Tag Archive for: Bob Kramer

Portrait of smiling multi-generation family sitting

Caregiving Navigation Hubs: A Critical Resource for Older Adults and their Families

Coordinating caregiving for aging loved ones is a complicated and frustrating task for families. And the problem is growing.

According to a recent article in Next Avenue, “It generally starts with a crisis: Your parent shows signs of dementia…or is about to be discharged from a serious hospital stay…or requires help with daily activities of living. What do you do? Where do you turn? It’s the little-discussed part of long-term care that leaves many of the nation’s 22 million family caregivers for older loved ones bereft and befuddled.”

“We’re failing tens of thousands of older adults and their families,” said Bob Kramer, Founder and Fellow of Nexus Insights.

Nexus Insights is a think tank advancing the well-being of older adults through innovative models of housing, community and healthcare.

In early 2022, Nexus Insights brought together long-term care providers, caregiver advocates, tech-driven startups and policy experts in its first ‘Nexus Voices’ salon to discuss how to help older adults and their caregivers better navigate the complex and fragmented array of long-term care and aging services. The result was a report released in September 2022, “Where Am I, Where Do I Go: The Missing Entry Point to Long-Term Care Solutions for Older Adults and Their Caregivers.

This report was the subject of the Next Avenue article, written by Richard Eisenberg.

Eisenberg spoke to several of the report’s authors, including Anne Tumlinson, CEO of ATI Advisory and a Nexus Fellow. “The primary challenge that most of my peers and friends and family were experiencing was entering into that phase of their lives when they were suddenly thrust into family caregiving roles and feeling like there’s no place to go,” Tumlinson said. “In the best-case scenario they’re getting a hospital discharge planner handing them a long list of organizations who are like, ‘Good luck. Here you go.'”

Caroline Pearson, another report author concurred. Pearson, formerly the Senior VP of Health Care Strategy at NORC at the University of Chicago, and now the Executive Director for The Peterson Center on Healthcare, and a Nexus Fellow. “Unfortunately, most people find themselves in these urgent scenarios that are sort of a call for help unexpectedly,” she said.

In fact, Nexus recently partnered with NORC to conduct a survey on this issue. The survey showed that 1 in 4 older adults needed long-term care services for themselves or a loved one in just the previous 12 months. It also echoed the report’s assertion that caregivers experience frustration and anxiety during the process.

The Nexus Voices report offers a powerful solution, according to the article, “A national, independent, trusted hub system of caregiving navigators who would be accessible to everyone and serve as a central doorway to long-term care services and supports.”

“For every single family to be creating a long-term care service delivery system is very inefficient from a societal standpoint and an economy standpoint,” said Tumlinson.

The solution would have to be national in scope. “There was broad-based agreement [among the salon participants] that creating the kind of awareness to make these hubs as visible as your local drugstore or post office was going to take a national effort, and a level of funding that was probably going to have to be federally driven,” said Kramer.

According to the article, a local example of such a hub was launched earlier this year in Ohio. The NaviGuide program, created by United Church Homes in Ohio, offers these types of services to its 166 clients. The program was inspired by a family crisis for its creator Terry Spitznagel, senior executive vice president and chief growth officer for United Church Homes. Spitnagel said, “I’ve been in senior services for three decades, but I just fell apart trying to help my father navigate the aging journey. I couldn’t manage it.”

The article sees the NaviGuide program as a positive step in the right direction. “If programs like United Church Homes’ NaviGuide are proven financially viable or federal or state governments earmark money for caregiving navigators, you may start seeing these experts pop up around the country.”

In fact, other recent reports echo the Nexus recommendations.

“There are real opportunities to move forward on this,” said Kramer. “But it’s going to take keeping the issue in the limelight and building momentum and seizing opportunities.”

And, the article suggests, “It may also require more people finding themselves thrust into becoming family caregivers or needing to coordinate care.”

Said Tumlinson: “You have to go through it and then be stunned. Then you say, ‘Why is this not being fixed? How is this possible?'”

Read the article at Next Avenue.

Read the Nexus Report
Read the Nexus Survey

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Partnering for the Future - NIC Spring Conference 2023

2023 NIC Spring Conference

Senior housing and care leaders are convening in San Diego to discuss new opportunities that provide better outcomes of care for older adults through more effective integration of healthcare services and senior housing. The NIC Spring Conference is designed for anyone in healthcare or senior housing looking to connect, develop long-range strategic partnerships, and innovate new models of care and housing on behalf of older adults.

Nexus Fellows in attendance include Bob Kramer, Anne Tumlinson, and Sarah Thomas.

Anne Tumlinson will be presenting:

Pathways to Value-Based Healthcare Partnerships

Expert highlights senior housing-healthcare collaborations 

Healthcare is rapidly moving from brick-and-mortar facilities into the home. The
pandemic accelerated this trend, demonstrating that hospital-level care can be
delivered safely and conveniently where people live.

Momentum is growing for innovative partnerships between healthcare providers
and senior living properties—with potential for better clinical outcomes and reduced
healthcare costs.

Learn why integrating senior housing and healthcare matters to operators and
investors and learn about pathways to partnerships.

To register visit, NIC.

ASHA

Bob Kramer Moderates Tech Panel at 2023 ASHA Annual Meeting

ASHA’s Annual Meeting, which will take place at the Westin Kierland in Scottsdale, AZ, is open to the Executive Board, Advisory Committee and Associate level members. Only ASHA members may participate in our conferences.

Fellows in attendance include Bob Kramer, Sarah Thomas & Jill Vitale-Aussem.

The Next Frontier: Integrated Technology That Drives Insights. – Moderated by Bob Kramer, Jan. 24 at 2:30pm.

For more info please visit the American Seniors Housing Association.

WSU-granger-cobb

Bob Kramer at Leaders Live in 45! WSU Granger Cobb Institute

“Foundations of Senior Living Industry” with special guest speaker Bob Kramer, Founder & Fellow, Nexus Insights.

Held in person & via zoom.

More info at Granger Cobb Institute for Senior Living

Frustrated woman with laptop

NORC Study Shows Most Older Adults Experience Anxiety and Frustration While Selecting Long-Term Care

Twenty-four percent of U.S. adults ages 50 and older say they, or a loved one needed long-term care in the past year, according to a new, national survey commissioned by Nexus Insights, a think tank focused on older adults. The research was conducted by the well-respected NORC at the University of Chicago. The findings illustrate the widespread need for information and guidance about long-term care services among an aging population and their caregivers, a need that experts say will grow exponentially in the future.

Nearly 1 in 4 older adults said they or a loved one needed long-term care in 2022

 

Related Articles

Most older adults said the process of selecting long-term care caused anxiety (53%) and frustration (52%), while few said they felt confident (23%), at peace (23%), or happy (14%) while making a choice. Researchers say the survey findings suggest a need for more consumer-friendly resources to help families navigate care options.

Anxiety and frustration finding long-term care

 

“Making a decision about long-term care is a maze full of emotional twists and turns, dead ends, and setbacks,” said Robert Kramer, founder and fellow of Nexus Insights. “The lack of a consumer-friendly system to help families navigate the staggering array of decisions that must be made quickly during a healthcare crisis boosts families’ stress. It can result in making decisions that lead to poorly coordinated, lower-quality care.”

According to the survey, older adults said it was extremely important to have additional information about the cost of care and options to pay for it (69%) and the different types of long-term care services available (63%).

Nexus Insights released a report earlier this year detailing the often frustrating and confusing process facing many older adults when making decisions about long-term care for themselves or a loved one. It called for a national long-term care navigation hub to help older adults discover and assess options, educate them on available support and funding, select and connect with the option that is best for them, and continuously evaluate their needs as health and financial statuses change. Kramer said navigation resources are needed immediately to support the aging Baby Boomer population, many of whom not only serve as caregivers to older parents but will soon need long-term care themselves.

“Many families reckon with a long-term care system that’s nearly impossible to navigate and provides little-to-no support for families making life-and-death decisions,” said Caroline Pearson, senior vice president at NORC at the University of Chicago, who also serves as a Nexus Insights fellow. “Most people will eventually have to make decisions about long-term care for ourselves or a family member, so creating a consumer-friendly long-term care navigation system should be high up on the nation’s list of to-dos.”

People likely to turn to family for long-term care advice

 

The poll was conducted between November 11 and 14, 2022, during a monthly Omnibus survey. It included 1,014 interviews with a nationally representative sample of adults age 50 and older (margin of error +/- 4.34 percent points). The AARP and NORC’s Foresight 50+ probability-based panel is designed to be representative of U.S. adults age 50 and older.

DOWNLOAD THE SURVEY: One in Four U.S. Older Adults Needed Long-Term Care for Themselves or a Loved One in 2022

READ OUR REPORT: Where Am I, Where Do I Go: The Missing Entry Point to Long-Term Care Solutions for Older Adults and Their Caregivers

 

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Future of Health Summit 2022

Bob Kramer Joins Panel at the Milken Institute 2022 Future of Health Summit

About the Panel: The Future of Senior Housing: Building for Health, Engagement, and Accessibility

According to a Milken Institute survey, affordable housing and connected health services are the two most critical policy interventions that local leaders must prioritize before 2030 as they prepare for aging populations. While most older adults say they would prefer to age in their own homes, some will not be able to do so safely and affordably without access to health and social services connected to their housing by design. In response, payers have begun to lead the charge in directing investments towards integrated efforts that address social determinants of health on behalf of their members, including affordable housing developments in markets across the county. During this session, leading experts will discuss new ways to promote innovative models that integrate health and housing to enable older adults to thrive in future communities.

Speakers

Bob Kramer
Co-Founder and Strategic Advisor, NIC; Founder and Fellow, Nexus Insights

Tom Moriarty
Executive Vice President, Chief Policy and External Affairs Officer, and General Counsel, CVS Health

Jake Rothstein
CEO, Upside

Katie Smith Sloan
President and CEO, LeadingAge

More information at Milken Institute.

Home Care Conference

HHCN Home Care Conference 2022

The Home Care Conference brings together home care senior and regional executives, investors, and other professionals for a day of networking and forward-thinking content.

Topics explore non-medical home care trends and challenges in staffing, technology, sales, marketing, and more.

Event details at Home Health Care News.

Long-Term Care Solutions

Navigating the Maze of Long-Term & Post-Acute Care: A Report by Nexus Insights

When an older adult experiences a crisis that requires post-acute or long-term care services and supports, they and their caregivers must make critical decisions, fast. What awaits them, however, is a maze of dead ends and poor information that stand in the way of getting the help they need.

“Older adults and their families enter a maze of twists and turns, dead ends, and wrong way streets when a life crisis forces them to consider their care options. Critical decisions about long-term care must be made quickly, with scarce information or resources, let alone supportive guidance to assist them in their time of crisis.” – Bob Kramer, founder of Nexus Insights

In February 2022, Nexus Insights hosted their inaugural ‘Nexus Voices’ session with 18 leading experts in the fields of aging policy, long-term care, senior housing and caregiver advocacy to talk through and tackle this issue.

The Outcome: A Nexus Voices Report

The result is the recently published report, “Where Am I, Where Do I Go: The Missing Entry Point to Long-Term Care Solutions for Older Adults and Their Caregivers”. This comprehensive and actionable report highlights the lack of infrastructure to help guide older adults and their families to long-term care services. The report proposes “Navigation Hubs” to help families understand their long-term care needs and select the best options for them. These hubs would serve as central doorways to existing supports and services—whether it’s home-based care, transportation or meal services, senior housing or nursing home care. The hubs would have a national presence but a hyper localized focus with counselors, or navigators, who understand the resources available in their communities and how to help older adults and their families access them.

“The factors that shape care decisions vary from family to family, but all families need an easy-to-use, accessible hub of information that clearly communicates the options that are available to them in their community,” said Anne Tumlinson, CEO of ATI Advisory and a contributor to the report. “With a growing number of older adults needing care, we have to act now to build the care infrastructure families need.”

Discussion participants outlined four primary responsibilities of the Navigation Hubs. They are:

  • Discover & Assess the long-term care needs of older adults, their families, and caregivers.
  • Educate older adults, their families and caregivers on the housing and caregiving support available to them as well as funding sources.
  • Select & Connect older adults with the best long-term care setting, supports, and services that meet their needs.
  • Reevaluate the needs of older adults as their health and financial statuses change.

“You can’t solve a problem until you’ve identified it and defined it,” said Kramer.

“Then you’ve got to define what are the key components of any solution. And we’ve laid that out with the navigation hubs and their four functions. And then we asked what we could learn from the failures and the successes of programs to date, to create our criteria. Finally, the path forward must be a joint effort involving both the public and private sectors. We demonstrated that there are aspects of differing programs from government-funded resource centers to tech-enabled employer options to private-pay models that could be incorporated into this solution.”

An Urgent Problem

In its conclusions, the report urges quick and decisive action to build navigation services for older adults that put families in the center. The family in crisis needs help now and cannot wait for lawmakers and government agencies to overhaul the long-term care infrastructure. This requires a national commitment to increased funding and an openness to reimagine existing solutions. Existing public, private-pay and employer-based programs could work together to make these hubs a reality by combining their infrastructure, experience and delivery models.

The Nexus Voices Participants

Nexus Insights Host Committee

  • David Grabowski, PhD, professor, Harvard Medical School, fellow, Nexus Insights
  • Bob Kramer, founder & fellow, Nexus Insights, co-founder, former CEO & strategic advisor, National Investment Center for Seniors Housing & Care (NIC)
  • Caroline Pearson, senior vice president, health care strategy, NORC at the University of Chicago, fellow, Nexus Insights
  • Sarah Thomas, CEO, Delight by Design/MezTal, fellow, Nexus Insights
  • Anne Tumlinson, CEO, ATI Advisory, fellow, Nexus Insights

Discussion Participants

  • Gretchen E. Alkema, PhD, former vice president, policy and communications, The SCAN Foundation
  • Alice Bonner, PhD, senior advisor for aging, IHI, and adjunct faculty, Johns Hopkins University School of Nursing
  • Ryan Frederick, founder & CEO, Smart Living 360, fellow, Nexus Insights (facilitator)
  • Lindsay Jurist-Rosner, CEO, Wellthy
  • Ruth Katz, senior vice president for policy, LeadingAge
  • Sean Kelly, president & CEO, The Kendal Corporation
  • Suzanne Kunkel, PhD, executive director, Scripps Gerontology Center, Miami University
  • Katy Lanz, chief strategy officer, Personal Care Medical Associates
  • Brian Petranick, group president, Neighborly
  • Cheryl L. Phillips, M.D., president and CEO, Special Needs Plan Alliance
  • Paul Saucier, director, Office of Aging & Disability Services, Maine Department of Health and Human Services
  • John Schall, CEO, Caregiver Action Network
  • Bill Thomas, chief independence officer, Lifespark, fellow, Nexus Insights

Read the Long-Term Care Access Report

Read the full report
Read the executive summary
Read the press release

About Nexus Insights

Nexus Insights is a think tank advancing the well-being of older adults through innovative models of housing, community and healthcare. We are a diverse group of thought leaders and stakeholders in aging and healthcare. Our goal is to spark change by sharing innovation across traditional silos, convening leaders from differing perspectives and bringing positive, life-affirming ideas into the public domain.

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2022-FALL-CONF-nyshfa-nyscal

Bob Kramer Joins Opening Keynote Panel at 27th NYSHFA NYSCAL Annual Fall Education Conference

Opening Keynote: The Future of Long-Term Care – A Continuing Conversation panel with Robert Kramer, Nexus Insights; Fred Bentley, ATI Advisory; Mark Parkinson, AHCA/NCAL.

About the Panel

Long-term care providers are constantly facing unanticipated changes and extraordinary disruptions to existing systems of delivering care. These disruptions alter many of the patterns in which providers operate and deliver care, including matters ranging from workforce shortages, reimbursement, technology and communication applications to transparency issues, market assessments and data analysis. This panel will discuss these and other topics in examining the future of long-term care and the changes that are temporary and those that are permanent moving forward.

About the Conference

The Fall Education Conference will focus on the current regulatory and financial issues facing New York State’s skilled nursing facilities and assisted living communities.

This conference is recommended for Owners, Owners / Operators, Administrators, Executive Directors, Financial Directors, and other members of the interdisciplinary team. Ten (10.0) hours of CEUs have been applied for by the National Association of Boards of Examiners of LNH / ACF / AL Administrators.

More info at NYSHFA NYSCAL.

2022 SLIF Fall Conference

Nexus Fellows at Senior Living Innovation Forum 2022 Fall Conference

The senior housing industry is undergoing a radical transformation. SLIF Fall is the place where the industry’s boldest leaders can have unfiltered conversations and explore the great unknowns ahead.
Nexus Fellow Sarah Thomas will moderate the Senior Living in 2023 panel at 8:00am on November 7.
Nexus Founder & Fellow Bob Kramer will speak on The Drivers Shaping the Future of Senior Living at 2:25pm on November 7.

Tag Archive for: Bob Kramer

Partnering for the Future - NIC Spring Conference 2023

2023 NIC Spring Conference

Senior housing and care leaders are convening in San Diego to discuss new opportunities that provide better outcomes of care for older adults through more effective integration of healthcare services and senior housing. The NIC Spring Conference is designed for anyone in healthcare or senior housing looking to connect, develop long-range strategic partnerships, and innovate new models of care and housing on behalf of older adults.

Nexus Fellows in attendance include Bob Kramer, Anne Tumlinson, and Sarah Thomas.

Anne Tumlinson will be presenting:

Pathways to Value-Based Healthcare Partnerships

Expert highlights senior housing-healthcare collaborations 

Healthcare is rapidly moving from brick-and-mortar facilities into the home. The
pandemic accelerated this trend, demonstrating that hospital-level care can be
delivered safely and conveniently where people live.

Momentum is growing for innovative partnerships between healthcare providers
and senior living properties—with potential for better clinical outcomes and reduced
healthcare costs.

Learn why integrating senior housing and healthcare matters to operators and
investors and learn about pathways to partnerships.

To register visit, NIC.