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

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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:

Aging in Place
GAME CHANGERS!

Katy Fike
Aging 2.0
© 2014 & Institute for Age-Friendly Housing. September 2014 All Rights Reserved.

Sheri Peifer
Eskaton

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

Eskaton: Who we are
Vision:
Transforming the aging experience
Mission:
To enhance the quality of life of seniors through innovative
health, housing and social services

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.
The Realities of LTC
• 70% of people turning 65 can expect to use
some form 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
Opportunity for growth: Create a new model of care that is more affordable and supports
Source: www.longtermcare.gov
aging-in-place
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
Aging service providers throughout the United States have successfully
offered consumer-preferred, in-home care through CCRCs
•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

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
Longwood at Home
Statistics:
•273 currently enrolled (down from 316)
•Serves 5 Counties
•3% have had to make a permanent move
Source: www.longwoodathome.org
Personal Care
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 Services
Goal: 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
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.
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

Livable Design by Eskaton Implementations
Homes with Seal of Approval
The Wounded Warrior
Home Project, Clark Realty
Capital
Fort Belvoir, VA
The Cottages at
Eskaton Village
Placerville
Placerville, 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

Trish Dorsey
Goodwill 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
● ____ ______ ___ _______
● ___ ___ ___ ___ __ ____ _____

Design Challenge:

WELCOME BACK! !!

Coming of Age in an Aging
Coming America of !
Age in
An Aging America ..

James Ramoni
Santa 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

AGEnts for Change-Santa Clara County
A Good Place to Start
brochure

Pragna
Dadbhawala
Senior Peer Advocates (SPA)

SAN FRANCISCO SAN MATEO SANTA CLARA

Senior Safari at Happy Hollow Park
& Zoo

Housing
Transportation
Age-
Friendly
Santa Clara
County
Social
participation
Respect and
social inclusion
Civic participation
and employment
Outdoor spaces
and buildings
Community support
and health services
Communication
and information
Source: Global Age-friendly Cities: A Guide.
United Nations World Health Organization (2007).

Design Challenge:
For More Information:
www.agefriendlyhousing.org

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

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