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An Initiative of Home Care Association Education …...2020/07/24 · for broad system goals of...
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An Initiative of Home Care Association Education and Research and Selfhelp Community Services July 2020
Transcript of An Initiative of Home Care Association Education …...2020/07/24 · for broad system goals of...
An Initiative of Home Care Association Education and Research
andSelfhelp Community Services
July 2020
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Welcome and thank you for joining in this important introduction to the Statewide Virtual Senior Center (VSC) Initiative.
Acknowledgement of Support
Support for this statewide VSC initiative is graciously provided through the Mother Cabrini
Health Foundation in the form of a COVID-19 Emergency Grant to HCA E&R.
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• HCA Education and Research (HCA E&R) is a 501(c)(3) not-for-profit charitable organization whose mission is “to foster and strengthen education and research regarding home health and related support services.” HCA E&R is an affiliate of the Home Care Association of New York State, promoting “the quality and accessibility of health care and support at home.”
• Selfhelp Community Services is a comprehensive community service organization providing home care, community based services and senior housing. Selfhelp also provides a nationally recognized and specialized program of care and support at home for survivors of the Holocaust. Selfhelp is the pioneer and operator of the Virtual Senior Center.
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New York State Home Care Association} Al Cardillo, LMSW
President and CEO, HCA E&R} Andrew Koski, MSW
Vice President for Program Services and PolicySelfhelp Community Services, Inc} Russell Lusak, LNHA
Chief Operating Officer} Barbara-Ann Fox, CISM, CISSP
Vice President, Technology & Informatics} Tova Klein, LMSW
Vice President Senior Communities} Elizabeth Lynn
Vice President Grants & ResearchFeatured Remarks
Greg Olsen, LMSW, Director, NYS Office for the Aging
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Mother Cabrini Health Foundation Grant to HCA
• A COVID-19 Emergency Grant has been awarded by the Mother Cabrini Health Foundation to HCA E&R to address isolation and its consequences for the homebound elderly and medically vulnerable by providing statewide availability of VSC services through home care, built upon the Selfhelp VSC platform and model.
Underlying Need
• There are extreme medical, social and life risks and consequences of isolation in the homebound elderly and disabled, which have added urgency under COVID-19.
• During the COVID-19 surge, 86% of NYS home care agencies surveyed in a 300 agency sample by HCA cited the imperative of patient isolation.
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Grant Components
• Statewide outreach, education and work with providers and affiliate partners to assist in VSC availability for their patients.
• Expansion of the Selfhelp VSC technological platform for robust statewide participation.
• VSC technical support.
• Seed funding for program development.
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Selfhelp Partnership Under Grant
• The program builds upon the Selfhelp VSC model and platform, and incorporates Selfhelp as a grant partner.
• Selfhelp is the VSC pioneer and operator of the VSC platform. Selfhelp is a home and community-based services agency, and an organizational member of HCA.
• The VSC platform will enable home care providers to participate and enroll their patients directly in VSC, or through “regional affiliates” who could act as hubs for providers in the region.
• Potential “affiliates” could be local Area Agencies on Aging (AAAs), home care providers and/or managed care plans.
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• Overall goal: creating the availability of, and offering, the VSC service to all home care providers (and their partners) for patients statewide.
• Beneficially impact the social and clinical determinants of health, and the overall health care system, in multiple ways:
Ø Support seniors and medically vulnerable individuals isolated at home, providing a means of crucial social interaction and engagement, virtual health care oversight and safety.
Ø Provide a mechanism for patient and caregiver education and self-care/self-management tools.
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Ø Reduce the risk of depression; help detect changes in mental status which signal other high-risk medical and mental health conditions requiring intervention; and reduce risk of hospitalizations, emergency episodes and injury/ deterioration due to consequences of isolation.
Ø Create a new service in the infrastructure for the elderly, disabled, and for broad system goals of health promotion and prevention, safety, quality of care, quality of life, and self-care/self-management.
Ø With this new part of the infrastructure, also promote system goals of improved population health and health care cost reduction.
Russell LusakChief Operating Officer
Selfhelp Community Services, Inc.
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Ø 59% higher risk of physical and mental health declineØ Worse than Smoking 15 Cigarettes/DayØ Residential Care Facilities Rate of Depression = 44%Ø 64% higher risk of dementiaØ 5 Isolation Risk Factors
• Age 80+• Chronic Health Problems• Lack of Family Contact• Low Income• Changing Family Structures
Ø Steps to Alleviate Loneliness & Isolation• Better access to transportation• Integrate seniors better into communities• Use technology to help seniors connect with others
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} 526 Participants} 136 Facilitators} 50,971 participants hours in class} Range 35-45 classes per week} 5,313 classes } Classes in English, Korean, Mandarin, Russian and Spanish } 4.6 (out of 5) average rating
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} Currently Aged 60+ based on content◦ Expansion to other age groups available
} Homebound or socially isolated} Want to have social interaction/meet people} Want to contribute in class discussions} Willing to learn or knows how to use a computer} Access to the internet} Access to a computer, tablet or other device
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} Senior Friendly Interface} Connection to Peers} Virtual Community} Online Education} Interactive, Live Programs} Curated, Individualized
Internet Links} Brain-fitness} Social Games} Telephone Support} Health Education} Telehealth Visits
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} Guggenheim Museum} MOMA} The Jewish Museum} Musicians on Call} New School: Institute For
Retired Professionals} NY Hall of Science} The Intrepid} Elders Share the Arts} Rubin Museum of Art} Theater Development Fund} NY Philharmonic} NY Historical Society
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} Concerts in Motion} Feldenkrais Foundation} NY Presbyterian Community
Health Initiative} NY Chinese Cultural Center
Can video chats engage homebound people} Manage chronic health} Learn new techniques in an interactive, social and
fun setting
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What we learned…} Confidence improved in managing chronic health} Enjoyed the program} Enjoyed interacting with participants} Reduced fears and frustrations about their health} Improved social isolation and self-management skills
“Virtual Senior Center helps homebound
older adults manage chronic conditions, socialize
and have fun”
} Impact on social isolation, health status, and digital literacy.
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What we learned…} Improved social connectivity} Knew more about community services} Significant increase in health status ◦ 100,000 plus hours online confirms participants’ bridging the digital chasm.
} 80% = Quality of life improved} 75% = Happier
John Gaidis – VSC Participant} No longer able to attend his senior center after a stroke. } Connected him with the Virtual Senior Center.} Socially active and engaged from his home.
https://www.youtube.com/watch?v=Yg2ze0NA0TQ
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} Monitor patient engagement} Create virtual communities appropriate for your population} Targeted instruction} Evidenced based health programs} Health groups and chats} Increased health literacy} Virtual clients visits} Provide immediate intervention when needed} Reduction in depression – Hospitalizations
Live communication is essential, tells us so much!23
} Call us with interest - Live Demo’s available} Referral source assess participants using our Screening Form} Referral source obtains signed VSC Contract from participant} Make referrals to our team} Our staff call all referrals/participants◦ Verify devices and internet service ◦ Participant needs email to setup account◦ Customize user interface◦ Ensure referrer contact information added to VSC◦ Setup instructions sent to participants via email ◦ 1st Login - teach how to use features and navigate◦ Follow-up call to ensure no issues and they are engaged
} Communicate with referral contact during the processPhase II, develop regional virtual hubs across NYS
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} Private Pay} Managed Care Plans} Provider} Office Area on Aging} Other…
Call for pricing..} Per Member Per Month} Subscription Fees for Regional Virtual Communities
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Interested
Email: [email protected]: 718.559.4460www.selfhelp.net/vsc/
3 Webinars1. July – “Introduction to the VSC”2. Sept – “Adopting and Onboarding your Program”3. Oct – “VSC 2.0 - Demonstration”
} Phase I Pilot Enrollment Now◦ Mother Cabrini funds available to seed early adopters
} VSC 2.0 Release – Oct/Nov 2020◦ Increased administrative capacity & program offerings
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CTA Foundation
NY City Council
