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ANNE TUMLINSON INNOVATIONS
The Need for Community-Based Aging and Senior Care Innovation
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ANNE TUMLINSON INNOVATIONS
The New Old Age
• The New Era of Longevity – Many More People Living with High Needs
• The Current System is Ill-Prepared • Communities Drive Change
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ANNE TUMLINSON INNOVATIONS
Frailty in Old Age: A Risk We All Face
Half of Adults Age 65+ Will Need a High Level of Care at Some Point
Table 1, Favreault and Dey (2015)
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ANNE TUMLINSON INNOVATIONS
Lifetime Care Needs Vary
70% Will Have Some Need
50% Will Have High Need
25% High Need
For 2+ Years
Paying for Care Family Support, Retirement Income, Medicaid
Stresses to Income Security Housing, Food and Medical Costs
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ANNE TUMLINSON INNOVATIONS
High Need Older Adult Population Rising Fast
Favreault & Dey (2015), Figure 1
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ANNE TUMLINSON INNOVATIONS
Families Do Most of the Work Today
Nearly 2/3 of Older Adults with LTC Needs Living at Home Receive All Help from Unpaid
Family and Friends
Note: Excludes individuals living in nursing homes Table 4, Freedman and Spillman (2014)
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ANNE TUMLINSON INNOVATIONS
Supporting Older Adults at Home
Table 2, Freedman and Spillman (2014)
3/4 Older Adults with Needs Live
at Home
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ANNE TUMLINSON INNOVATIONS
But They are in Crisis
Frail Older Adult
Family Management Coordination
Unpaid Caregiving Legal
Financial
Complex Medical Need Doctors • Post-Acute Care
Hospital
Long-Term Services & Support need
Home Care • Senior Housing Nursing Home
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ANNE TUMLINSON INNOVATIONS
Because of Disconnected Local Systems
In-Home Technology
Not yet well leveraged to substitute for Hub and
Daily Care
Medical Integration
Gap in coordination, Particularly in crisis
IADLS & ADLS Expensive
Lacks Appeal
Lacks Flexibility
Worker Quality is Poor
Supportive Environment Most people live in
single-family dwellings unsuited for family
HUB Most people do not
receive any assistance entering the delivery
system or managing it on a ongoing basis
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ANNE TUMLINSON INNOVATIONS
Housing Options Are Inadequate
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ANNE TUMLINSON INNOVATIONS
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ANNE TUMLINSON INNOVATIONS
We Need Holistic, Community-Based Solutions
Day-to-Day Functioning
ValueCreated forFrail Seniors
Housing &SocialEnvironment
Health &Medical Care
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ANNE TUMLINSON INNOVATIONS
Case Study in Housing: The Stories
Confidential & Proprietary
• New models are emerging thatallow people to age in place
• Walkable mixed-use locations• Integration of technology and
delivery of on demandservices
• Not necessarily seen as“senior” communities– May not be age-restricted
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ANNE TUMLINSON INNOVATIONS
The Village Movement: Staying in your own home in the neighborhood you love
A non-profit, membership organization created and run by people 50 and over.
• One stop shopping: Offers everything and anythingmembers want to enhance and make their lives easier
• Members are the driving force behind all actions the“Village’ takes.
• Strategic Partners are critical- Work with all resources
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ANNE TUMLINSON INNOVATIONS
Technological Solutions: Explosion of Health Care & Wellness Apps
Yes, There’s an App for That
iBGStar (Diabetes)
FitBit (Fitness/Wellness)
AliveCor (ECG)
Proteus Digital Health (Digital
Pill)
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ANNE TUMLINSON INNOVATIONS
Self-Driving Car Just in Time Arrival Expected in 2020
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ANNE TUMLINSON INNOVATIONS
Can The Internet Address Malnutrition?
Source: TechCrunch 7/11/15 – “The Billion Dollar Food Delivery Wars”
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ANNE TUMLINSON INNOVATIONS
Getting Smart
About Your Aging Parents!
Circles