As Colorado VNA’s CEO, I think about aging and the perception of aging a lot given that over 75% of patients we serve are 65 and older. In fact, in partnership with our Board of Directors, our organization has begun to update its strategic plan beginning with our mission, vision, and values. This was encouraged largely by the realization that our patient demographics are changing and that the over-65 population will grow dramatically in Colorado over the next several decades (it is estimated that one in four Coloradans will be 60+ by 2040).
Over the last two decades, we’ve come to understand that oral health means much more than healthy teeth. As the American Dental Association states “Your mouth is a window into the health of your body” and regular visits to a dentist allow for a view into general health and wellness. Similarly, foot care is about so much more than simply clipping toe nails, especially for older adults and those with diabetes. Our feet often reveal signs of disease such as nerve disorders, gout, arthritis, melanoma, and heart disease. Feet can tell us about the state of our circulation and the condition of our thyroid. Our feet falter when our shoes are too tight, our toenails too long, we don’t moisturize our skin, and problems such as ulcerations and infections go unnoticed and untreated.
As I described in this post there is massive growth in the elderly population in Colorado with projections of more than 1.4 million people over the age of 65 in Colorado by 2030. This surge is taxing our health care system and there is no one solution to this challenge. In fact, clinicians, community health workers, and senior advocates alike all agree that it is best serve older adults with a constellation of health and wellness services that address both acute and long-term needs. I strongly believe that, too. I also believe that by creating more and better partnerships within the nonprofit health sector, where organizations focused on different aspects of care and services collaborate together, we can better respond to the diverse and growing needs of older adults. This post details several of Colorado VNA’s burgeoning partnerships as well as information on other community-based nonprofit organizations that are delivering low-cost, high-quality service solutions through partnerships.
The population in Colorado is aging quickly, more quickly than most other states. Related to our aging population, is the rising cost in healthcare, much of it fueled by chronic disease management which affects about 80% of older adults in our country.
And yet, despite the additional medical oversight required when living with chronic disease, the vast majority of older adults want to remain in their homes. According to a study by AARP (Page 2, Housing Preferences) “73 percent [of older adults] strongly agreed that they would like to stay in their current residences as long as possible, while 67 percent strongly agreed that they would like to remain in their communities as long as possible”.
Colorado VNA (CVNA) in Northern Colorado has been providing Medicaid Home and Community-Based Services (HCBS) services for over thirty years. Like many organizations that care for HCBS patients, our organization is struggling to care for these patients because the reimbursement is too low, well below our costs. In recent years, with the increase in home health care regulations; the cost to provide homemaking and personal care services has risen significantly. It is because of the gap between reimbursement and costs that CVNA is working to find other agencies to take on some of our patients. Additionally, CVNA will be kicking off a fundraising campaign to seek support from caring donors passionate about helping Colorado residents remain in their homes. The following is an overview of how CVNA came to this decision to decrease our HCBS census as well as a description of what other states are doing with HCBS.
By Chris Lee, President and CEO
The State of Colorado is grappling with one of the fastest growing older adult populations in the country. The Colorado State Demography Office estimates [that the] “aging of the younger population, especially the ’Baby Boomers’ …, is forecast to increase the population over 65 by 150% between 2010 and 2030.” The numbers will grow from 550,000 people over 65 in 2010 to 1.2 million in 2030.
Contact: Kim Howard
(303) 698-6517 email@example.com
FOR IMMEDIATE RELEASE
Colorado VNA and RVNA Merge Operations, Expand Services
It’s time to change what we call ourselves…move from thinking of the Colorado Visiting Nurse Association (VNA) as a “non-profit home health care agency” to a “non-profit organization that provides home-based services”. This may seem like a small distinction, but it there are three reasons we should make this change:
1) “Home health care” agencies are defined by outdated Medicare regulations specifically focused on controlling home care as a way to decrease fraud and abuse within a fee-for-service payment environment.
2) Second, there is very little government and/or insurance company reimbursement for para-based services focused on helping patients remain independent in the home.
3) Further, there is very little coordination of care across our various divisions because of the differing ways we are paid for care that we provide.
My first day at Colorado Visiting Nurse Association
By Christopher Lee, President & CEO
And so begins an exciting new phase in my career…my new role as President and CEO for Colorado VNA. I have been blessed with many exciting opportunities in my career and this one ranks as the most exciting. I am just finishing up my position as General Manager for SCL Home Health Solutions (SCLHHS), which is SCL/Exempla’s home health company. It has been a challenging position, but one that has provided a significant perspective on the complexities of running a mission-based home health organization. I have also learned a lot about the importance and power of partnering with hospitals and payers in order to provide integrated care across the continuum. As I am sure many of you know, health systems and payers have not always thought of non-facility-based care as an important part of the care continuum! Things have changed!
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