Crozer-Keystone Offers Specialized Programs for Older Adults
- The Crozer-Keystone Senior Support Line is a toll-free number that provides access to professionals who can coordinate services and provide support and assistance to seniors and their caregivers.
- Crozer-Keystone Village is a membership-based program that assists the 50-plus active adult, the frail elderly and their caregivers in receiving reliable services and health care from a network of vetted providers while aging in place.
- The Community-based Care Transition Model was created to assist individuals during their transition from hospital to home and to provide them with the necessary in-home supportive services. This program aims to reduce avoidable hospital readmissions.
Aging can be a complicated and overwhelming process. As we age, we are often faced with multiple health-related issues. Tasks that were once easy, such as taking out the trash or walking up a flight of stairs, can be added to the list of life’s challenges.
Diane Miller, President, Taylor Hospital
Crozer-Keystone’s Senior Health Services department offers a range of programs that assist older individuals in coping with multiple health and lifestyle changes. “Our comprehensive program has been in place for more than 10 years,” says Diane Miller, President of Taylor Hospital and Vice President of Crozer-Keystone Senior Health Services. “We were first in Delaware County to organize our services and create a department whose sole purpose is to identify the complex issues affecting seniors and their families, and create programs to address these issues.”
The dedicated professionals and comprehensive programs form a widespread system of care for our community’s seniors. Here is a look at three of these services: Senior Support Line, Crozer-Keystone Village and the Community-based Care Transition Program.
Senior Support Line - 1-800-CKHS-KEY (1-800-254-7539)
Once upon a time, our elders were the ones we leaned on for support and words of wisdom. That still remains true, but as they get older, the roles reverse, and now they often rely on us for assistance. The Crozer-Keystone Senior Support Line is a toll-free number that connects seniors and their caregivers with professionals who can help them access services to improve their overall quality of life. Many of these services are provided through local, state and national agencies. All calls to the Senior Support Line are assessed by a triage clinician who is a Masters-prepared social worker.
Here is a sampling of the assistance provided through the Senior Support Line:
- Initial evaluation of eligibility for state-funded aging services through the county’s Area Agency on Aging
- Initial assessment for Medicaid eligibility
- Medicare eligibility and open enrollment assistance
- Nursing home information, referral and coordination
- Coordination of community-based long-term care in-home services
- Initial assessment for geriatric evaluations
- Referrals to adult day centers and senior centers
- Assistance with home-delivered meals
- Referral and coordination of transportation services.
To contact the Senior Support Line, call 1-800-CKHS-KEY (1-800-254-7539).
One of the most challenging issues of aging may be a decreased ability to perform the personal and household tasks required to live independently. Crozer-Keystone Village is a membership-based program that provides care and assistance through a network of vetted providers and caring professionals who assist in accomplishing day-to-day chores. This concept was developed to assist the active adults over the age of 50, seniors who are frail (long or short term), children of aging parents and other caregivers in receiving reliable health care and social services.
Through a “concierge” model, Crozer-Keystone Village makes it easier for those who are getting older to “age in place.” For a fee of $49.95 per month (for a family of four) — a young adult member and aging parents (or disabled child over age 18) will have access to a varied group of providers. Single memberships are also available for $25 per month.
Crozer-Keystone Village has a dedicated navigator who assists with personal and health care tasks, including:
- Scheduling and coordinating appointments
- Reminders of upcoming annual screenings and immunizations
- Interpretation of medical bills
- Follow-up with health care providers to ensure that members are remaining current with their health care needs
In addition, the navigator visits with members at home and coordinates all necessary at-home services such as snow removal, errand services, housekeeping and prepared meals.
For more information or to enroll in the Crozer-Keystone Village call 1-800-CKHS-KEY (1-800-254-7539) or visit http://ckvillage.crozerkeystone.org.
Community-based Care Transition Program
The journey from hospital to home can be bumpy. Caring for older adults requires a unique skill set that goes beyond the clinical care that is provided in an acute care hospital. Crozer-Keystone and the County Office of Services for the Aging (COSA) have partnered to implement the Community-based Care Transition Program (CCTP), which aims to improve the inpatient hospital experience of care, narrow the gap across care settings, enhance quality of care, and reduce avoidable readmissions to the hospital for high-risk individuals.
CCTP teams are located at all four Crozer-Keystone acute care facilities. Each enrolled patient has a CCTP nurse who works closely with a COSA social worker to provide comprehensive medical and social services. Each patient is followed by this team for 30 days after discharge from the hospital.
The CCTP model mirrors the initial grant-funded program that was implemented at Taylor Hospital in 2010. Building on the success of that program, COSA, as the Community Based Organization (CBO) spearheading this grant, has included multiple community partners to ensure that all patients have access to services from numerous in-home care providers.
“Patients in this care transition program are managed by dedicated nurses and social workers,” says Barbara Alexis Looby, administrative director of Senior Health Services for Crozer-Keystone Health System. “This team approach ensures patients’ medical and social issues are addressed and are closely monitored. The overall goal of this program is to reduce hospital readmission rates by 20 percent over a two-year period.”
Eligibility for enrollment in CCTP is as follows:
- Patients aged 18 or older and live in Delaware County
- Patients who are covered by traditional Medicare (FFS)
- Patients with a recent change in medication (during this hospitalization or within the past two weeks while in the community)
- Patients on multiple medications
- Patients who are poor historians
- Patients living alone (with minimal or no support)
- Patients who historically lack post-discharge follow-up with PCP.
For more information about the programs provided through Senior Health Services, call 1-800-CKHS-KEY (1-800-254-7539) or visit http://srhealthservices.crozerkeystone.org.