The Consortium at Carondelet Village

Purpose• Respond to explosion of growth of older adults• Systematic in care and service delivery• Use technology in innovative ways• Collaboration with any and all

• Where do we start?

Target area?

Who to serve?

Collaborators?

Sustainability?

What to do?

When ?

How to measur

e?

Target area?

Neighborhood FocusHighland Park, Macalester-Groveland, Summit-Hill, Summit-University, Union Park & West 7th

4

The Consortium serves this area.

Target Area?

• Start-target older adults in St. Paul Wards 1, 3, 4• Then-Union Park, Macalester Groveland, Summit Hill,

Summit University, Highland Park, West 7th

• Then 55012, 55103, 55104, 55105, 55116

• Now– Local area– Ramsey County and surrounding area

East Metro & Local Area

Who to serve?

Who to serve?

Start• Aiming to serve both healthy and frail older adults• Private pay and health plan reimbursement• All in target area

Now• 87 clients (47 UCare/40 independent) as of 6/1/2011• Medica contract (non-dual plan) start 7/1/2011• Lots in enrichment & wellness (187 people)• 367 volunteer hours, 1,236 volunteer miles driven

East Metro & Local

Private Pay, Health Plans Enrichment

Collaborators?

Collaborators?

Start• Lot’s of organizations large and small• Try to work with all at once• Informal agreements vs. formal relationships• Local advisory group and planning group met

Now• Collaborate 1:1 between organizations• Contracts and MOUs dictate terms of relationships• Money actually changing hands• JFS, MAAA, UCare, Medica, independent LAH/BNPs

East metro and local

PP, HP, Enrich

Contract, MOU, 1:1

Sustainability?

SustainabilityStart• Grant monies (obviously)• “We’ll get health plans to pay”• Concepts for private pay• Decided to hire Ingenix consultant

Now• Case management stream• Health promotion stream • Dual and non-dual health plans• Primary care (Med B, Minute Clinic, Plans) in works• Subscription fee “concept” under discussion

East Metro & Local?

What to do?

Start• Coordinate health care/services• Use communication systems and technology• Provide housing and services to keep out of SNF• Use Vital Involvement

Now• Coordinate health care/services• Use different technology, mostly web-based• Coordinate vs. provide housing and services• Lot’s of V.I., Patient Activation, Increase Engagement

East Metro & Local?

When do we actually start?

Start-to date• Won RFP summer 2009, contract Jan 2010• Started “practicing” in April 2010• Formal “pilot” started November 2010• First paying contract April 2011, second July 2011

June 2011 and forward• Health Care Home by end of 2011• Collect meaningful data for evaluations• Build model for simulation to optimize resources• Fully cover expenses by April 2012 (about 30% now)

East Metro & Local?

How to measure success?

Start• DHS sponsored evaluation• Looking at Level 2s and 3s• Use 90 day evaluation on all

Also• Wilder Evaluation• Model & Simulation• Process evaluation• Health Plan and Health Care Home Quality

East Metro & Local?

Contact for Questions

Dan StrittmaterPresbyterian Homes(612) 968-1338dstrittmater@preshomes.org

Beth CarlsonCarondelet Villagelbcarlson@preshomes.org