Aging with dignity: health care employee recruitment

The Money Follows the Person is a federal program that increases access to Medicaid funds for home and community care services for people transitioning out of institutional care. The program has helped more than 101,000 people move out of long-term care facilities into community or home living. The program has also helped people save money by cutting taxpayers’ Medicaid and Medicare bills by about 23% for each person who was moved out of a nursing home or other institution. Based on the program’s success, the current administration is reviewing plans to extend or make Money Follows the

Dementia units and long-term care homes for the elderly are often desolate and lonely places, with harried workers attempting to meet the needs of their patients while also meeting government-set metrics of success. For families and individuals, it can be difficult to imagine a better way. However, a pilot program in Canada called the Butterfly room is showing that dedicated efforts to making long-term care homes a vibrant and loving place for someone's last days has positive impacts for everyone - and is worth a government investment do right across the country.

Priya Living is an elder-living community focused on Indian culture. Priya Living has four locations throughout the state and is planning to expand in Michigan and Texas. Rent in the condo-style units ranges from $2,000 to $3,000 a month and currently serves over 530 people. This culture-focused community helps the aging population fight loneliness and find a sense of community with people they can relate to through activities and programming like yoga, movie screenings and down time to chat.

The Castle Center provides adults with dementia in need of assistance care during the day. Open five days a week, the center offers participants meals, medication monitoring, personal care assistance with the help of nurses and volunteers, socialization and activities like arts and crafts. The Center also offers time off for caregivers — like family members — who often care for people with dementia 24/7.

PACE — Program for All-Inclusive Care for the Elderly — provides free, necessary care to seniors, as well as resources like medicines and other accommodations. PACE also provides a health clinic, urgent care center, home services and offers respite to caregivers in need of a break. Nationwide, there are 273 PACE programs in 32 states. Michigan alone has seven, with two more to be added within the next year or so.

Program for All-Inclusive Care for the Elderly (PACE) provides care to elders including adult day care, home health care and supplies like bed rails, eyeglasses and access to medications, while simultaneously providing respite to family caregivers. Studies show PACE program participants have lower rates of hospital use and shorter lengths of stay compared to those participating in other programs or opting for general nursing home care. The PACE centers in Metro Detroit serve 1,600 adults across its seven centers. Statewide, there are 14 active PACE programs across 24 centers.

University-based retirement communities help to foster intergenerational connections between younger and older generations. Some of these facilities are simply developments near colleges, while others are physically on-campus. Along with building connections, these programs help fight feelings of loneliness among the older population and break down stigmas young people may hold about the elderly.

Rural communities throughout the United States are experimenting with a Boston-based senior-assistance program that implements a shared-services approach to senior care. Although barriers to creating connectivity in isolated rural regions can be more challenging than in more urbanized cities, rural areas in Colorado and Montana are finding ways to make it work.

Continuing care at-home programs are filling a gap for senior citizens that do not require around-the-clock care, but need someone to check in on their health on a regular basis. Using “care navigators,” to monitor the health of those in the program, this option of long-term care allows people to remain in their homes longer, and are also often a more affordable option.

Santa Monica, California piloted an experiment that sends rental checks to seniors in the city. After seeing positive results, the program now plans to expand 10-fold.