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Providing Wrap Around Service through Adult Day, Home Care, Hospice and Volunteer Collaboration. Lynn Buckley LPN Caring Connection ADHC Director MADSA President. Laura Philbrook, RN-BSN Alter Care Adult Day Program Director. Myths of Adult Day Services. Only old people are there
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Providing Wrap Around Service through Adult Day, Home Care, Hospice and Volunteer Collaboration Lynn Buckley LPN Caring Connection ADHC Director MADSA President Laura Philbrook, RN-BSN Alter Care Adult Day Program Director
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
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 Oversight Programs and activities Nutritious meals and snacks Physical plant, building layout Vulnerable adult law, enforcement
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 Activities Social Work Services Rehabilitative 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>. Resources