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The Future of Senior Care in NH Community Health Centers

July 2004 Discussion Document

for the

NH Medicaid Modernization Project

 

 

Caring for New Hampshire’s Seniors in CHCs is a Good Idea

Seniors will benefit because they will receive high quality care resulting in improved health outcomes.  The State of New Hampshire will benefit because it will decrease Medicaid spending on long-term care and other costs associated with seniors.  Community Health Centers (CHCs) will benefit because they will receive additional revenue from Medicare. 

 

Providing Senior Care in CHCs is Compatible with the Goals of Medicaid Modernization

The ideal vision of elder care in CHCs is based on delivering high quality integrated health care with respect and dignity.  Based on this vision, provision of senior services at CHCs would: 

 

  • Improve the quality of life for seniors

  • Allow seniors to remain healthy and independent for as long as possible

  • Allow seniors to remain active members of the community

  • Improve health and combat feelings of depression and isolation in Seniors

  • Minimize cost to the individual, Health Center, state and federal government

National Models for Senior Care Already Exist and can be Adapted to CHCs

The East Boston Neighborhood Health Center has been on the cutting edge of developing senior programs.  They are nationally recognized for their quality and innovation.  Programs such as their Adult Day Health Center (ADHC), Program of All-Inclusive Care for the Elderly (PACE), and Homecare Program are aimed at emphasizing independence, and preventing institutionalization among seniors.  These programs can be developed for CHCs to provide more advanced care to seniors.

 

CHCs are Well Positioned to become “Centers of Excellence” for Senior Care

CHCs can easily tailor their current services for the senior population.  CHCs can create “seamless care” models that integrate health care services with disease management programs, community based services, and senior education tools.  With this advanced coordination of services, CHCs could provide the optimal model of care for geriatric populations.

 

A Coordinated Effort Will Be Required to Attract and Retain Senior Patients at CHCs

CHCs have difficulty attracting Medicare patients.  Many seniors view CHCs as geared toward mothers and children.  It is important to change this misconception.  CHCs have the tools to provide high quality care to the senior population, and seniors can be made aware of the services available to them.  CHCs should work collaboratively in developing initiatives that attract the senior population.

 

   

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Concord, NH  03301

Phone: 603.228.2830  Fax: 603.228.2464

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Montpelier, VT  05602

Phone: 802.229.0002  Fax: 802.223.2336