Advancing the Acts Continuum of Care Resident Town Hall Meetings September 2019
Presenters: Acts Resident Health Services Team • Holly Schade, RN, MBA , Senior VP, Health & Home Services • Pam DeVito, MS, Corporate Director, Primary Care Services • Kelly O'Shea Carney, PhD, ABPP, CMC , Corporate Director, Memory Services • Marian Schurz, MBA, Corporate Director, Home & Community Services
Acts Continuum of Care Holly Schade, Senior VP, Health and Home Services
Previous Continuum of Care
Acts Loving Kindness
Acts Nurse Practitioners Pam DeVito, Corporate Director of Primary Care Services
2010 PUMH Affiliation -- Cokesbury Village Unique approach to providing wellness and well being Onsite primary care practice with a Nurse Practitioner Integrating primary care – next phase of CCRC care • Cost effective • Independent life-style • Full spectrum of healthcare you deserve
Nurse Practitioner Program • Tryon Estates, Columbus, NC Quickly followed by 2 more Nurse Practitioners: • Southampton Estates in PA • Plantation Estates, Mathews, NC TODAY we have an Acts Nurse Practitioner in almost every community!
▪ On campus primary care services ▪ Urgent care in the Wellness Suites ▪ Reduction of hospitalizations/ER visits ▪ Attends to the complex needs of our WillowBrooke Court residents ▪ Provides ongoing staff education ▪ Wellness presentations & resident education ▪ Community healthy living articles
4 Primary Initiatives
Credentialing is the verification and approval of a practitioner's credentials. • Did they go to school? Where? When? • Did they obtain their degree? • What is their employment history and in what capacity? • Have they been involved in any malpractice cases? What was the outcome? Etc., etc., etc., etc. Top 4 Plans Identified 1. Independence Blue Cross Blue Cross/Blue Shield ✓ Primary focus – Original/Traditional 2. Aetna Medicare 3. Humana ✓ Need to expand beyond original Medicare 4. United Healthcare ✓ Analysis of Medicare Advantage Plans * Addition of Tricare VA Plans
Three Steps: 1. Practice application 2. Medical Director/Physician application 3. NP application ✓ 15 +/- pages in length ✓ Multiple attachments ✓ 3 to 6 months to completion of each application ➢ Can take up to 18 months for final approval for 1 NP for 1 insurance carrier
15 applications per practice x 27 NPs = approximately 400 + applications to complete the project for the 5 identified Medicare Advantage plans ✓ Internal staff ✓ Outside credentialing agency
➢ At least 30% of time at work ➢ Work place – logical place for employees to receive services Supports: ✓ Healthy working environment ✓ Fosters healthy lifestyles ✓ Preventative health ✓ Quicker intervention for illnesses, reducing absenteeism and missed working hours
Palliative Care is specialized care for chronic illnesses Focus: ✓ providing symptom relief, reducing hospitalizations/ ER visits ✓ relief of stress of a serious illness Goal: ✓ improve the quality of life for residents and family members ➢ Partnering with University of Pennsylvania ➢ NP/PC Training Program ➢ All Acts NPs participating ➢ Ability to extend PC services
✓ Need to enhance cognitive screening & services ✓ Task Force developed – new protocols ✓ All Acts NPs to participate Spearheaded by Kelly Carney, PhD. Corporate Director, Memory Care Services
Acts Memory Services Kelly Carney, Corporate Director of Memory Services
Defining Our Terms
New Ways of Seeing Dementia: • Recognize dementia as a 8 to 10 year journey • NOT just a “mid - stage” disease • Lifestyle interventions to “bend the curve” on dementia • Early identification and intervention • Proactive support to preserve function • Strength based focus • “Dementia Capable” staff • Care evolves as science and best practice evolves
Services and Supports for Every Stage
Support for the Caregivers!
Our Vision for Supporting Fostering People Living with Dementia
Being Dementia Friendly Offers…. • Understanding and supportive neighbors • Welcomed participation in events • Inclusive faith community • Living options that support independence • Specialized services and supports • Sensitive business practices • Early diagnosis and intervention via healthcare • Physical environments that support function
Acts Home Health Marian Schurz, Corporate Director, Home & Community Services
Acts Home Health When did Acts Home Health start? In Florida 1990 The 1st Communities Served... St. Andrews and Edgewater Why was Acts Home Health Started? - To provide the Quality Care to our residents with Acts Standards of Care, provided by Acts Employees
Acts Home Health Today • 8 Home Health agencies serving 16 Acts Communities • PA, NC, GA, FL, AL • 2018 AHH provided 68 different services to over 2000 Acts Residents • 531,287 billable hours of quality care • Over 1000 new Admissions
Acts Home Health and Senior Services
Medication Management and Medication Reminders
Did you know? • Acts Home Health / Home Care is available 24/7? 365 days/year? • For as little as 30 minutes? • We can also provide round the clock care? • We accept Long Term Care Insurance? • We can bill residents separately, if families desire? • Home Health revenues benefit ALL Acts residents?
Medicare Certified Skilled Home Health • January 2017 - Acts Home Health in PA was Accredited by The Accreditation Commission for Healthcare, Inc. (ACHC) • Medicare Certified Home Health Services in 8 PA Communities • Includes Skilled Nursing, Acts In-house Rehab for Physical, Occupational and Speech Therapies, & Home Health Aides • Contracts with Aetna and more recently with IBC/BS for Keystone 65 and are working to secure other Medicare Advantage HMO providers.
Shaping the Future of Acts Home Health • Expanding our services: • Client Advocate • Care Management • Specialized Aides (tech, events, memory care) • Memory Support of Specialized Services • Highlighted Service of the Month with Education & Awareness • Offer services to Acts Future Resident Club members
Acts Home Health Expanding to Additional Communities! • 2019/2020 – Heron Point, Cokesbury Village, Country House.
Acts Signature Hospice and Palliative Care Marian Schurz, Corporate Director, Home & Community Services
Acts Signature Hospice • What year was Acts Hospice founded? 2007 • Where was the first patient? Spring House Estates • Which anniversary are we celebrating 2019? 12 Years!
Acts Signature Hospice • Acts Signature Hospice serves all 8 PA Communities and two DE communities • Served over 233 residents and their families in 2018 • Increased the average length of service from 65 to 97 days • Provided over 21,034 total days of care • Residents may receive hospice services in all levels of care
Acts Signature Hospice
Acts Signature Hospice • 70+ actively engaged Acts Residents serving as Hospice Volunteers - 16 Hours of Training required. • We are identifying, celebrating and empowering Hospice Champions in each Community we serve. • Added services: We Honor Vets, Last Wishes, Complementary Therapies (massage, reiki, music), Virtual Goggles, and an Interactive Robot Cat Companion, especially for those living with Dementia.
Palliative Care vs. Hospice Care? • • Bills Medicare Part B as a Bills Medicare Part A as a Hospice Benefit Consult • For the last 6 months of life • Can access anytime during the disease process • Curative treatments are finished or • Can have curative treatments at no longer recommended. the same time
How we are Shaping the Future • 2018 expanded Acts Signature Hospice to 2 DE communities • Continue to bring Acts Hospice to more Communities • Look to partner with high quality Hospice Providers in States that the certificate of need is a barrier • Add more Complementary therapies, Angel Carts, Last Wishes, Memory Care enhancements, We Honor Veterans • Train more Acts staff and management as Hospice Volunteers
Questions ….
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