Innovative Program Supports Successful Aging
The Palo Alto Medical Foundation’s Successful Aging Shared Medical Appointments (SMA) Program has received a national award from the Patient Centered Outcomes Research Institute (PCORI). It was one of only 30 projects in the western United States chosen for the inaugural “Pipeline to Proposal” awards program, designed to “advance the field of patient- and stakeholder-driven health research,” said Anne Beal, M.D., MPH, PCORI’s deputy executive director and chief officer for engagement.
PAMF’s Successful Aging SMA program is the first of its kind in the nation. In this innovative program, adults ages 65 and older have 90-minute medical appointments in small groups, where they receive private, individual health assessments and participate in health discussions led by a doctor.
PAMF Regional Medical Director Susan Smith, M.D., believes there are distinct benefits to older patients who participate in this unique care model. “They get ample and dedicated time with a geriatrician, a physician who specializes in aging, and they do so in the company of fellow seniors, forming a natural support group,” she says. “The SMA empowers patients to make personalized decisions with their health care team.”
Through the Successful Aging Shared Medical Appointment program, “Our patients receive personalized evaluations, learn from one another, and work with us to develop preventive and proactive approaches to aging,” said SMA Nurse Care Manager Kelly Reilly, RN.
“This award provides us an exciting opportunity to further refine our program and define its future,” said Peter H. Cheng, M.D., chief of PAMF’s Palo Alto Center Geriatric Medicine Program and founder of the program. “Patients passionate about successful aging will partner with us to develop outcome goals that are meaningful to them, their families, their physicians, as well as the health care system.
“Ultimately, our dream is to have the opportunity to help spread this program across the U.S.,” explained Dr. Cheng. “We would love to help more Americans 65 and older design their own road map for successful aging, guiding them as they travel the journey of a lifetime.”
The Patient-Centered Outcomes Research Institute (PCORI) is an independent, non-profit organization authorized by Congress in 2010. Its mission is to fund research that will provide patients, their caregivers and clinicians with the evidence-based information needed to make better-informed healthcare decisions. PCORI is committed to continuously seeking input from a broad range of stakeholders to guide its work. More information is available at www.pcori.org.
Two Palo Alto Medical Foundation (PAMF) doctors recently received awards for their innovative work caring for aging patients in the community.
California Health Care Foundation Award
His groundbreaking project, “SNF 2.0: Modernizing Skilled Nursing Facility Care for the 21st Century,” strives to create a sustainable model of excellence in caring for patients discharged from hospitals to skilled nursing facilities (SNF).
“We are increasingly seeing people in nursing homes that 20 years ago would have been cared for in a hospital setting,” said Dr. Lam. “Systemic barriers have made it challenging for many nursing homes to care for patients who are leaving the hospital sooner and sicker. We want to be part of the solution.”
Community invited to free event celebrating older adults
The Palo Alto Medical Foundation (PAMF) and Avenidas invite the community to a celebration to honor seniors. They will bring together resources and organizations to help seniors “age in place.” The free event will be held at PAMF’s Mountain View Center on August 10, 2013, from 9:30 a.m. to 1:30 p.m. This is the second year of the annual event, which builds upon the momentum of the first Successful Aging Celebration hosted by PAMF and Avenidas in Palo Alto in 2012, attended by more than 400 people.
The City of Mountain View has proclaimed August 4 through August 10 as “Successful Aging Week” in honor of this community event.
Reduced Hospitalizations and Health Care Costs a Key Goal
Sutter Health’s innovative Advanced Illness Management (AIM)® program is now available to San Mateo County patients with late-stage chronic illness, marking a major expansion of these services in Northern California. The expansion extends access to eligible patients of Palo Alto Medical Foundation in San Mateo County, as well as, Mills-Peninsula Health Services, Mills-Peninsula Medical Group and Sutter Care at Home.
“AIM uses a nurse-led interdisciplinary team to bridge the gaps between the hospital, the community physician’s office, and home for our sickest patients,” said Brad Stuart, M.D., Senior Medical Director for Sutter Care at Home, an affiliate of Sutter Health. “Quality, affordable care for all of our patients is a priority and the expansion of AIM systemwide complements our mission and values. AIM supports giving the right care, at the right time, at the right level of care for the patient’s goals.”
The AIM program provides nurse-led care management, palliative care, and advance care planning for patients with late-stage chronic illness. With a pilot in Sutter Health’s Sacramento Sierra Region showing positive outcomes, the Center for Medicare & Medicaid Innovation (CMMI) awarded Sutter Health a three-year, $13-million Health Care Innovation Award to support the expansion of AIM throughout Northern California.
The Sacramento Sierra Region pilot showed reduced hospitalizations and improved care transitions, contributing to an improved quality of life for patients enrolled in AIM.
Together, the Palo Alto Medical Foundation and Mills-Peninsula Health Services comprise Sutter Health’s Peninsula Coastal Region.
Margie O’Clair, 650.934.6970; OclairM@sutterhealth.org
Community invited to free event celebrating older adults, July 28
The Palo Alto Medical Foundation (PAMF) and Avenidas Village are partnering for better health for older adults and invite the community to the first-ever “Successful Aging Celebration” – an uplifting and educational day open to seniors. The free event will be held at PAMF’s Palo Alto Center campus at 795 El Camino Real on Saturday, July 28 from 11 a.m. to 2 p.m., with a movie screening at 2:30 p.m.
“With the right support systems in place, people today can choose to age well in their own homes,” said Avenidas Village Director Vickie Epstein. “In our partnership with PAMF, we want to provide a continuum of care from medical care to support services to seniors in our community.”
“Successful aging does not happen spontaneously,” said Peter H. Cheng, M.D., chief of PAMF Palo Alto Center’s Geriatric Medicine Department and co-organizer of the event. “Rather than leaving things to chance, seniors need to know where they stand and what to do on their aging journey. The Successful Aging Celebration will honor seniors – and bring together community resources and organizations aiming to help seniors successfully ‘age in place.’ We hope the community will spread the word about this special event and join us in what will be a day to remember!” Read More about Avenidas Village & PAMF to Co-Host “Successful Aging Celebration”
For the 14th year in a row, Sutter Maternity & Surgery Center and Palo Alto Medical Foundation Santa Cruz, will host a Senior Health Fair for the community on April 30, 2011, 9 a.m. to 1 p.m. This free event is open to seniors in the community and offers multiple free health-screening exams for diabetes, cholesterol, blood pressure, dental hygiene, skin cancer, bone density, glaucoma, hearing and other health issues.