LeadingAge New York Adviser Winter Vol. 1 | Page 37

(continued from page 35) Home care: delivering good outcomes “remotely”. Finding the right people to deliver the kind of care we are known for although we are not physically there to oversee the care. Care management coordination: delivering services under strict cost constraints. What keeps us up at night: Keeping our eyes on quality care. Today’s health care financial uncertainty. The future of managed care. Ensuring we do the right thing for every patient in our care. The future looks as if it will bring further attempts to drive down health care costs, less money to provide more care, bundling payments, and pressure for us to become even more like a step down unit Ms. F. was a vibrant and active woman living in Brooklyn. Throughout her life, she was involved in many community organizations and held a high level job in a financial institution. When she began to experience mild cognitive decline and had a fall, her niece who lived on Long Island had her moved to a nursing home near where she lived. One day, we received a call from a local elected official who had worked closely with Ms. F. on various community projects. She had gone to visit Ms. F. and was shocked at how badly she had physically and mentally deteriorated. She called us and with the niece’s consent, Ms. F. was transferred to our facility. After several months of rehabilitation therapy, Ms. F. was well enough to return to her own home with home care. leadingageny.org 36