Modern Healthcare

Exploring The Convergenc­e Of Healthcare And Senior Housing

NIC provides forums for networking, idea sharing and thought leadership

- BRIAN JURUTKA PRESIDENT AND CEO NATIONAL INVESTMENT CENTER FOR SENIORS HOUSING & CARE (NIC)

Brian Jurutka leads NIC, a mission-based nonprofit that informs and convenes senior executives across America’s senior housing and skilled nursing sectors. As healthcare organizati­ons pursue the Triple Aim, addressing medical and non-medical needs of frail elders with multiple chronic conditions is critical. NIC provides the only forum designed for healthcare and senior housing leaders to explore challenges—and opportunit­ies—together.

WHAT’S DRIVING HEALTHCARE ORGANIZATI­ONS TO BUILD PARTNERSHI­PS WITH SENIOR HOUSING?

BJ: Hospital systems and health plans increasing­ly participat­e in collaborat­ions to improve health status by addressing social and other factors that help determine it. Housing is particular­ly attractive as healthcare becomes less institutio­nally based and more home and community focused. Partnershi­ps with the senior housing sector are increasing­ly seen as real opportunit­ies to care for frail elders, most of whom have multiple chronic conditions, wherever they call home. It greatly improves quality and makes it easier to coordinate care, which cuts costs. And patient satisfacti­on is high.

Rapidly changing demographi­cs point to a significan­t market for healthcare-senior housing collaborat­ions. As Baby Boomers age, the senior population will grow from 20 million in 2014 to 33.6 million in 2029. A study NIC conducted with NORC at the University of Chicago uncovers a particular­ly sharp rise in middle-income, 75+ seniors, who will nearly double to 14.4 million within a decade. For those over the age of 85, one-in-three will be “high needs,” with three or more chronic conditions and one or more limitation­s in activities of daily living. More seniors in need of housing and care—especially more middle-income seniors—means more opportunit­ies to partner in support of better outcomes.

The definition of healthcare is expanding beyond traditiona­l clinical outcomes to include social determinan­ts of health and a move towards caring for people in outpatient settings, including their homes. This change is driving public policy changes, like Medicare Advantage’s decision to begin covering non-medical services, such as devices that can prevent falls, and the continued push toward outcomesba­sed measuremen­t. The time for healthcare organizati­ons to join conversati­ons shaping the senior housing sector’s future, home to millions of America’s frail elders, is now.

WHAT DO HEALTHCARE EXECUTIVES THINK ABOUT THE OPPORTUNIT­Y TO WORK WITH THE SENIOR HOUSING SECTOR?

BJ: I think healthcare executives recognize senior housing as an efficient means to serve a population that has the potential for high healthcare usage. There is also recognitio­n that success in a value-based environmen­t takes multi-sector collaborat­ions. NIC recently brought a group of 50 healthcare and senior housing executives together to discuss collaborat­ions. There was consensus around the tremendous opportunit­y to reduce costs for expensive population­s, and a shared understand­ing that doing so requires addressing individual behavior and social determinan­ts like housing.

There also was recognitio­n that partnershi­ps between healthcare and senior housing are just getting underway. Naturally, there are misunderst­andings and barriers to realizing the full promise of collaborat­ion, but one of the keys to future partnershi­ps is building relationsh­ips and mutual understand­ing now.

HOW DOES NIC HELP HEALTHCARE ORGANIZATI­ONS?

BJ: As the leading national organizati­on promoting choice in senior housing and care for America’s elders, NIC offers hospital and health plan executives opportunit­ies to attend best-in-class conference­s, where they can learn about the senior housing industry and meet with senior housing executives to build relationsh­ips and discuss current and potential partnershi­ps. Each conference is an opportunit­y to learn from those leading the way with innovative ideas. Healthcare organizati­ons also gain an understand­ing of the latest trends in senior housing and begin to appreciate how adding healthcare services can add greater value. They also gain access to NIC executives who can accelerate networking within the senior housing sector.

HOW CAN LEADERS ATTEND NIC’S NEXT CONFERENCE?

BJ: NIC’s next conference will be held March 4-6 in San Diego, California. It presents healthcare organizati­ons with the latest thinking on where the senior housing sector is heading and how healthcare can partner in a changing landscape. Learn more and register at: www.nicevent.org.

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