Network Development Basics: Lessons from the Front Lines

Kristie Kulinski, MSWAdministration on Aging

U.S. Administration for Community LivingMay 23, 2018

2

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.

3

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)

4

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

nmiller2@unca.edu

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

Nkmicinski@wnyicc.org

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