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Nov 182013
 
 November 18, 2013  Posted by  Aging in Place, Health

First Contact Specialist processes pre-admission screeningsEffective November 1, First Contact specialists with the Senior LinkAge Line® are performing federally mandated pre-admission screenings (PAS) for individuals entering a Medical Assistance (MA) certified nursing facility.

The 2013 Minnesota Legislature eliminated a PAS exemption and redesigned how PAS activity is completed. The screening ensures that only individuals who meet the required level of care are admitted to a nursing facility. In addition, it ensures individuals with a mental illness or a developmental disability or who are under the age of 65 receive additional evaluation.

Options That Foster Return to Community

One of the goals of moving the PAS processing to the Senior LinkAge Line® is to engage individuals and their families in understanding long-term care options at an earlier point in the care process. The Senior LinkAge Line® specialist are experts in home and community-based services that can support successful transition back to community life.

The specialists will place follow-up calls to the individual and/or his or her caregivers after discharge from a nursing facility with information about services such as transportation, grocery delivery, personal care, household chores and more. Being connected to these services can make the difference between a successful return to community and a less satisfying outcome.

If you are a health care professional who would like to complete a referral, visit mnaging.org to access the online form.

Nov 182013
 
 November 18, 2013  Posted by  Aging in Place, Health

Return to community with the help of caregiverWhen an individual experiences a broken hip, major surgery or another medical event that requires a stay at a nursing facility, being able to return to his or her home and community is often of paramount importance. The individual’s reduced capacity can raise a sense of hopelessness or even resignation in both the individual and his or her loved ones.

The Return to Community initiative helps provide a happy ending to this potentially heartbreaking story. By connecting older adults and their families to free information and assistance, Community Living Specialists can help make the transition home safe and easy. They help find home and community-based services such as:

  • Transportation for running errands, going to appointments and staying connected to family and friends.
  • Grocery delivery and meal preparation.
  • Dressing, bathing and managing medications.
  • Household chores such as snow shoveling and housekeeping.
  • Home modifications
  • Support for caregivers

The Minnesota Area Agencies on Aging offer Return to Community services through the Senior LinkAge Line® (call 1-800-333-2433). The initiative is targeted to nursing home residents who express a desire to return to the community and/or have a support person to assist with their transition from the nursing home to the community. The evidence-based initiative reflects the findings in research conducted under contract to DHS by the University of Minnesota School of Public Health and the Indiana University Center for Aging Research. The research report includes a review of the Minimum Data Set data and a literature review supporting a model for developing a community discharge profile.

Jul 232012
 
 July 23, 2012  Posted by  Aging in Place

Veterans age wellThe Veteran’s Directed Home and Community Based Care program is a collaborative between the Minnesota River Area Agency on Aging®, Inc. and the Sioux Falls VA Health Care System. The program helps veterans age well by remaining in their homes or the homes of loved ones. They can do so with the support of paid caregivers and purchased services such as chore services, respite care and personal care.

Working with the VA system’s Community Health Nurse and a case manager with the Minnesota River Area Agency on Aging, the veteran develops a plan to meet his or her care needs. The veteran identifies the goods and services needed to live independently. The program is self-directed, allowing the veteran to manage care services with the help of a care consultant and financial management provider. The program is built on the premise that the individual receiving care has the right and ability to assess and determine how and by whom they receive care.