Living Well Blog

‘Public Policy’ Posts

Building a Safety Net for Elder Care: More Home-Based Models are Needed

Tuesday, July 20th, 2010

The St. Louis Today, reported on the need that our communities have  to build a strong home-based and community-based system for those who can pay for care and those who can’t pay for it.  Building a safety net for those in need is the focus of the 35th Annual National Association of Area Agencies on Aging Conference & Tradeshow, which kicked off over the weekend at the Hyatt Regency Hotel in St. Louis during the weekend of July 22-24, 2010.

The facts are well known, the St Louis Today reports: “…By 2030, about 72 million Americans will be 65 or older — roughly twice the number in 2000, according to estimates by the National Institute on Aging. While plenty of attention has been given to how this coming tidal wave of seniors will strain Medicaid, aging specialists and health care advocates are also beginning to address the “forgotten population” — those who may have enough assets to pay for some health care services but not the cost of a long-term nursing home.

It can be a difficult population to care for. Typically, people 80 or older have one chronic disease; those 85 or older have two chronic diseases. Many of these seniors also have problems doing everyday tasks such as cooking meals, washing their clothes or tying their shoes. On average, 24-hour care in a nursing home runs about $60,000 a year…” Therefore the need for building that safety net for all elders.

Read More

Caring for The Elder at Home: The Need For a New Paradigm.

Tuesday, June 29th, 2010

Living Well at HomeThe increasing number of people turning 65, the high number of elders with health constraints, and the sky-rocketing price of health care posits the question of how are we going to care for all the elders who constitute, today the upcoming silver tsunami?

More than 40 percent of adult patients in acute care hospital beds are 65 or older. Seventy million Americans will have turned 65 by 2030. They include the 85-and-older cohort, the nation’s fastest-growing age group. Elderly people often have multiple chronic illnesses, expensive to treat, and they are apt to require costly hospital re-admissions, sometimes as often as 10 times in a single year. Living Well Assisted Living at Home has designed a new model of comprehensive care that will help care for elders at home, including those who are frail, recovering from surgery, accidents or any illness. The model also strives to care for those suffering from dementia, at home.

In an article written by Milt Freudenheim for the Health section of the New York Times, in June 28, 2010, we find how geriatricians and other professionals are lobbying for best practices in the field of aging.  In the article it is stressed the fact of how “..to stay independent, the elderly will need to stay healthy. Many of these people could be back on the golf course and enjoying their grandchildren if we did the right thing for them,” said Mary D. Naylor, a longtime geriatric care researcher and professor of gerontology in the School of Nursing at the University of Pennsilvania. Her research showed that even fragile older people could avoid a quick return to the hospital if they are managed by teams of nurses, social workers, physicians and therapists, together with their own family members. Hospital re-admissions, which cost $17 billion a year, could be reduced by 20 percent — $3.5 billion — or more, she said…” Obviously a new approach to care for the elder is imperative if we wnat to promote wellness in this sector of the population and reduce the increasing costs of caring for seniors.

Mr. Freudenheim continues by saying: “…Many internists, family physicians and other primary care doctors are lobbying for payments for a team approach based in the physician’s office. The concept, which they call a patient-centered medical home, will be tried out under the new health care law by Medicare, Medicaid and some private insurers. Secretary Sebelius has called the medical home idea “one of our most promising models for improving the quality of care and bringing down health care costs…”

Read the article.

Combined goal: Moving 37,000 seniors out Nursing Homes!

Thursday, April 22nd, 2010

Living Well at Home

An article in USA Today, reinforces the concept of Living Well Assisted Living at Home, which supports people aging AT HOME. Although at some point seniors need to “get better” and recover at rehabilitation centers and nursing homes, eventually the final goal is going back home. The article states that even the government is paying for people to get out of nursing homes. The program gives nursing home residents personal and financial help to live on their own or in small group settings, as well as payments for costs such as apartment security deposits, household furniture and alterations to make homes or cars accessible to the handicapped.

This proves that we are right! Read the article

Dispelling The Myth: Baby Boomers Are Not as Healthy as They Think They Are

Tuesday, April 20th, 2010

Baby Boomers HealthMany people age 55 to 64 have chronic conditions, but technological improvements have widened their health care options.

The oldest end of the baby boom generation, people now age 55 to 64, is consuming health care in greater amounts than same-aged individuals did in prior generations, according to a March report by the Centers for Disease Control and Prevention’s National Center for Health Statistics. Victoria Stagg Elliott of amednews staff says: “It’s an interesting age group because they are the next one eligible for Medicare services,” said Virginia Freid, the paper’s lead author and an NCHS statistician. “This presents a real concern for Medicare in the future.” Read More

Living Well High Tech Model Finds Support in Other Countries

Tuesday, April 6th, 2010

Doris Bersing, PhD President and Co-Founder, Living Well Assisted Living at Home comments on the results of an AARP survey  that shows 89% of Americans do not want to leave their homes when they age. Most of these people will be live alone and receive support from a variety of health and community-based providers, family caregivers. Read Dr. Bersing’s article

How will the long-term care system provide care to a growing number of seniors living in increasingly scattered locations? And more importantly, how can that system continue to provide quality care in the face of workforce shortages, rising care costs and decreasing resources? Technology has the potential to play a critical role in launching a new model of geriatric care that allows older people to live independently for as long as possible, supports family caregivers in the important work they do and gives health care providers the tools they need to deliver high-quality care at a reasonable cost.[1]

The mix of caring people, technology, and expertise in gerontology is the key to being able to keep people living and aging within their own homes regardless of whether they are healthy and engaged or dealing with chronic physical illness or dementia.

In other countries, along with the USA, a device touted as a future of health care is freeing nurses from long road trips, and instead beaming them into lounge rooms. An article by  Danny Rose “Hi-tech alternative to nurse home visit” on the 9news, explains how technology can be used to help seniors to take care of their health and age-in-place. Read Danny’s  article


[1] On the State of Technology in Aging Services report (2008) by The Center for Aging Services Technologies  (CAST). You can download the report from their website

An International Initiative to Enforce the Paradigm of Aging in Place

Tuesday, April 6th, 2010

Assisted Living at Home or Aging in Place

United Jewish Communities has helped foster the development of NORC Supportive Service Programs (NORC-SSPs) throughout the federation system as part of its responsibilities to promote innovation, best practices, and program opportunities among the system’s health and social services providers. UJC’s National NORCs Initiative was derived from a grassroots movement out of New York (read more)

NORCs’ initiative supports Living Well Assisted Living at Home model by developing solutions that enable seniors to remain living at home for as long as safely feasible, is in keeping with their preferences, promotes their physical and mental wellbeing, and is a promising solution to help deflect the significant financial costs of long-term care anticipated with the retirement of the 78 million Baby Boomers. This issue is an immediate concern of the Jewish community, which is presently aging at nearly twice the national average. As such, it is a top priority of United Jewish Communities – the umbrella organization of the Jewish Federations of North America, one of the nation’s largest networks of nonprofit community-based health and social service agencies. Read more about the NORCs initiative components.