providing wrap around service through adult day, home care, hospice and volunteer collaboration...
TRANSCRIPT
Providing Wrap Around Service
through Adult Day, Home Care,
Hospice and Volunteer Collaboration
Laura Philbrook, RN-BSNAlter Care Adult Day Program Director
Lynn Buckley LPNCaring Connection ADHC DirectorMADSA President
Myths of Adult Day Services
• Only old people are there
• BINGO is the highlight
• You Are My Sunshine
is the favorite song
• It’s adult “day care”
• Everyone is confused
• It is a passive environment
Programs are not PRIMARILY
gathering places for:
•Socialization
•Education
•Supervision
•Caregiver Respite
•Religious Expression
•Exercise
•Nutritious Meals
Adult Day Services Facts:• Community-based service option
• Structured, comprehensive, therapeutic programs
• Health, social and related support services
• Less that 24-hour care
• Over 100 licensed centers
• 60% in Metro area
• Licensed by DHS with Regulatory OversightPrograms and activities
Nutritious meals and snacksPhysical plant, building layoutVulnerable adult law, enforcement
Programs and services in different shapes and
sizes . . .
Why Work Together?• An opportunity to increase choice for
consumers and their families.
• An opportunity to provide an added sense of dignity for consumers
• A chance to foresee the potential for timely referral to other Services-when the full impact and benefit of team approach can be felt
• Many potential benefits of enhanced coordination and community supports including referrals and increased length of stay
• Sharing resources through a formal alliance of organizations committed to common goals to reduce costs and effort, and expand levels of service
• Expanded, more comprehensive team to support participants with life limiting illnesses.
Collaboration Increases:
• Capacity in quality care throughout the industry
• Exposure in the community & enhanced community partnership
• Recognition and credibility by other
communities of care
• Teaches new ways to:
• Enhance choice and support for participants and their families
• Provide more comprehensive • care for people
• Expand the care team
• Unites voice targeting physicians and other referral opportunities
WAYS TO COLLABORATE
• Staff involvement (various levels of staff)
• Finance
• Time
• Training
• Policies/Procedures
• Programs
• Advocacy
• Community Outreach
Home Care /Adult Day Collaboration:
• Home Care and ADS share services to assist clients to remain home longer & fill gaps in care or caregiver support.
• Home Care assists clients prior to and after ADS program
• Referral to ADS for services such as bathing and additional health monitoring.
• Home Care clients have capability of receiving added services while attending Center:
Therapeutic ActivitiesSocial Work ServicesRehabilitative Therapy Out-patient Services
Adult Day /Hospice/Palliative Care Collaboration
• Improves end-of-life care for those individuals
enrolled in adult day centers (and their families)
• Encourages dual service model for those who wish to receive hospice/palliative care and receive or remain in adult day care
• Provides increased choice and dignity for individuals requiring care and their families
Collaboration with Volunteer Services
• Fill gaps in respite needs of Caregiver
• The volunteer provides friendship to loved ones while giving caregivers an opportunity to do things they may not be able to do while caring for their loved one.
• Volunteers provide support and a sympathetic ear.
• Connections are created to the greater community.
• Assist with tasks to reduce the caregivers workload
• Volunteers are friends, both to the caregiver and their loved one
What CollaborationBrings to The Table Areas of Expertise.
• Person Centered Care
• Pain and Symptom Control
• Psychosocial Intervention
• Spiritual care
• Quality of Life
• Supporting independence
• Daily activities and programming
• Nutrition, social/medical oversight
• Ethical Issues
• Pre-Bereavement and Bereavement
• Increased client and family support
• Dealing with ethical issues
Enabling The Relationship:
Board of Directors:• Partner Organization hold Board Seat
• Shows the value of the expertise from partner organization
• Enables communication
• Facilitates collaboration and partnership
Developing A Coordinated Plan of Care:
• Determine interventions
• Reflect Adult Day/ Hospice/Home Care philosophy
• Designate responsible provider
• Designate responsible discipline
• Establish when it will be done
• Change and update to meet the patients needs (1)
(1) Hospice Care in Nursing Facilities: An Educational Resource for Effective Partnerships in End-of-Life Care.
Volume I, Module 2: Developing a Coordinated Plan of Care. (Independent Learning, Participant
Handouts, Facilitator Guidebook). National Hospice and Palliative Care Organization. 2001.
Building Capacity Through Training
• Collaboration affords access to additional training for management, staff and volunteers
• Level of knowledge that Hospice, Home Care and ADS providers have on their respective areas
• Areas of expertise can offer opportunities to help each other build capacity
• Cross training-allowing staff and volunteers to attend each other’s training
Disparate agencies connect in an interdisciplinary way
Inter-disciplinary training indicates a real commitment to collaboration
Collaboration:Marketing and Outreach
• Increased opportunities for outreach, partnerships and united voices to referral sources
• Leverages one another’s established trust and existing relationships
– Better serves the community
– Opens doors to community coalitions and advocacy
Marketing and Outreach: Ideas and Considerations
• Illustrate partnership on websites and newsletters
• Approach traditionally difficult to access referral sources with a united voice
• Demonstrate your approach to coordinated community-based care
• Pool resources to more powerfully target audiences advertising
– co-hosting events
– co-branding materials
– Spearhead joint initiatives and advocacy efforts
• Hartle, Marilyn and LaDonna Jensen. Planning and Creating Successful Adult Day Services and Other Home and Community-Based Services. National Adult Day Services Association. 17 Mar 2009 <http://www.nadsa.org/documents/hcbs_techbrief.pdf>.
• Hospice Care in Nursing Facilities: An Educational Resource for Effective Partnerships in End-of-Life Care. Volume I, Module 2: Developing a Coordinated Plan of Care. (Independent Learning, Participant Handouts, Facilitator Guidebook). National Hospice and Palliative Care Organization. 2001.
• Medicare Hospice Benefits. Sept 2008. U.S. Department of Health and Human Services. 17 Mar 2009 <http://www.medicare.gov/publications/pubs/pdf/02154.pdf>.
• National Hospice and Palliative Care Organization. 17 Mar 2009 <http://www.nhpco.org/templates/1/homepage.cfm>.
• Siebenaler, Kristin, et. al. Regulatory Review of Adult Day Services: Final Report. 26 Aug 2005. U.S. Department of Health and Human Services and Office of Disability, Aging and Long Term Care Policy. 17 Mar 2009 <http://aspe.hhs.gov/daltcp/reports/adultday.htm>.
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