution

Key Forces

Evidence That Older Adults Are Stronger

.. But Several Exceptions to this Trend

Substitution Factor Is Critical

• Best Senior Living Has Yet To Be Invented

• The “Hell No” Generation

• Better Choices

Age Friendly Communities



Bringing Global to Local: WHO Global Network of Age-friendly Cities and Communities

• Anabel Pelham, Professor of Gerontology SFSU, and Director, Center for Age-Friendly Excellence ([email protected])





• Here Comes the Age Wave! • November 5, 2013

• Quinlan Community Center, Cupertino

• Anabel Pelham, Ph.D. Professor• Gerontology, SFSU

• Becoming and being an A-F City is about an INTENTION

• A STATE of MIND• A willingness by leaders, particularly

civic and political leaders, to study, learn and do the work

• Ex: In LA/LAH A-F projects are part of the “Work Plan” of the Senior Commission

• Working with groups in 33 cities, in all WHO regions, WHO asked older people in focus groups to describe the advantages/barriers they experienced in eight areas of community living. These were complemented with evidence from service providers in the public and private sectors.

• For example, we can quantify the extension of morbidity via the metric of disability adjusted life years (DALYs); this measures a diseases’ overall burden as the number of years lost to ill health plus death. Controlling for age/not counting metabolic syndrome per se

• Worldwide 1990-2010, the burden of disability caused by chronic illnesses has risen (especially in developed countries)

• Type 2 Diabetes: 30% • Neurological disorders (dementia): 17%• Chronic kidney disease:12%• Musculoskeletal (arthritis):12% • Liver Cancer: 12%• Breast cancer: 5% Daniel Liberman, The Story of the

Human Body

Los Altos Community FoundationWe Believe in Community

The Center for Age-Friendly Excellence Advancing Livable Communities for all Generations

A project of

vision

A world in which older people flourish and thrive within communities and cities that are vital and vibrant and richly fulfill the eight domains of The World Health Organization’s (WHO) Age-Friendly Cities indicators promoting quality of life.

WHO Age-Friendly Cities 8 Domains

RATIONALE

Worldwide, we are increasingly living in aging societies. This dramatic demographic shift offers both challenges and opportunities.

Academic Gerontology has made huge progress in explaining and predicting the metrics of what constitutes quality of life for older persons and a central emerging theme is the powerful influence of community and context in which aging takes place.

RATIONALE

CAFE intends to assume a leadership role in advancing our understanding and creation of Age-Friendly cities and communities by applying research and best practices of academic Gerontology to the task.

mission

• to develop and study Los Altos/Los Altos Hills as model age-friendly cities

“living labs” and extend a positive and

supportive influence of evidence-based practice to surrounding communities in Santa Clara Co. and California

The Center for Age-Friendly Excellence was founded:

mission

• to serve as a home for public and private resource generation, tangible and measurable best practice projects, and multi-media distributed information to promote vital and vibrant communities for older people and all generations.

• to leverage our expertise and experience to expand frontiers of wellbeing of older persons within intergenerational, livable communities.

• to be a force for transformational change in creating healthy, active, sustainable, and engaged communities wherein older persons may pursue happiness.

CAFE works to place the accent on excellence for A-F Communities

STRATEGY

STRATEGY

Related CAFE Activities

Strategy

Current CAFE Projects Implementation

CAFE will begin by working to implement a variety of project solutions to the 5 unmet meets of older persons in Los Altos/ Los Altos Hills as described by the Senior Survey undertaken by the Senior

Commission in 2011.

Strategy

CAFÉ sponsored a Summit of Leaders in Aging hosted by El Camino Hospital September 20, 2013; eight categories of multiple community recommended projects emerged from attendees serving as expert focus groups. We intend to seek funds to implement selected projects.

Strategy

CAFE submitted a $20K program development grant to the International Federation on Aging to implement 8 individual projects to address 5 unmet needs of seniors in Los Altos and Los Altos Hills. Awards will be announced in late 2013.

• CAFÉ received a mini grant from the Town of Los Altos Hills to implement two emergency preparedness projects for seniors

• The first builds on a partnership with the Eagle Scouts, the Rotary and the Town to upload emergency contact information for elders on a USB thumb drive. The Scouts will assist seniors.

• The second also joins the Scouts and Rotary in assisting seniors in creating individualized emergency back packs with supplies donated and purchased during a special emergency preparedness day.

In order for an A-F culture to work we need:

•Collaborative public/private partnerships•Political participation and commitments•Leadership by older persons•Involvement of civil society and energetic social change

• We also need an urgent understanding of the impacts of Climate Change on Aging; for example:

• More dramatic weather events (storms, cold/ heat waves)

• Diminishing and more costly food supplies• Increasing costs of living including fuel prices• Changing land use and city planning/housing issues• Air quality changes • Vectors moving northward• There is a world of work to do…

• Climate change is irreversible, global and will fundamentally affect the biosphere

• There are 7 ‘high confidence’ areas of health impact

• Demographic trends will ensure an increasingly vulnerable and aged population

• Temperature related deaths will remain a significant challenge

• The increased risk of extreme events will mean a major role for emergency medicine

• Significant challenges exist for public health and preventative medicine

• Multidisciplinary research is essential

“ I’ve turned 60 and I can barely believe nearly a third of my life is

over ”

Woody Allen


Part 2.

Part 2. Housing: Staying Home or What?



New Housing Options: Collaborative Communities & Funding Strategies


Design Perspectives: Communities of the Future• Madeleine Zayas–Mart, Architect & Housing Specialist,

Perkins Eastman

Aging in Place: Being at Home with Growing Old• Susanne Stadler, Principal, Stadler &: Architecture, Interior Design &

Life Cycle Design



Housing Options: Collaborative Communities, Housing, & Funding Strategies

• Chris Kennedy, Institute for Age-Friendly Housing ([email protected])







Aging in Place is where “X” is your right Community

“Aging-in-Place is all about how that place supports you as you age. It is about what is available in the community when you walk out your front door: the people and scenery, the support services, the opportunities for engagement, and the mobility options. It is about how that house and that community provide the economic and social sustainability to live a good life, as long as you live.” Chris Kennedy


© Age2Age 2012

Age-Friendly City Topic Areas

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

AGE-FRIENDLY

CITY

COMMUNITY SUPPORT

AND HEALTH SERVICES

SOCIAL PARTICIPATION

TRANSPORTATION HOUS

ING

OUTDOOR SPACES

AND BUILDINGS

RESPECT AND

SOCIAL INCLUSIONCIVIC PARTICIPATION

AND EMPLO

YMENTCO

MM

UNIC

ATIO

N

AND

INFO

RMAT

ION


Walkable Community: Mixed Use Housing


Cohousing


“Quint” Home: Senior Housing Soltuions


Home Sharing, “Golden Girls: & Matching Services


Affinity Housing: Senior Artist Colony


Design Perspectives: Communities of the Future

Madeleine Zayas–Mart, Architect & Housing Specialist, Perkins Eastman [email protected])






Madeleine Zayas-MartUrban Designer and Multi-Family Housing Designer, Perkins Eastman

[email protected]


Senior Living in the Age of Smart Growth

Traditional CCRC

7%

Why Create Alternatives?

Change your

Ask, What If? Why Not?

Perspective . . .

Change the way we design our communities

Business as UsualSprawl and Single-Use Zoning

Cisco Systems HQ’s, North San Jose / Mountain View

Smart Growth provides the planning framework to address the settlement pattern for growth at all levels in the 21st Century

+

Aging and Smart GrowthThe Urban Framework: The Pearl District

=

Pedestrian friendly Streets

Aging and Smart GrowthElements of Smart Growth: Access and Mixed-Use

Transportation Choices

Connectivity/Access to Shops and Open Space

HOUSING CHOICESCASE STUDIES

Seniors Deserve Better Choices

MUSEUM PLACE, PORTLAND OREGON

Hillside Resort Communities

Hillside Resort Communities

• 79 IL units• Modest common areas

• Dining• Fitness• Club room

• Sunrise at Home• “On” Main street

The Sterling at Grosse PointeGrosse Point, MI

Leveraging the Broader Community

• 34 units

• Satellite to CCRC (1 mile)

• On “Main Street”

• No dining or fitness on site

Leveraging the Broader Community

The EmbassyMt. Lebanon, PA

Infill Senior Housing at TODChristie Place,Scarsdale, NY

Retail Integration

Crystal Springs Community, Annapolis, MD

CityHall

Drop-off

Retail

Affordable Housing

Independent Living

IndependentLiving

Assisted Living

MemoryCare

Library

N

FutureCulture Works

Lagoon

Sh

ell B

lvd

.

Foste

r C

ity B

lvd

.

Service

To Parking

MainEntry

Retail

RecreationCenter

Leo RyanPark

Mixed-Use Downtown CCRC

NCPHS, Foster City, CA

Mixed-Use Downtown CCRC

NCPHS, Foster City, CA

• Impacting IL market• Undeveloped service model• Sophisticated builders and

opportunistic developers• Affiliation with CCRC

The Villages at CollingtonMitchellville, MD

Expanding the Service Reach

Rebuilding the Neighborhood-Church Sponsor

St. Anthony Village, Portland, OR

Federal Client: VA Danville, IL

Neighborhood of Care

University Village, Berkeley, CA

University Partnership


Retail

Library

Service

LectureHall

HUBCafe

HUB

Wellness

Spa

Clinic Kitchen

Dining

Spirit

LoungeAdmin

The Plaza

Pedestrian Path

WholeFoods

Play Fields

GarageEntry

Maximize Retail Frontage

Direct Community

access to Clinic Spa Wellness

Cafe

University Village, Berkeley, CA

Lasell Village

Lasell College


Lasell Villlage, Newton, MA


Image courtesy Steffian Bradley Architects

Lasell Villlage, Newton, MA

Co-Housing

Intentional Community

Camphill Ghent, NY

Inner City Infill Redevelopment

Retail Mixed-UseHousing Choices: Mixed-Use

Retail Mixed-Use

THE DEVIL IS IN THE DETAILS

medicine cabinet location for access/light

emergency outlet for medical equipment

sheltered balcony

second bedroom option for caregiver

drawer dishwasher

doors swing out for safety

w/d shelving

transfer tub/shower

side-by-side refrigerator

full height “easy reach” pantry cabinet

electric with front controls (wall oven?)

shower stall with space for portable shower chair

hand held shower wand

“easy reach” linen closet

large windows, low sills

bedroom large enough for two single bed option

Aging in PlaceApartment for Life

Accommodating Lifelong Living

Technology | Communications

• By 2035, nearly two million more people are projected to live in the Bay Area.

• “The question of aging is not about whether it will happen, but how it will happen. We can choose sprawl, or we can choose Smart Growth

• How should Bay Area and other California Cities and towns accommodate a growing aging population, while creating livable communities, revitalizing existing ones and creating more housing choices for elders?

• And most importantly, what should these communities look like and how should they function on the ground?


Urbanization Trends

Think outside the Box

?

How to Create Alternatives?


Senior Living in the Age of Smart Growth

Madeleine Zayas-MartUrban Designer and Multi-Family Housing Designer, Perkins Eastman

[email protected]



Aging in Place: Being at Home with Growing Old

• Susanne Stadler, Principal, Stadler &: Architecture, Interior Design & Life Cycle Design ([email protected])






Stadler&

AGING IN PLACE:AT HOME WITH GROWING

OLD

SELF PURPOSE BELONGING

Stadler&

‘HOME’ ACROSS THE LIFESPAN

Stadler&

A NEST/ A PLAYGROUND

Stadler&

A LAUNCHING PAD

Stadler&

A FAMILY HUB

Stadler&

A BASE FOR OUR WELL-BEING

Stadler&

BATH ROOM AS LIVING ROOM

Stadler&

KITCHEN AS HEALTH CENTER

Snaidero: Skylab KitchenStadler &: Family Kitchen

Stadler&

GRAB BARSRAMPS

DOOR LEVER HANDLES36” DOOR WAYS

WHEEL CHAIR CLEARANCE

Stadler&

PLAY

SAFETY/COMFORT

CONNECTION

Stadler&

Ceramica Flamina: Albero Shower

Stadler&

Stadler &: Apartment ‘A ’, 450SF

Stadler&Stadler &: Apartment ‘A ’, 450SF

Stadler&

Susanne Stadler: Stair in Senior LivingStadler &: Stair at Mills College

Stadler&

Stadler&: Haese ResidenceStadler &: Rio Apartment

Stadler&

Stadler&: Zen HospiceStadler &: Mills President’s House

Stadler&

Stadler&: Erickson ResidenceAdolf Loos: Residence, Vienna

Stadler&

ROOM MATES

HOUSE MATES

Stadler&

HOW CAN DESIGNERS RESPOND?

LEARN FROM THE EXPERT USER

Stadler&

MOBILITY AND IDENTITY

Physically, I’m tired and it scares me a little bit because I have a heart condition and I can’t afford to be too worn out for too long a time. So, the steps become an issue.

Stadler&

HEALTH AND HOBBY

If I could do anything I want I would have a garden right outside my kitchen so I could sit out there and weed and grow more vegetables, more food.

Stadler&

HOW CAN CITIES RESPOND?

FOSTER INTERGENERATIONAL CONNECTIONS

Rios Clementi Hale Studios: Grand Park, Los Angeles

Stadler&

HOW CAN DEVELOPERS AND HEALTH CARE PROVIDERS

RESPOND?UNDERSTAND THE COST/BENEFIT OF ‘FOR LIFE’ HOMES

Stadler &: Independent Living, 500 SF, Christian Church Homes

Stadler&

AT HOME WITH GROWING OLD

Stadler&

www.stadlerarch.com

[email protected]

www.AtHomeWithGrowingOld.com

[email protected] [email protected]


Let’s Build the Future!!!


Part 3.

Community: Connections for Aging In Place Services

Service Innovations: New Players in the Field

• Michael Fox CEO, Goodwill Industries of Silicon Valley

In-Home Care Options: Now and on the Horizon• Lori Peterson, CEO, Collaborative Consulting

Connections At Home: Villages, Hubs, and Timebanks• Lisa Hendrickson, CEO Avenidas• Lori Andersen, Director of Healthy Aging, HealthTrust• Martin Entwistle, Executive Director, Druker Center for Innovation,

Palo Alto Medical Foundation





Service Innovations: New Players in the Field

• Michael Fox CEO, Goodwill Industries of Silicon Valley





Positive Aging Forum

Goodwill of Silicon Valley | November, 2013

What do we do?

Transform Lives through the Power of Social Enterprise

GWSV Overview• One of the over 165 Goodwill organizations in North

America• GII collectively – 3.5 Billion Retail / 4.9 Billion

revenue• Operate in the counties of Santa Clara and San

Benito.• A robust Workforce Development division• $42 Mil. in annual revenue and a collection of real

estate holdings• 19 stores, 24 collections sites and a contract service

operation• 650+ employees

Individuals64%

Corporations25%

Foundations4%

United Way1%

Special Events1%Organizations

5%

A Comparison From the Funding Perspective:Second Harvest of Santa Clara County

Data source: SHSC annual report 2006-2007

Income from commercial free market activities:

0%

RETAIL68%

After Market19%

CONTRACT6% WRKFORCE

1%GRANT4%

Other Revenue2%

Income from commercial enterprises:

94%

Data source: GWSV 2010 Financials

A Comparison From the Funding Perspective:Goodwill of Silicon Valley

Goodwill Business’s

• Retail• 19 stores

• Wholesale Business• Midwest, Shoes, Books

• After Market Business• As-IS, Salvage

• Recycling• E-Waste, recyclables

Goodwill Business’s

• Mattress Recycling• Homeless Vets Reintegration Program

• Contracts Business• Kitting, Packaging, Assembly, Sub

Assembly, Fulfillment, Warehousing

• Secure Document Shredding• Nish - Sheltered Workshop

• e-commerce – Collectables and Books

• Mission Services - ICD

Future Business’s

• Auto Reconditioning Business• Ex-offendors

• Home Health Care• Seniors and low education you

adults/Youth 16-24 lacking high school diploma’s

National Goodwill Enterprises

• Franchises• Housing programs

• Veterans, SLE’s, Low Cost Rentals, Shelters

• Senior Day Centers• Colleges

• Helms College – Augusta Georgia

• High end Restaurants• Culinary Academies

Dec 2012 Incl Year End Adjustments



In-Home Care Options: Now and on the Horizon

• Lori Peterson, CEO, Collaborative Consulting





Housing, Community, and Longevity

November 5th, 2013

Providers Perspective for

Home Care Service Development

Demographics are Right:

65+ will expand from 40 M today to 55 M in 2020

By age 65, 66% of all seniors have at least one chronic disease, 20% of those older than 65 have five or more chronic diseases

2011 the first of 78 M Baby Boomers began turning 65 at a rate of 8,640 per day or 262,800 per month

85+ could grow from 5.3M in 2006 to 18M by 2030

Approximately 70% of elders will require some long-term care services at some point in time

A Focus on Preference:

More demand for higher levels of service and access

More demand for choice and experience

Demand for innovative models, allowing for “aging in place”

Community as an important factor

Entering a care community at a higher level of acuity

Wellness / prevention important

Access to technology

Healthcare Reform (payment and delivery reform):

Change in how care is delivered and paid for

Better is Better vs. More is Better

More Managed and Coordinated Care

Prevention and Wellness

Penalties for what is not wanted, rewards for what is

Care delivered in lower cost settings

Enhanced Care Coordination

Enhanced Management of Chronic Disease

Opportunity:

Growth and diversification

Increase brand awareness

Leverage existing expertise

Create operational efficiencies

Position and prepare for Healthcare Reform

Build stronger linkages to community members

Extend Mission

Ideas to Action Ideas to Action

Increase in traditional home-based services such as Home Health and Home Care

Provision of services beyond walls (CCRC without walls)

Enhanced focus on Care Coordination Models

PACE & PACE-Like Models

Membership Models (Villages, etc.)

Hospital to Home Transitional Care Programs

House Calls

Hospital @ Home

Consumer Oriented Technology

Further Exploration:

http://ahhqi.org/quality-initiatives/innovation-case-studies-and-profiles



Thank You! Lori Peterson

[email protected]

866. 332.3923

http://www.collaborativeconsulting.net/



Connections At Home: The Village to Village Network

• Lisa Hendrickson, CEO Avenidas





A National movement of seniors working together to age-in-place

Lisa HendricksonPresident & CEO

Avenidas

VILLAGES

The National Village Movement

(www.vtvnetwork.org)

Components of Villages

Coordination of access to supportive services through a tiered service model Village staff Volunteers (members and others) Preferred providers

Vetted vendors Social, cultural, educational activities Health and wellness activities Volunteering and member-to-member assistance

Village Services Reflect Unique Community Needs

Emerging Models of Villages

Newly created, grassroots, standalone non-profit serving specific neighborhood (Beacon Hill Village, Foster City Village) Volunteer First (twice as many volunteers as members, Capitol

Hill Village)Parent organization – social service agency (Avenidas

Village)Hub and Spoke model – central organization

supporting separate “spokes” in larger service area (Marin, WISE and Healthy)

Village/Timebank combination (Tierrasanta Village, Plumas Rural Services Community Connections)

Why Do People Join A Village?

To stay at home: “I feel that living in a retirement facility would present severe space limitations and too much structure. I would feel too constrained. I’m happiest in my own home.”

For peace of mind: “When you are not at your optimal health or going through a trauma, it’s not the best time to have to investigate various vendors or navigate all the other obstacles all on your own. Psychologically, knowing the Village is there for me on a 24/7 basis is wonderful. I go to bed knowing that if I wake up and something is wrong, I have someone to contact for help.”

To give back: “I love being able to give back to the community, and helping others.”

To make friends: “ She’s lived just a few blocks from me for 40 years and I never would have met her if not for the Village. Now we are dear friends who carpool to social events and take turns driving to the Village lunch bunch gatherings.”

For their children: “Our kids are sure happy we have this extra support.”



Connections At Home: Hubs & Neighborhood Wellness Networks

• Lori Andersen, Director of Healthy Aging, HealthTrust





Healthy Aging Initiative

Neighborhood Wellness Networks

195

The Health Trust mission is to lead the Silicon Valley community to advance wellness

Healthy Eating Healthy Living

Healthy Aging Ensure that older residents of Santa Clara

County have access to the services and supports they need in the setting most

appropriate to their needs.

196

The Health Trust Role

197

New THT 5 Year Strategic Plan

Vulnerable population Focus Those experiencing barriers to good health due to: where they live, economic insecurity, age, language or disability

Addressing Trends and New Realities

- Reduced public spending – “Innovate, or else”

- Demographic changes – age and diversity

- Health care redesign o Managed care o Health education/self managemento Rebalancing: institutional to home/community care

198

Neighborhood Networks

199

Wellness Hubs

• Create neighborhood-based network that formally connects health and social supports to ease access to health and wellness for older adults- Sustainable – $ and in-kind resources- Core partnerships - Neighborhood ‘hub’ or gathering place

o Senior/community center, senior housing, café or business, hospital…?

200

Goals

• Create strong sustainable networks in select neighborhoods that impact health

• Increase level and quality of health and wellness services and supports

• Demonstrate value of neighborhood assets including senior/community centers

• Engage older adults as a voice for change in their communities

• Accelerate efforts for livable, age-friendly communities

201

What’s our Plan?

1. Identify “hot spots” in SCC

2. Dive deep in 2-3 targeted neighborhoods

3. Research and share promising models

4. Enlist Project Advisory Committee

5. Explore adoption of standards and certification of wellness hubs

6. Develop and engage champions

7. Grow investment in proven models

202

Likely Partners – public & private

• Senior/Community Centers• Community clinics and hospitals• Health Promotion and Wellness • Low Income Housing Communities• Businesses• Social Service Providers• Residents and Older Adult Advocates• Libraries• Faith-based communities

Aqus Community is an organization devoted entirely to building community. We are focused on furthering the connections between people of all kinds, their nonprofits and businesses in the spirit of mutual trust, support and appreciation. By focusing on this relationship-based economy, we aim to strengthen, empower and enrich our local community both for ourselves and future generations.

What are the benefits of membership?By becoming a member you not only show your support of community, but also receive discounts at Aqus Community events, invitations to ‘Members Only’ events and further discounts from Aqus Community Business Member Businesses.

The Second Half of Life A conversation cafe to explore

opportunities for building community and networks of

support as we age.

Co-sponsored by AqusCafé andThe Village Network of Petaluma

Tuesday October 29 6:30 –8:30 PM

AqusCafé(come early if you want to eat dinner)

Thank You



Connections At Home: Timebanks• Martin Entwistle, Executive Director,

Druker Center for Innovation, Palo Alto Medical Foundation





Martin EntwistleExecutive Director – Innovation Center

LinkAges Successful Aging

Creating Community Connections - Timebanks

Druker Center for Health Systems Innovation @ Palo

Alto Medical Foundation

The Innovation Center acts to catalyze, invent, and deploy breakthrough

innovations in wellbeing that enable PAMF to fulfill its vision as a health

partner for the people and communities it serves.

We apply a human-centered design approach and leverage technology as an enabler to create scalable solutions that address the

pressing health challenges of our time.

Druker Center for Health Systems Innovation

The Problem We Are Trying to Solve

Expensive Episodic Sick Care

Isolated Individuals

Successful Aging for Seniors

“The hard thing about getting older...

“The hard thing about getting older...

“...is that your world dies before you do.”

“...is that your world dies before you do.”

Going Beyond Transitions of Care – Focus on Health and Wellbeing

• Discharge care planning and coordination

• Medications• Free meals• Transportation to follow-up

visit• Short-term in-home

assistance• Community services• Life coach

We Need a Solution That Goes Beyond Transitions of Care from Hospital – These Processes are

Critical but Insufficient

http://mphsblog.org/files/2012/10/Carmen-Paez.jpg

Evolution of Innovation – Shift from Clinic to Community

– Dynamic, Integrated System to Support Successful Aging

Shift from focus on responses to crises and treating an acute health event

Shift to systems that enable seniors to age successfully in the community

Drive community support for individuals at homeChange the health behaviors of individuals

Enable preemptive action through signal detectionExpand horizons

Support and care in the context of an individual’s life

Creating a Community Networkto Support Aging in Place

Our Solution

Signal DetectionIdentify, mitigate and manage risks to my physical and social

health that could compromise my ability to live safely in my home

MicrocommunitiesFind and connect with other people in the

community with whom I can exchange services and support that help me

remain independent in my home, stay socially-engaged, and maintain a sense

of purpose and value as I age

PAMF linkAges™ - a dynamic, integrated system to support Successful Aging

Resource MatchingFind and connect with resources in the community that can help manage risks to my physical and social health so I can continue to

live safely in my home

Senior ProfileCapture my needs

preferences and context in order to personalize my aging in place experience

TimeBanking

Find and connect with other

people in the community with

who I can exchange services

and support that help me remain

independent in my home, stay

socially engaged and retain a

sense of purpose as I age.

Every hour of service that you spend doing something for another member earns you 1 hour (Time Dollar).

Everyone gets to contribute. All contributions are valued equally.

Builds intergenerational relationships.

There can be 3 kinds of members : Individuals, Organizations (e.g. YMCA), businesses (e.g. Red Rock Coffee). Rebuilding community, one hour at a

time

A community-based service exchange network which connects neighbors with neighbors to exchange skills and interests and meet needs.

Offers and Requests Between TimeBank Members

– Sustainable Deployment

•Train the trainer model coupled with community-based Peer linkAges

Ambassadors lending grassroots continuity.

•Designed for replicability and scale.

•Toolkit available to health systems, Nonprofits,

City Governments, Civic/Service groups, Businesses, Educational Institutions.

– Partners in Mountain View

Organizations•Mtn View Senior Center•Mtn View Senior Advisory Committee•Alzheimers Association- Northern California Chapter•El Camino YMCA•Mtn View Community Services Agency•Mid Peninsula Housing Coalition •Red Rock Coffee •reAct National Coalition

• Silicon Valley Leadership Group

• RSVP of Northern Santa Clara and San Mateo County

• Mtn View Library

Businesses• Whole Foods • Red Rock Coffee• Vaso Azzurro Other• MV Pastors Group

– Mountain View Progress to Date

Enrollment Engagement

Total Orientation Attendees

Total # Enrolled

# of 60+ Enrollees

# Exchanges

Total Time of

Exchanges

# Messages

269 103 29 97 262.5 548

Making the difference

• Improved quality of life and wellbeing for older adults

• Improved quality of life for caregivers and families

• Enriched Aging in Place

• Reduced total cost of care

• Increased community connections

– Outcomes

It will take a CommunityJoin us

Further Information

Martin Entwistle

Executive Director Druker Center for Health Systems Innovation

Palo Alto Medical Foundation795 El Camino RealPalo AltoCA, 94301Cell: +1-858-717-0465

Email: [email protected]



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