d7 aging in place judy chavis - aasc

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D7:“Aging in Place: Housing and Services for a Growing D7:“Aging in Place: Housing and Services for a Growing Elderly Population”Elderly Population”

Benefits of Service CoordinationBenefits of Service Coordination

Judith ChavisExecutive Vice President/Public Policy & Special Projects

American Association of Service Coordinators

December 7, 20122012 National Rural Housing ConferenceHyatt Regency Washington, Capitol Hill

Benefits of Service Coordination

American Association of Service Coordinators www.servicecoordinator.org 614-848-59582

http://www.servicecoordinator.org/

Brief Overview of AASC


• Established in 1999 in response to service coordinators who wanted a national voice to legitimize profession

• Non-profit membership organization with 3,000+ members who serve low-income families, seniors and people with disabilities in public, subsidized or other affordable housing environments

• Established a national professional standards of practice, code of ethics and certificate program for the service coordinator profession

• Provides technical assistance, training, educational opportunities, information on models of “best practices” and guidance in service coordinator program implementation

• Provides policy advocacy on issues affecting services-enhanced, subsidized and affordable housing

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Statistics on Service Coordination Programs


Multifamily Properties for Seniors and People with Disabilities:

• There are approximately 12,221 properties that are eligible for HUD-funded Multifamily service coordinator grants*

• There are 4,145 properties for seniors and people with disabilities that have a service coordinator (34% of the total of eligible properties)*

• Of the properties that have a service coordinator, 1,621 are funded through HUD service coordinator grants*

• Of the properties that have a service coordinator, 2,207 fund the position through their operating budget*

• Of the properties that have a service coordinator, 230 fund the position through their residual receipts*

• Of the properties that have a service coordinator, 87 fund the position by other unknown means

• There are 3,931 properties without a service coordinator*

*October 2011 data and all numbers are approximate

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Benefits of Service Coordination


For the Residents:

•Keeps seniors living “independently” by providing links to supportive services

•Decreases premature institutionalization by increasing the availability of services

•Enhances self-esteem and self-sufficiency by promoting involvement and participation in the “life” of the property and in the community

•Increases safety as needs for assistance are more quickly recognized and addressed

•Supports a healthy and positive social environment that promotes a sense of fellowship and community, and a greater connection to the surrounding community through a mutual exchange of resources and activities

•Increases respect for residents’ choices due to the service coordinator’s support, advocacy, and role as a liaison with management and the community, family, and service providers

•Relieves tensions associated with mixed populations, cultural and ethnic diversity, and alcohol and substance abuse

•Improves the quality of services that residents receive through regular contact with outside agencies and an onsite presence.

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Additional Benefits of Service Coordination


For the Property:

The following is a list of the benefits identified by owners and managers who have incorporated a service coordinator program within their developments.

•Prevention of unnecessary apartment vacancies (eviction; unnecessary nursing home placement)

•Reduction in apartment damages

•Decline in 'persistent' housekeeping concerns

•Decline in premature apartment turn-over

•Enhances facility image by increasing awareness of the property through networking with agencies and community representatives

•Provides an ability to intervene in the early stages of any resident crisis

•Helps management maintain their daily schedules without interruption by resident’s health, family, or personal crises

•Elevated self-esteem of residents (while reducing dependency on management)

•Heightened sense of 'community' among residents and staff

•Increased awareness by management staff of available community services

•Raised awareness about aging concerns by facility staff

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Benefits and outcomes of the service coordinator program

The information contained in the following charts was extracted from the AASCOnline web-based documentation and data tracking system. The data was entered into the system by more than 1,000 service coordinators.

This system was developed by AASC in collaboration with the Pangea Foundation* and was designed to meet the documentation, assessment, monitoring and reporting needs of service coordinators working in senior and adult disabled housing communities.

Currently, there are 1,697 properties using the AASCOnline system

*www.pangeafoundation.org

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Measuring the Impact of Service Coordinators on the Lives of Low-Income Elderly

This chart represents the number of residents living in the properties using the AASCOnline system as well as the number of residents being assisted by the service coordinator.

On average, 72% of the residents living in properties using the AASCOnline system have utilized the services and assistance of the service coordinator.



Aging in Place

Increasing access to home and community-based services for seniors living independently in affordable housing keeps them living in their own homes longer and has an immediate and measurable impact on keeping them out of higher cost-of-care facilities.

In 2011, the national annual average of nursing home care equaled $78,110 compared to the annual average cost of assisted living ($41,724). Clearly, providing access to home and community-based services for seniors living independently are significantly less - $19 to $21/hour – yielding significant savings of public funds.*

*Source: MetLife Mature Market Institute; (October 2011) "The 2011 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services and Home Care Costs" (https://www.metlife.com/assets/cao/mmi/publications/studies/2011/mmi-market-survey-nursing-home-assisted-living-adult-day-services-costs.pdf)

American Association of Service Coordinators www.servicecoordinator.org 614-848-5958 9


This chart represents the ages of residents living in the properties using the AASCOnline system with 3 or more Activities of Daily Living (ADLs) needs and were considered FRAIL.

These residents represent 3% (4959 out of a total of 164,163) of all residents living in properties using the AASCOnline system in 2011



This chart represents the number of residents that vacated their apartments in 2011 of the properties using the AASCOnline system.

Of the residents that vacated their apartments: 1% moved to a nursing home, <1% moved to an assisted living facility and 3% passed away while residing in the property. 89% of the residents residing in properties using the AASCOnline system continued to live independently through access to services and assistance from the service coordinator.


More than 2 million Services DeliveredIn 2011, more than 2.4 million services were provided to the 164,000+ residents being tracked in AASCOnline. Of the residents that used the service coordinator, the average number of services per resident increased to 21. In 2010, the average number of services provided was 19. In 2009, an average of 15 services were provided to each resident being served at AASCOnline user properties, and in 2008, the number of services provided per resident was14.

This suggests that, as residents age, having a service coordinator on-site is valuable to both the residents and the property. The higher incidents of frailty results in a greater need for services. Providing access to services, benefits and supports allows elderly residents to remain living independently at the property longer, rather than moving to a higher level of care.

American Association of Service Coordinators www.servicecoordinator.org 614-848-5958 12


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D7:“Aging in Place: Housing and Services for a Growing D7:“Aging in Place: Housing and Services for a Growing Elderly Population”Elderly Population”

Benefits of Service CoordinationBenefits of Service Coordination

Judith ChavisExecutive Vice President/Public Policy & Special Projects

American Association of Service Coordinatorswww.servicecoordinator.org

[email protected]. Box 1178

Powell, OH 43065614-848-5958

d7 aging in place judy chavis - aasc

Documents

service coordinator

service coordinators

aservice coordinator

total of eligible properties

residents health

residents choices

surrounding community

data tracking system