introduction to collage
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TRANSCRIPT
Welcome to
A membership consortium of aging services organizations, including CCRCs, moderate‐income and federally subsidized housing, and home care and community‐based agencies who use a holistic, Web‐ and evidence‐based assessment tool and person‐centered
process to advance healthy aging and improve outcomes of older adults living independently.
Neil Beresin, COLLAGE, Kennett Square, PA
Karri Sears, Wellness Director, Alexian Village of Milwaukee, WI
Doug Zimmer, Center for Information Management, Ann Arbor, MI
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HERE
How are you measuring and improving healthy aging outcomes?
Are you using an evidence‐based assessment system?
Does your organization really understand the value proposition?
It’s About 3
1
3
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What is COLLAGE?
• Consortium
• Evidence‐based assessment tools
• System to improve healthy aging outcomes
Membership States
284
21
5
CCRC sites
At Home sites
Housing sites
Other
Membership– types or settings
How Does COLLAGE Work?
Informed decisions
Individuals Community
ROI: better healthy aging outcomes
Data infrastructureAssessments
Assessment Process: How?
Staff person one‐to‐one with residentOnce every 9 months to 1 yearIn office or home Initial conversation takes 45 minutes to 1 hoursData recorded in software (web‐based)
Assessment Process: Who?
Who?• Nursing, social service, fitness, wellness staff• Independent or assisted living residents
Why?
• Improve healthy aging• Individuals• community
• Target resources to resident goal• Inform need for service support decisions• Strengthen program planning
COLLAGE Assessments: Key Features
Holistic snapshot of individual
Part of an assessment suiteused in over 30 countries
Evidence‐based
Our Assessment System
•Wellness Assessment: subjective, lifestyle survey completed by the resident
•Core Assessment: short, health‐focused, objective, combined with WA leads to Personal Wellness Profile report and Healthy Aging Plan. Also determines if resident has risks that require additional in‐depth assessment
•Comprehensive Assessment: objective, health‐focused, more extensive than Core, only completed if “triggered” by Core
More About the Core and Comprehensive Health Assessments
• Streamlined assessment system, released 7/12
• Core Assessment has 60% less items, 25‐35 minutes to complete
• Depending on setting, about 10% of residents will need Comprehensive Assessment
• Comprehensive Assessment is auto populated with Core Assessment coding
Customizes goals into a Healthy Aging Plan across
six wellness domains
Activates residents to improve quality of life
and age more successfully
Frames a personal care coordination roadmap
Provides staff/client feedback loop
Impact for Individuals
Impact for Community
Falls and balance programs (“Got Water?”)Spiritualwellness (“Joy of Living”)Memory enhancement and support programs (“Covered Bridge”)Bereavement support groupsAging Enriched Resource Center
Exercise and Tai Chi for managing arthritisYoga for managing depression and anxietyNew Library and book clubsTargeted educational materialsExercise/cognitive behavior for managing pain
Impact on Management and Operations
Identifies needed services
Informs decisions about risk (needs) and interests
Promotional advantage
Assists with accreditation
Impact on Management and Operations (continued)
Improves planning/continuity of health/wellness operations
Leverages data (grant funding)
Improves financials (actuarials)
Improves outcomes
Reports Overview
Individuals AggregateAssessment
Responses/ComparisonAggregate Profiler
Medications MedicationsDiseases Diseases
Indicators Report (assessment summary)
Ad Hoc
Personal Wellness ProfileAssessments Due
Healthy Aging Plan (HAP)
Personal Wellness Profile report
• What your score means• What you may consider doing to promote your wellness
• How your score compares to others in your community
Resident‐directed content
Fully automated
Evidence‐based score in each on nine healthy aging domains
Content:
Personal Wellness Profile report
Personal Wellness Profile report
Healthy Aging Plan
Aggregate Profiler –report generation tool
• On‐demand frequency distributions
• Comparison data based on assessment data from all COLLAGE members nationwide
Comparison percent
Counts
Percentages
Ad Hoc Reporting
Endless possibilities for site‐specific reporting
Ad Hoc in Action
Ad Hoc in Action
COLLAGE is Changing in 2013: COLLAGE 360
What is COLLAGE 360 ? COLLAGE 360 combines the power of information derived from the COLLAGE assessment system with an award‐winning, innovative wellness coaching process call Vitality 360.
How does it work?The coaching model focuses on engaging the resident in meaningful conversations that facilitate self‐direction and action. Through a reflection and visioning process that includes information from the assessment, resident are able to articulate life goals, supporting goals and action steps that will lead to inspired lifestyle changes.
COLLAGE is Changing in 2013: COLLAGE 360
The role of the interdisciplinary teamThe interdisciplinary team (which may include fitness and social service staff, nurses, nutritionists, administration and physicians) is guided by the coach and serves a critical support, resource and advocacy function for the coach and the resident. The coach communicates on a regular basis with the resident about his/her individual wellness plan and keeps the interdisciplinary team informed of residents’ progress.
Preliminary resultsOrchard Cove, a continuing care community in Canton, MA, initially developed the program and has found significant positive results.
COLLAGE is Changing in 2013: COLLAGE360
Preliminary results from Orchard Cove
• 90% of residents participate in the program• 85% of the participants developed a fitness plan• Of those resident participating, 80% exercise on a regular basis
(more than twice a week)• Since 2011, the percentage of residents who exercise increased
from 33% to 74%• 89% of the residents participating reported having good or
excellent health – up from 80% one year earlier. This was a statistically significant finding.
• 62% of the residents participating stated they are delighted with life as a whole – up from 32% one year earlier. This was a statistically significant finding.
COLLAGE data is the engine that drives your Wellness Program operations
Using Data for Program Development
Karri SearsDirector of Wellness
Your prospective residents move to your community because they expect you to help them
remain independent for the rest of their lives
Health and Wellness is What Everyone Wants
o Meets your missiono Improves satisfaction of residentso Reduces turnover of unitso Allows community admissions to assisted
living and health careo Reduces costs for life care community
through reduced utilization
Keeping People Independent
o Holistic evidence‐based assessment (COLLAGE)
o Knowledge and tools to remain well and stop or slow chronic disease
o Data‐driven programs and services to enhance quality of life
What Can We Provide To Facilitate Health and Independence?
A holistic approach to care coordination services is finding the right balance of support
between monitoring the seniors health care needs through
ongoing contact. To develop a simple plan of care
that is understandable and agreed upon with the goal of
100% compliance.
Components of an Effective Program
Wellness Program Developments
o Provides holistic evidence‐based wellness assessment
o Supports philosophy of promoting independence
o Provides opportunity for benchmarking via comparative data
o Assists in development of resident need priorities
How COLLAGE Assisted
Occupancy Data: Health Care and Assisted Living
Projected Projected Actual ActualSNF AL SNF AL
2007 53 53 30 182008 53 53 29 192009 53 53 27 182010 54 52 19 302011 54 52 16 30
New direct admissions into health care and assisted living, lead to financial improvement: approximately 7
million dollars surplus
Occupancy Data: Lead to Significant Financial Improvement
2012 and Beyond
Cognitive impaired residents: derived from CPS score
2008 –’09 1262009 –’10 1752010 –’11 200
Cognitive Performance Scale (CPS) score from data
Helps you get the right people in the right seats
on the bus
Data improves services, quality and outcomes, and it is a win‐win for
everyone…
COLLAGE, The Art & Science of Healthy Aging
The Technical Side of COLLAGE
Doug Zimmer, Co-owner Center for Information Management, Inc.Ann Arbor, MI
Software Highlights
• How does COLLAGE software work?
• What is included in basic software?
• What options are available?
• What is the National Repository?
• How is software deployed?
• Short demo of software prototype
Software Platform
• Web‐based software, runs in browser
• Requires Internet connection
• No installation required; minimal issues for local IT
• Data for all members stored on single server in secure data center (with access strictly controlled by facility)
Basic Functions
• Maintain demographic information and record several types of assessments
• Create Healthy Aging Plans with personal goals for wellness
• Generate reports on individuals and in aggregate
Optional Features
• Use laptop for interviews in personal residences without Internet connection
• Build ad hoc queries and create dashboards and special reports unique to organization
COLLAGE National Repository
• Copy of de‐identified assessment data automatically sent to Institute for Aging Research (IFAR)
• Performs quality assurance review
• Creates peer comparison reports
• Supports ongoing studies by IFAR
Deployment
• Each organization plans implementation process and timetable for deployment
• Web‐based training provided:• How to complete and use assessment tools
• How to use software tools
•Help Desk services available: • Coaching clarifications and questions
• Technical software issues or problems
Software Demo
• Overview of resident information
• Completing assessments
• Creating Health Aging Plan (HAP)
COLLAGE, The Art & Science of Healthy Aging®
blog‐collageaging.orgLearn more on your own
o Schedule a meeting with your leadership teamo View a short YouTube video of a COLLAGE
conversation in actiono Talk to several COLLAGE member organizations.o Review our Question and Answer publicationo Chat about cost, training, model practices, successful
program launch and business process integration, trial operating agreements, etc.
