publication

Person-Centered Care

Health care and planning that is based on a person’s values and preferences


    This primer document describes the Essential Attributes of this system and the core elements detailing how delivery systems should function to meet the goal, and key definitions of concepts. Collectively, they represent the milestones that, when regularly monitored and measured, can track progress toward the goal.
    As Medicare moves away from fee-for-service and utilization-based managed care to value-based purchasing, addressing older adults’ health in light of functional needs is becoming a business necessity. In this Perspectives, Dr. Chernof recognizes delivery systems that champion person-centered care as the practical way of the future and introduces two resources to help health systems leaders justify and ramp up greater adoption of person-centered care models.
    Person-centered care works for older adults with chronic health conditions and daily living needs, but how does it apply to health care organizations?  Is it financially sustainable?  Is there a return on investment?  This issue brief, based on a full report – Person-Centered Care: The Business Case – shows how person-centered care can result in fewer hospitalizations and emergency room visits while increasing one’s quality of life.
    In this Perspectives, Dr. Chernof highlights the similarities across each set of recommendations and advocates for the multi-pronged approach put forth by all groups—one that clarifies personal responsibility, outlines private market solutions, addresses long-term needs, and refocuses Medicaid’s role.
    Our annual summits create space for thought leaders to learn and dialogue with each other on how best to transform California’s long-term services and supports (LTSS) system. Read Dr. Chernof’s Perspectives on key areas for system transformation discussed at the 2015 LTSS Summit.
    Read Dr. Bruce Chernof's Perspectives exploring progress on eight areas from the Affordable Care Act to help older Americans get the right care at the right time by the right providers.
    The SCAN Foundation teamed up with Avalere Health to create an informative roadmap outlining best practices of sustainable business models for providing person-centered care to older adults with substantial health needs. Highlighting case studies from both public and private programs, this roadmap will help your organization demonstrate and communicate the value of your care delivery model.
    A new report and series of briefs from Avalere Health commissioned by The SCAN Foundation explore how gathering and using non-medical data to better coordinate care for high risk Medicare beneficiaries can improve person-centered care and be financially sustainable for health plans.
    To succeed in this era of health system transformation, plans and providers bearing risk – in an accountable care organization (ACO) for example – will need strategies for managing a broad array of care needs for high-risk beneficiaries across multiple settings of care. Download this fact sheet to learn more.
    In this Perspectives, Dr. Chernof discusses California's ranking in the 2014 Long-Term Services and Supports (LTSS) State Scorecard. The LTSS State Scorecard is published by AARP Policy Institute every three years, with support from The Commonwealth Fund and The SCAN Foundation.
    This policy brief describes California’s results in the 2014 Long-Term Services and Supports State Scorecard, identifying areas for improvement as well as policy opportunities to transform and improve the state’s system of care.
    Quality measurement in health care has always been difficult and expensive. In my 30 years in medicine, the focus has been geared more towards measuring outcomes from an acute care perspective rather than quality from the point of view of the individual. For example, documenting hemoglobin A1C levels or body mass index scores may measure clinical quality, yet these markers reveal little about a person’s daily living needs and how decisions about their care are made.
    For all of us, the start of the New Year brings reflection and the chance to chart a bold path forward. As we enter 2014, The SCAN Foundation celebrates its fifth year of working to improve the lives of older adults and their families. Our founding strategic plan set us on a course to raise public awareness, advance realistic policy options, and scale promising programs all in support of aging with dignity and independence. We are honored to have worked with many talented partners who bring leadership and visibility to the field of aging and long-term care.
    The SCAN Foundation aims to identify models of care that bridge medical care and supportive service systems in an effort to meet people’s needs, values, and preferences. Care coordination is a central component of this vision, which ultimately leads to more person-centered care. This brief outlines The SCAN Foundation’s vision for care coordination in a person-centered, organized system.
    People tend to be very satisfied with their long-term care providers when they start their care, but satisfaction decreases over time.
    When it comes to aging with dignity and independence, the enduring dilemma of how people and society should pay for needed long-term care services often grabs the spotlight. But when money is not a primary focus, what are the most important elements to determine whether people are satisfied with the care they receive? The experts at LifePlans Inc. examined satisfaction with care over time for people who needed daily help and were getting it through a long-term care insurance benefit.
    This policy brief establishes a basis for the critical system transformation activities necessary to produce a high quality, person-centered system of care for older adults and people with disabilities.
    In this Perspectives, Dr. Chernof reflects on the Foundation's presence at the 2012 American Society on Aging Conference and how improving long-term care in California will require the long-term strategies and dedication of a social movement.
    Chances are you know and love an older person with needs. Maybe it’s that neighbor of yours whose trash cans you help bring in once a week. Perhaps it’s your grandparent or even a parent who needs help understanding the bills or getting the groceries up the stairs. The reality is the population of older adults in this country is growing rapidly due in large part to the aging of baby boomers – a demographic shift that affects us all. Advancements in health care and technology have also spurred this phenomenon, yet we know that a longer life also brings a greater likelihood of facing multiple chronic health conditions and possibly needing help with everyday activities.
    High quality, cost effective health care delivery is all about targeting – the right care, by the right provider, at the right time, in the right place, and for the right cost. It sounds straightforward, almost easy. The challenge to getting it right is understanding the range of variables in a person’s life that drive health care use and costs. Find out more in this week's Perspectives.
    This policy brief is the first of two publications from Georgetown University on transforming models of care. The paper affirms that in order to improve care delivery and manage costs, innovations for Medicare beneficiaries who have both chronic conditions and functional impairments should be a top priority.
    We aim to transform the way people talk about the care needs that most of us will have as we grow older. Read Dr. Chernof's Perspectives on changing older Americans' thoughts on how to approach aging for themselves and with their loved ones.
    The United States faces an enormous challenge as the baby boomers reach their senior years. By 2030, the number of persons older than 65 will nearly double—reaching 20% of the population. The new American Senior will attain higher education levels, have lower levels of poverty, increased racial/ethnic diversity, fewer children, a longer life expectancy…. and more chronic illnesses.