Network Development Basics: Lessons from the Front Lines Kristie Kulinski, MSW Administration on Aging U.S. Administration for Community Living May 23, 2018
Network Development Basics: Lessons from the Front Lines
Kristie Kulinski, MSWAdministration on Aging
U.S. Administration for Community LivingMay 23, 2018
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Chronic Disease Self-Management Education and Falls Prevention Grant Goals
• Increase number of participants
• Implement innovative funding arrangements
– Support programs beyond grant period
– Embed programs into an integrated, sustainable network
– Move beyond discretionary grants, Older Americans Act funding, etc.
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Integrated, Sustainable Network Components
• Sustainability strategies including:– Business plan with clear strategies
– Contracts and/or other means to secure and expand sustainable financing
– Infrastructure in place to receive reimbursement
• Involvement of entities at state/local level (aging, disability, public health, etc.)
• Strategic partnerships with other organizations involved in health promotion program delivery (including organizations that can embed programs)
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Integrated, Sustainable Network Components (cont.) • A delivery infrastructure/capacity to increase access to
evidence-based programs targeting a significant geographic area or population base
• Coordinated public awareness, education, marketing, and recruitment processes
• Ongoing quality assurance efforts including fidelity monitoring and continuous quality improvement
Networks in Development
1 Not a full statewide network
MA
CT
RI
WA
OR
CA
MT
ID
NV
AZ
UT
WY
CO
NM
TX
OK
KS
NE
SD
ND
MN
IA
MO
AR
LA
MSAL
GA
FL
SCTN
NC
IL
WIMI
OH
IN
KY
WV VA
PA
NY
ME
VTNH
NJDE
MD
CA Partners At Home NetworkFL Florida Health NetworkIL Illinois Community Health
and Aging CollaborativeIN Indiana Aging AllianceKS Kansas Association of Area
Agencies on Aging MA Healthy Living Center
of ExcellenceMD Living Well Center of
ExcellenceMO Kansas City Integrated
Care Network, MO1
NC Community Health Partners1
NY Western New York Integrated Care Collaborative1
NY NYC Department for the Aging1
OH Direction HomeOR Oregon Wellness NetworkOK Oklahoma Aging &
Disability Alliance1
PA Aging Well, LLC & Comprehensive Care Connections (C3)
TX Texas Healthy at HomeVA Virginia Area Agencies on Aging –
Caring for the Commonwealth (VAAACares)
WA Conexus Health Resources1
CBO Networks
• National CDSME and Falls Prevention Resource Centers at NCOA– Network Development and Medicare Reimbursement
Learning Collaboratives
• National Association of Area Agencies on Aging– Learning Collaboratives for Advanced Business Acumen
Skills – Aging and Disability Business Institute
• National Association of States United for Aging and Disabilities– Business Acumen for Disability Organizations Grant
Current Business Acumen Activities and Resources
Healthy Aging NC at NC Center for Health & Wellness
Nicolle Miller
Director of State and Community
Collaborations
828-258-7711
Healthyagingnc.com
NCCHW works to impact policy, build
capacity, and ignite community initiatives
by working through a web of cross sector
relationships organized around building
healthier places throughout the state.
• ACL 2014 Falls Prevention Grant Sub
award
• ACL 2015 CDSME Grantee
• ACL 2017 Falls Prevention Grantee
Developing a Network in North Carolina
• Key Events
• Establishment of Healthy Aging NC in 2015-16 with ACL funds
• Healthy Aging NC Statewide Summit 2017
• 2017 ACL Falls Prevention grant
• Building on Relationships
• Area Agencies on Aging
• Regional Accountable Care Organization
• State Unit on Aging
• State Health Department
• NC Falls Prevention Coalition
• Gathering Information
• NCOA’s Network Development Learning Collaborative (17-18)
• NC Medicaid Transformation process
• NC Accountable Care Communities Task Force
Southern Maine’s Area Agency on Aging –serving the 2 most populated counties; 1/3 of elder population
2016 ACL Falls Prevention Grantees
2017 NCOA Network Development Learning Collaborative participants
SOUTHERN MAINE AGENCY ON AGING
State with the oldest median age Ever-growing need for evidence-
based programming to address Falls Prevention and Chronic Disease Management
Quickly realized the need for centralized, single-point of entry for referral to EBPs
EVIDENCE-BASED PROGRAMS
AND AGING IN MAINE
37.4 years
43.5 years
Maine Age vs. National Age
Western New York Integrated Care Collaborative
Nikki Kmicinski, MS, RD, CDN Director of Business Development
Network Development • Non-profit Corporation• 9 Board Members• 1 Special Advisor• 1 Full-time Staff Member
WNY Diabetes Coalition Niagara Co. Diabetes Coalition Million Hearts Coalition WNY Healthy Community Coalition
• 11 Network Member Agencies 2 AAA’s 9 CBO’s Representing 2 counties
• 5 Active Committees• 2 Active Work-groups• 2 Engaged Insurers• 51 active Peer Leaders
Program Development • Accredited DSMES Program (AADE)• Medicare Reimbursement Learning
Collaborative (6/2018-7/2019)Reimbursement of CDSMP via: Chronic Care Management Health & Behavior Assessment &
Intervention (HBAI)
Mission: Our service-provider network produces better health outcomes and quality of life for older adults, people with disabilities, and their caregivers by providing comprehensive, cost-effective, community-based integrated care.
91 Partners Strong
Senior Centers,
32%
Housing, 31%YMCA, 9%
Multicultural, 8%
Faith Based,
7%
Clinical, 6%
other, 7%
Senior Centers
Housing
YMCA
Multicultural
Faith Based
Clinical
other
Vision and Partnership
April 2006: First CDSMP
Master Training
2007:AoA Funding:
CDSMP, MOB, HE
2013: Network
Building: HLCE at Elder
Services of the Merrimack
Valley
2016: First Health
Care Contract for
EBPs
2018: First Contract
with HUD Housing Site