lapham park venture lapham park venture 1901 north 6 th street milwaukee, wi 53212 partners: u.s....

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LAPHAM PARK VENTURE LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners : U.S. Department of Housing and Urban Development Housing Authority of the City of Milwaukee (HACM) Milwaukee County Department of Aging S.E.T. Ministry, Inc. Community Care Organization St. Mary’s Family Practice Clinic Lapham Park Resident Organization - 200 Units -

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Page 1: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

LAPHAM PARK VENTURELAPHAM PARK VENTURE

Lapham Park Venture1901 North 6th StreetMilwaukee, WI 53212

Partners: U.S. Department of Housing and Urban Development Housing Authority of the City of Milwaukee (HACM) Milwaukee County Department of Aging S.E.T. Ministry, Inc. Community Care Organization St. Mary’s Family Practice Clinic Lapham Park Resident Organization

- 200 Units -

Page 2: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

2

Built in 1964

1993 – HACM Designated as Elderly Only

96% African-American and 56% Female

74% of Residents are Very-low income

Median annual income is $7,553

Result of residents wanting improved services

Primary Goal – Maintain and improve the quality of life and improve housing for elderly

Secondary Goal – Determine if a continuing care retirement community can work within Public Housing and facilitate aging in place

BACKGROUND

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 3: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

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Model for Prevention, Assisted Living and Health Care Services: Congregate Meal site, Transportation, Case management and Long Term Care On-Site Primary Medical Care Physical Therapy and Prescription Management

Design includes: Therapeutic Whirlpool – Health Need Crafts Room Movie Theatre Barber and Beauty Shop Billy Braggs Golden Gloves Gym Billiards Room

[Note: Design based on Resident Survey]

DESIGN / STAFFING

200 Units1 BR 190

2 BR 10

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 4: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

4DESIGN / STAFFING (Continued)

LAPHAM PARK VENTUREMission: To create a supportive continuingcare community where low income older

adults can comfortably age in place.

COMMUNITY CAREORGANIZATION (CCO)(On-site medical care.)

HOUSING AUTHORITY(HACM)

(Building space, remodeling &renovation, liaison with the Resident

Organization.)

ST. MARY’S FAMILYPRACTICE RESIDENCY

PROGRAM(On-site physician services.)

MILWAUKEE COUNTYDEPARTMENT ON AGING

(Funding for case management,transportation, community-based long

term care, operation of meal site.)

S.E.T. MINISTRY(Outreach, on-site case

management staff.)

LAPHAM PARKRESIDENT ORGANIZATION

(Advocates on behalf of residents,liaison between project partners

and residents.)

ST. MARY’S FAMILY PRACTICE &COMMUNITY EDUCATION CENTER

STUDENT PROGRAM (AHEC)(Nursing, medical and social work students

provide home visits, health promotionprograms and activities.)

ALZHEIMER’S ASSN. OFSOUTHEASTERN WI

(Promotes and coordinates “Circle ofFriends” focusing on socialization

and management skills.)

CHILDREN’S OUTINGASSOCIATION (COA)

(Intergenerational activities.)

MARQUETTE UNIVERSITY(On-site student community service,

assessment of elders’ functional status,review of facility policies and

standards of operation.)

SOCIAL DEVELOPMENTCOMMISSION (SDC)

(Manages meal program.)

MATC(Dental hygiene studentsconduct assessments.)

YWCA(On-site exercise programs,

tutorial services.)

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 5: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

5PROCESS

CORE LAPHAM PARK VENTURE MEMBERS

HACM: Existing HACM property - rehabilitation through liaison work

with residents

Milwaukee County Department on Aging: Congregate meal site, transportation, case-management and

funding for community-based long term care

S.E.T. (Services, Empowerment, Transformation) Ministry: On-site medical care including primary care, physical therapy

and prescription management through Medicaid

St. Mary’s Family Practice Clinic: On-site physician services to residents

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 6: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

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Lapham Park Resident Organization:

Provide assistance with Outreach to the Community and Organizes Social and Community-Based Activities

Medicaid reimburses $94/day

Residents pay $0 for Services

WI State Supplement to SSI recipients is $83

200 units subsidized by HACM – Difference of resident payment (30% of income) and operational cost of unit

HUD Funding:

Rehabilitation Costs - $1.3 million - HUD Capital Fund

PROCESS (Continued)

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 7: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

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WI Medicaid Waiver Comparison:

Nursing Home Residents vs. Lapham Park Residents Savings to State of WI – Over $1M

On-site Clinic to Provide Routine Medical Assistance:

Prescription refills, hospice care, dental care, Home Health Care, Physical Therapy and Podiatry

Residents Interested in help are visited by S.E.T. Ministry, Inc. Residents are connected to 20 appropriate service providers and 200 specialists

PROCESS (Continued)

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 8: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

8PROCESS (Continued)

FUNDING SOURCES AND USESCommunity Care Organization – Medicare and Medicaid Dollars

$1,410,000 33%Managed health care services for frail older adults; provides all medical, clinical and ancillary services necessary to support independent living

HUD Capital Funding$1,300,000 30%

Gut rehab of basement of Lapham Park - HVAC work, plumbing and sewer work

Private Foundations: Pettit Foundation; Helen Bader Foundation; Milwaukee Foundation: Faye McBeath Foundation; M&I Foundation

$1,300,000 30%

Clinical space and community space including furnishings for the movie theater, town square, billiards room

Milwaukee County Department on Aging – Older Americans Act

$129,000 3%On-site case management, elderly nutrition programs; housekeeping services

Housing Authority $27,000 1% Utilities

WI Housing & Economic Development Agency

$25,000 1%Therapeutic bathing spa

Milwaukee County CDBG $25,000 1% A&E fees

SET Ministry – Private Donations

$20,000 1%Special Needs

TOTAL: $4,236,000

LAPHAM PARK VENTURE MILWAUKEE, WI

$21,000 per unit

Page 9: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

9MANAGEMENT / MARKETING

Management Company: (Contract cost is $468K/Year)

Friends of Housing is under contract with HACM Friends of Housing Provides Traditional Services:

Maintenance Rent Collection Leasing

Wait list is not site specific 2% turnover

Marketing: Venture Partnership with social workers, hospitals,

friends, and family allows word of mouth lease up

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 10: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

10CHALLENGES/FAILURES/LESSONS LEARNED

Think outside of the box and doing things a different way

Sharing mutual information and risk taking

Breaking down traditional agency barriers/territories

Reallocation of each agency’s resources with minimum start-up costs

Resident-centered approach

Collaboration between the public and private sector

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 11: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

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Award: Ford Foundation and Harvard University Innovations in American Government

ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS

Town homes at Carver Park: (Complement to the site)

Public housing development

Friends of Housing is the Management Company and an LLC Partner in the tax credit application

18 months of rehabilitation - Town homes at Carver Park

Opened in September 2002

122 unit mixed-income accessible development 51 public housing units 51 tax credit rental units 20 market rate units

Also provides market rate housing

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 12: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

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Economically integrated Carver Park neighborhood

High level of accessibility for residents and visitors with disabilities

Town homes serve families that need two to five bedrooms

Town homes funded with a $9.1 million HUD Hope VI Grant combined with affordable housing tax credits

Development includes 20 homes in the surrounding neighborhood for low and moderate income families under the HACM homeownership program

HACM - Comprehensive public safety program in the neighborhood, which adjoins the rehabilitated Lapham Park assisted living development with Town homes at Carver Park

ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS

LAPHAM PARK VENTURE MILWAUKEE, WI

Page 13: LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority

Assisted Living FacilitiesModels in Public Housing

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LAPHAM PARK VENTURE MILWAUKEE, WI