Books

  • Brian LeBlanc is living with dementia. He dedicates his time to improving the way individuals living with dementia are viewed and treated in their communities and in national policy. In this interview Mr. LeBlanc describes his life living with dementia and his educational and outreach activities.

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  • Beatitudes Campus is a life plan community based in Phoenix Arizona. They are recognized for their extensive research of person directed dementia care. The model they designed, Comfort Matters, eliminated all incidences of sundowning, greatly reduced usage of antipsychotic medications, decreased hospitalizations, increased staff satisfaction, decreased staff turnover, and increased family involvement. In this interview, Tena Alonzo, Karen Mitchell, and Ivan Hilton describe the development of Comfort Matters and their provider training and implementations support around the United States.

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  • Lasell Village is a senior living community in Newton, Massachusetts that shares the campus with Lasell College. This unique interface enables residents to participate in college classes and build meaningful intergenerational relationships. In this interview, Lasell Village president and Lasell College vice president, Anne Doyle describes the lifelong learning activities and multigenerational connections that are available to all residents of the Lasell Village life plan community.

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  • Colorado based DispatchHealth is redefining emergency medical care by delivering fully integrated quality care in the home, work, and senior living community settings. In the first six months of 2016, DispatchHealth cared for 478 people; sixty seven percent were with individuals sixty five and older. The health care cost savings from those visits is estimated to be one million dollars. In this interview, Mark Prather and Kevin Riddleberger share the details of the DispatchHealth on demand care delivery service.

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  • ACCESS Health estudia de manera sistemática el sistema de salud de Singapur y cómo el país planea enfrentarse al impacto creciente del cambio demográfico sobre el sistema de salud, la economía, y la ciudad. El estudio inicial es una descripción detallada del origen, financiación e impacto del actual sistema de salud. Este trabajo se resume en el libro Salud, Excelencia y Sostenibilidad, publicado en abril 2103.


    Salud, Excelencia y Sostenibilidad también está disponible en Inglés y en Francés.

    Salud, Excelencia y Sostenibilidad fue seguido por un análisis profundo de los cambios en la financiación y el funcionamiento del sistema de salud de Singapur entre abril de 2013 y abril de 2014. Una serie de cambios importantes se realizaron para dar cabida a las necesidades crecientes de la población de edad avanzada. Los cambios también animan a los jóvenes a tener más hijos. El Epílogo de Salud, Excelencia y Sostenibilidad resume los cambios realizados entre abril 2103 y 2104. Está disponible en Inglés y en Francés.

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  • Modern Aging is a practical guide for young entrepreneurs who wish to create businesses to serve the needs of the elderly. The book summarizes the curriculum of the Modern Aging program in Sweden, sponsored by ACCESS Health International and funded by the Swedish Postcode Foundation. The Modern Aging program competitively selected a group of young entrepreneurs. Those selected had the opportunity to submit a business plan, one of which was offered funds to initiate the proposed business. The program introduced the participants to Swedish experts in business and the needs of the elderly.

    Modern Aging presents a clear, easy to read summary of the presentations by leading Swedish entrepreneurs, business leaders, and academics. The text captures the vibrant presentations and question and answer sessions. Topics include ideas for aspiring entrepreneurs, accounting for startups, how to create sustainable businesses, how innovative products enter the elder care sector, and crowdfunding.

    Modern Aging is also available as an eBook on Amazon.com.

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  • La publication de l’Excellence Accessible a été suivie par une analyse profonde des changements dans le fonctionnement et le financement du système de santé de Singapour entre Avril 2013 et Avril 2014. Une série de changements importants a été établie pour répondre aux besoins croissants de la population âgée. Les changements encouragent aussi les jeunes à avoir plus d’enfants. Cet Épilogue de l’Excellence Accessible résume les changements effectués entre Avril 2013 et 2014.


    Le livre original l’Excellence Accessible est disponible ici.

     

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  • ACCESS Health étudie systématiquement le système de santé de Singapour et comment le pays prévoit de faire face à l’impact croissant du changement démographique sur le système de santé, sur l’économie, et sur la ville. L’étude initiale représentait une description détaillée du système actuel des soins de santé: ses origines, ses finances, et ses performances. Ce travail est résumé dans le livre L’Excellence Accessible :L’Histoire du Système de Santé de Singapour: Comment Créer et Administrer un Système de Santé Soutenable, publié en Avril 2013.


     

    L’Excellence Accessible est également disponible en Anglais et en Espagnol.


    L’Excellence Accessible a été suivi d’une analyse profonde des changements dans le financement et le fonctionnement du système de santé de Singapour entre Avril 2013 et Avril 2014. Une série de changements importants a été réalisée pour répondre aux besoins croissants de la population âgée. Les changements encouragent aussi les jeunes à avoir plus d’enfants. L’Épilogue de l’Excellence Accessible résume les changements effectués entre Avril 2013 et Avril 2014. Il est disponible ici.

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  • The publication of Affordable Excellence was followed by an in depth analysis of the changes in the financing and operation of the Singapore healthcare system between April 2013 and April 2014. A series of significant changes were made to accommodate the growing needs of the elderly population. The changes also encourage young people to have more children. This Epilogue to Affordable Excellence summarizes changes made between April 2013 and 2014.


    The original Affordable Excellence book is available here.

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  • ACCESS Health systematically studies the Singapore healthcare system and how the country plans to confront the growing impact of demographic change on the healthcare system, the economy, and the city. The initial study was a detailed description of the current healthcare system: its origins, its finance, and its performance. This work is summarized in the book Affordable Excellence: The Singapore Healthcare Story: How to Create and Maintain Sustainable Healthcare Systems, published in April 2103.


    Affordable Excellence is also available in French and in Spanish.


    Affordable Excellence was followed by an in depth analysis of the changes in the financing and operation of the Singapore healthcare system between April 2013 and April 2014. A series of significant changes were made to accommodate the growing needs of the elderly population. The changes also encourage young people to have more children. The Epilogue to Affordable Excellence summarizes changes made between April 2103 and 2104. It is available here.

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Interviews

  • Dr. Allen Power is an Eden Alternative certified geriatrician who advocates for person centered methods of care and communication that create wellbeing for those living with dementia. He has authored the books Dementia Beyond Disease and Dementia Beyond Drugs. His pioneering efforts have taught many care partners how to interpret the unmet needs of someone living with dementia that are often expressed by behaviors. In this interview he provides examples of how to meet such needs as an alternative to chemical and physical restraints and segregation from the community.

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  • Health systems are seeking methods to provide care in the home setting in an effort to lower costs and improve health outcomes. This is especially effective when such care keeps patients out of the hospital. In this interview, Dr. Bruce Leff describes the  Hospital at Home program that provides hospital level care in the home.

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  • In this interview Jackie and Lon Pinkowitz and Karen Love discuss the mission and activities of the Dementia Action Alliance. The Alliance challenges the stigma of dementia by hosting conversational meetings for those living with dementia and community members. The Alliance maintains a strong advocacy voice for person centered support of those living with dementia and their caregivers.

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  • In this interview Gerke de Boer and Annie Herder describe Cornelia Hoeve, which is an old farm house that is now home to twelve people living with dementia. The philosophy of Cornelia Hoeve is centered on stimulation, wellbeing, personal freedom, and the unique qualities of each patient. Cornelie Hoeve is designed to make life pleasant for residents. Residents can walk in the garden, help with daily households chores, and live with a great deal of independence. For example, they can decide when to wake up and where they would like to eat their meals. Staff have strong relationships with the residents, making farm life easier overall.

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  • With a growing population of older individuals, the need for palliative care has never been more pronounced. The Center to Advance Palliative Care successfully led the call to provide palliative care in hospital settings. Today, the Center is focused on making palliative care available in the home and community. In this interview, the Director of the Center to Advance Palliative Care Diane E. Meier, expresses the need to implement systems of care that better serve those living with chronic disease and their families. The Center to Advance Palliative care trains clinicians to provide around the clock access and coordinated care with a focus on the priorities of the patient.

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  • The Patient Centered Medical Home is a model of primary care that is comprehensive, patient centered, coordinated, and accessible. Patient Centered Medical Home staff works as a coordinated team that integrates health information to produce better health outcomes at a lower cost than traditional care. Medical Home practices prioritize continued efficiency and quality improvement. In this interview Michael Barr and Erin Giovannetti of the National Committee for Quality Assurance describe the Patient Centered Medical Home recognition program.

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  • As part of its studies of good practice in elder care, ACCESS Health visited the Netherlands to learn about the Dutch healthcare system and to speak with representatives at a few internationally recognized elder care groups. The attached document includes those interviews.

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  • Irene Leung is Chief Executive Officer of the Senior Citizen Home Safety Association in Hong Kong. The Senior Citizen Home Safety Association is the largest home safety alarm provider in Hong Kong. The alarm system includes an indoor stationary unit and a mobile unit. One button connects the users with a call center. Staff in the call center are well trained and speak several languages and dialects. Ms. Leung describes the safety alarm system and its importance for elderly people in Hong Kong.

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  • The following interviews are part of a greater research effort by ACCESS Health to identify best practices in elder care across a number of countries, including Sweden, the Netherlands, mainland China, and Hong Kong.

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  • In this interview Eloy van Hal explains how people with dementia live in De Hogeweyk, the Netherlands. De Hogeweyk is a village which is specifically designed for people with dementia. The residents live in small groups together, walk freely through the village and take part in regular community activities. A hairdresser, a supermarket, a restaurant, a theater, and parks give the village a typical community atmosphere. The village and the residents are frequently visited by visitors from the outside. De Hogeweyk receives a lot of attention from outside the Netherlands and its ideas are adapted in several countries. Eloy van Hal describes the challenges and benefits of living in a dementia village compared to a standard nursing home.

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Reports

  • This report is a summary of the lecture by Jeanna Thorslund at the Welfare Technology Conference, held in Stockholm, Sweden, in January 2015. Welfare technology is technology that can be used in the welfare sectors, such as in healthcare and in social care. Ms. Thorslund’s lecture addressed the legal aspects associated with developing and implementing welfare technology.

    This report is part of the Elder Care Case Studies project.

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  • This report provides background material and resources for the upcoming seminar “How Can Swedish Actors Meet the Global Demand Within Elderly Care?” on August 19, 2015. This report offers a point of reference for the discussion. Many countries demand Swedish elder care products. This report identifies market demand in China, India, and Singapore, where ACCESS Health International runs programs in elder care.

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  • The University of California, Los Angeles (UCLA) asked ACCESS Health International to identify and invite innovators from India to be a part of the Global Lab for Health. The Global Lab assembles teams and tools to identify high value innovations that radically reduce cost and improve access to healthcare, with a focus on innovations that may be transferrable to the United States. A goal of the Global Lab is to drive the adoption of these innovations at scale. ACCESS Health identified promising innovators in India and helped to connect them with potential adopters in the US and around the globe.

    This report outlines our work with the Global Lab and the innovations we found. The report discusses the challenges and opportunities associated with transferring innovations across healthcare systems and markets, as well as opportunities to find tune the engagement process with health innovators.

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  • The Joint Center For Housing Studies at the Harvard Graduate School of Design hosted a symposium to discuss opportunities in architecture, planning, and policy to enhance older adults’ well being through affordable, accessible, well connected housing, as well as through models of long term care that support aging in place. This report summarizes the presentations from the Harvard symposium.

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  • This report is based on a presentation on the economics of welfare technology by Dr. ?…ke Dahlberg, at a 2015 conference in Stockholm, Sweden. In his presentation, Dr. Dahlberg shares the findings of his cost benefit analyses of welfare technologies in Scandinavia.

    This report is part of the Elder Care Case Studies project.

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  • This is the English language summary of the first report issued by the Swedish organization Forum for Welfare/Forum för Välfärd. The report focuses on targeted prevention of diabetes and heart diseases, vertically integrated care, and technical solutions near the patient. Forum for Welfare runs three pilot studies to test the applicability of new theories of prevention, integration, and technology.

     

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  • The pursuit of integrated care for the elderly is a pressing issue, not only for Sweden but for a majority of the Western world. In particular, the design of payment systems for the providers of healthcare and social care plays an important role in affecting the conditions for integration between different areas of care. Based on a review of international research on integrated care for the elderly, this is an English language summary of the Swedish language report that presents six initiatives that have been described as successful in increasing integration. Each initiative differs in its design and in the characteristics of its payment system.

    Read the full Swedish report here.

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  • The pursuit of integrated care for the elderly is a pressing issue, not only for Sweden but for a majority of the Western world. In particular, the design of payment systems for the providers of healthcare and social care plays an important role in affecting the conditions for integration between different areas of care. Based on a review of international research on integrated care for the elderly, this report in Swedish presents six initiatives that have been described as successful in increasing integration. Each initiative differs in its design and in the characteristics of its payment system.

    Read the English language summary here.

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Case Studies

  • In 2015, ACCESS Health Singapore partnered with Alexandra Health System piloted the Stay Young Navigator program in the north of Singapore to train active seniors to help their peers manage chronic conditions by serving as liaisons for health services, community resources, and financial assistance programs.

    This focus group study was designed to explore the experiences and perceptions of older patients with chronic conditions, those involved in caring for them, namely family members and healthcare providers, and others who would be involved in delivering the program, such as potential employers and navigators.

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  • This case study profiles the Mobile Emergency Team for the Elderly in Uppsala, Sweden. The Mobile Team is a leading example of integrated elder care in Sweden. The team coordinates its work with that of ambulance services, Uppsala University Hospital, the telephone healthcare advisory line, primary healthcare clinics, municipal nurses in home healthcare teams, and homecare organizations.

    This case study is part of the Elder Care Case Studies project.

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  • This is the first part of a case study providing an in depth look at Care Company TioHundra and Swedish integrated elder care. Integrated elder care focuses on the integration of the work across care organizations such as hospitals and homecare providers. Part One of the case study provides a company overview and an interview with Chief Operating Officer Peter Graf.

    Click here to see Part Two, Part Three, Part Four, and Part Five. This case study is part of the Elder Care Case Studies project.

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  • Telegeriatrics is the extension of telemedicine to the elderly. The elderly’s combination of limited mobility and chronic health problems often makes this group ideal beneficiaries of distance medicine. This brief case study outlines the work of specialists at the Khoo Teck Puat Hospital who have been pioneers in telegeriatrics. They have put together a comprehensive trial of their technique, and the initial outcomes are promising.

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  • Worldwide, rapidly aging populations are forcing a paradigm shift in how to treat those with chronic diseases. While many patients are placed in nursing homes or hospices for their sunset years, they express an almost universal desire to continue living at home. This trend has created demand for homecare services so the elderly can be cared for without having to abandon their homes or independent lifestyles.

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