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Digital Health: 3 Global Trends

At last weekend's Digital Health Summit in Las Vegas (part of CES, the huge consumer electronics show), three global trends emerged with important ramifications to how we age. Paul Ceverha, director at PricewaterhouseCoopers and Continua Health Alliance member, defined the trends as

1. The evolution of the health system (regulatory reform): Payment reform will move to more bundled payments to encourage coordinated care. This would have big impact & be welcomed by seniors who currently must navigate the complicated world of private insurance, pharma options, medicare, donut holes, etc.

2. Revolution in care: the home as hub concept or medical health home. Personal health records (PHR), a comprehensive all-in-one-place record of one's health history, lab results, stats, etc., can help elders organize their records, especially since as a group seniors tend to be the biggest users of health care, often being seen by multiple providers. While Google & Microsoft have created software to capture PHR data, insurance companies will need to incentivize to get people to use, let alone make it easy to use & access.

3. Impact of new science: New forces such as genomic sciences are collapsing sequencing costs to make customized diagnostics possible & more affordable for the average joe. Healthcare will continue to move towards being evidence-based and consumer-directed. The four Ps will dominate: predictive, participatory, preventative & personalized.

A recurring theme at the summit: the way we think about getting care is going to change. Outlets like retail health, home monitoring, personal coach, and medical home are but a few of the new. All seem to involve or include a technology component. When it comes to health technology, how can we help seniors go from being a passive observer to an active user? Share your ideas here. ~Helen Rickman


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Not Part of a Lost Generation - Food for Thought on the Future

This is only a 1 minute, 44 second video and is brilliant. Make sure you read as well as listen…forward and backward. Thanks to Ecumen's Sue Ferguson for sending it this way.

A palindrome reads the same backwards as forward. This video reads the exact opposite backwards as forward. Not only does it read the opposite, the meaning is the exact opposite.

This video was submitted in a contest by a 20-year old. The contest was titled "u @ 50" by AARP. This video won second place. When they showed it, everyone in the room was awe-struck and broke into spontaneous applause. So simple and yet so brilliant. Take a minute and watch it.


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The Appeal of Assisted Living - Some States Haven't Caught On Yet

Minnesota has been a national leader in creating less restrictive, non-institutional housing options, primarily assisted living. Some states still haven't gone that route, which is surprising.  Our senior housing development team shares new research from two Harvard professors on the states with the most and least supply of assisted living. Read more here.


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Jeremy Bloom Creates Wishes of a Lifetime for Seniors

When big-time athletes create a charitable foundation, it's often focused on kids.  Not Jeremy Bloom's.  The three-time freestyle skiing champion, two-time U.S. Olympian, University of Colorado football star and Philadelphia Eagles draft pick created Wishes of a Lifetime, a nonprofit dedicated to fulfilling the dreams of low-income seniors.

"I just believe that too often in our society, seniors are an afterthought," says Bloom in a recent Sports Illustrated article by former Minneapolis journalist Selena Roberts.  "Our focus is to effect change in the way we look at aging."

Good stuff.   Read Roberts' article here and visit Wishes of a Lifetime here.


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The LEED Christmas Tree in Bemidji Senior Housing Community

It's called the LEED Christmas tree . . .

This unique Christmas tree is in celebration of completing the LEED (Leadership in Energy and Environmental Design) submission process for the new WoodsEdge community in Bemidji, Minnesota, that Ecumen developed for North Country Health Services.  The tree is made out of a variety of reused items, such as ice skates, silverware, toaster oven, tricycle, jars and a tobaggan.


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Ecumen Talks Future of Nursing Homes in Citizens League Minnesota Journal

Ecumen senior vice president of operations Mick Finn wrote an article in the recent non-partisan Citizens League Minnesota Journal that talks about how senior services are changing and the emerging role of the nursing home in chronic care management:


Chronic conditions, the most common health issue for the elderly, need to be
managed, but most can be managed outside the institutional setting. If the
disease becomes unmanageable, temporary hospital or nursing home services
may be necessary until the person can again manage (perhaps with support)
at home, whether that means a private home or a congregate setting.
The role of nursing homes in long-term care is becoming more specialized,
reserved to treat the very serious medical conditions associated with aging.
At the same time we are creating more and more opportunities to age on
our own terms, in settings and styles appropriate to our specific circumstances.
These two improvements are directly related, and the pace of their
implementation in Minnesota is rapidly accelerating.

                     - Article Excerpt, Citizens League, Minnesota Journal

Read the full article here (you'll need Adobe Acrobat) on page 13.  There are also two other articles related to senior services - the first-person experience of the caregiver, and an update on the non-partisan Citizens League's long-term care financing work in Minnesota.


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Ecumen Senior Housing Design Extends to Santa Claus

One of the things Ecumen is known for is developing and operating senior housing, and we've put those skills to work for Santa Claus.   Ecumen's Glen Glancy, who leads dining services at Ecumen's Maplewood, Minn., community, created another gingerbread masterpiece this holiday season.  it includes 160 hours of volunteer time from Glen and contributions from "sub-contractors" Mark Hibbison (electrical), Joyce Aakre (paint) and Kim Sinclair (specialty characters).  The work above with architect Glen Glancy aside it is called Santa's "Candy Cove".  Among its features:

- Working lighthouse on a fondant rock outcropping
- Illuminated lighthouse Keeper's bungalow
- "Water" powered sawmill
- Santa's tugboat w/working spotlight
- Campsite with a candy lake
- Overall display area 15 square feet
- Approximate weight 85 pounds
- Maximum height 36 inches
- 40 pounds royal Icing
- 1 case of marshmallows
- 10 pounds butter
- 30 types candy
- Assorted cereals and cookies


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Cokie Roberts and Steve Roberts Say America Needs the CLASS Plan

Cokie and Steve Roberts are big-time journalists and authors.  And they both have mothers in their 90s.  Last week, Cokie and Steve co-authored a nationally syndicated op-ed on the need for the CLASS Act.  You can read more about Cokie and Steve here.  If you get a second, send them a thank you at stevecokie@gmail.com.


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Moments with Baxter and End of Life Care

Post by Laurel Baxter, M.A., R.N., Ecumen Quality Improvement Nurse

When I saw the You Tube video “Moments with Baxter” the therapy dog, I immediately thought of Ecumen. I thought about the beautiful bedside services I've attended at Ecumen communities. I thought of the chaplains and social services staff that help us through the dying process. I thought of our team members who arrange for pet therapy and other meaningful moments. I thought of every team member at Ecumen who shows caring each day through their touch, their smiles, and their meaningful work. It is not always easy work. We often grieve for the residents’ losses and our own losses. May this story about Baxter bring a moment of Peace and Love to my colleagues, our customers and other readers of Changing Aging.


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The Checkout Line - The First Online Advice Column for the Terminally Ill, Their Friends and Relatives

We all die and have to get better as a country in preparing for that inevitable part of life.  That reality has spawned a new online advice column - "The Checkout Line" - by longtime journalist and hospice volunteer Judy Bachrach.    Here's more about her and the impetus for this first-of-its-kind online advice column:

I am a longtime journalist, who has worked – in chronological order – for the Baltimore Sun, the Washington Post Style section, the Washington Star where I was a political columnist, and Vanity Fair, where I am currently a contributing editor.

When one of my closest friends was dying of cancer, I began work at a hospice, where I was a volunteer. There I did just about anything and everything to help the patients: I read to them, helped fix their small meals, wrote letters on their behalf. I spoke to their families, their lovers, the nurses and sometimes their religious advisors, a few of whom were not welcomed by those they wished to visit. Above all I listened: not only to what the patients said to me but to what they often didn’t say.

There’s a lot that the dying cannot articulate, and not simply because some are depressed or others too weak to talk. There are moments when they simply see no more use for talk. But after a while, anyone who spends time with the patient can sense whom that person wishes to see, whose visits might best be cut short, who should be avoided, what topics should be discussed. All these elements can be learned and shared.

Until I worked with the dying, I had always been afraid of death. Initially, I thought that perhaps by dealing with those who faced a more imminent mortality, my fears might be eased. As it turned out, they were. But that was by no means the most important result. That experience changed my life. I would like to do the same for others.