Centered Care is a tech-enabled care organization built for senior living. Two parts work in harmony to keep residents healthier:
The outcome: residents feel better and stay healthier, and operators see the benefit in retention, occupancy, and length of stay.
Today's residents are arriving with more complex needs, and those needs are evolving faster than most communities are staffed to track or handle, making care more reactive. Centered Care augments your current team: a clinical support structure around them that makes sure small changes are addressed before they become larger ones. Helping to shift care from reactive to proactive. Care Concierges work as members of your existing team, driving clear, actionable next steps and following up with residents, families, and PCPs. The result: most situations get handled in the community instead of becoming urgent high-risk send-outs. All while keeping (or enhancing) your community culture and workflows in place.
Most outside providers come in and out of the community to visit and bill the residents they see. That's it. They work off different systems and there is often little to no connection between the data, causing silos and fragmentation. Centered Care has a differentiated approach to embed the Care Concierge within the building to coordinate care across stakeholders and review high risk residents in real time. Because they are in the community day-to-day, they ultimately catch the rising risks before they become costly events. With CareFlows ingesting all of your community application data, and that of your other providers, everyone has the same information at their fingertips and recommended clinical next steps are identified based on the aggregate resident data. We focus on the WHOLE person – physical, behavioral, and social concerns and care management.
No. Residents still keep their primary care providers and specialists. Centered Care works with those relationships, making sure recommendations are reviewed and acted upon, care plans are carried through between visits, and information moves between providers instead of sitting in silos. Residents keep the doctors they know and trust, and now those doctors get a partner inside the building.
Services are billed to each resident's existing Medicare Part B benefits, the same way any other medical provider they choose would bill. Every resident (or their POA) consents before enrolling. On our first call, we'll walk through how the model maps to your community's census and payor mix.
We work with you to identify a strong team member that already exists within your community. This could be an ADON or Coordinator-type role that is already doing care coordination today in some form or fashion. This could also be a strong med tech or medical assistant that we see potential in, but there is not necessarily a higher role for them in the community. Centered Care's Care Concierge program relies on that familiar face within your community, someone who already knows your residents, their wants and needs, and has those trusted relationships. Care Concierges, with CareFlows, become an integral part, and can lead, interdisciplinary team meetings across the community health & wellness team, PCP, and other ancillary providers. We empower this person through our CareFlows technology and care management workflows to be able to provide programmatic proactive care coordination that focuses on the resident's unspoken needs.
Your team is probably doing a form of care coordination today. Centered Care's work focuses on "supercharging" care management and reframing the work from being reactive to proactive. The coordination work stays mostly the same but the follow-through gets stronger. Changes in a resident's condition are noticed sooner, decisions come with clear next steps, and care stays consistent across the care team. Instead of questioning who is on first, your Care Concierge carries the coordination load, tracking what needs attention and what happens next, so nothing important is left to chance and your team is not chasing loose ends.
Not all of us in senior living (or even within the same company) are doing care coordination the same way. Having Centered Care in place allows you to have an actual comprehensive care program that adds value to what older adults and their families are looking for.
Yes, and we measure everything. Across our communities: 911 send outs are down 10%, falls are down 26%, 90-day move out rates are down 15%, and average resident tenure has increased by 1 month. This data validates that our model drives meaningful impact for our residents, their families, operators, and capital partners.
Our goal is to work within your current structure and culture, not change it. We work with you to identify who in your community would be a strong Care Concierge to lead this program with us, as well as understanding your current workflows, care teams, and processes you have in place. When it comes to the CareFlows data, we already have integrations across all major senior living operators. We launch the CareFlows platform and hire the Care Concierge at the same time, while providing orientation for the Care Concierge and also training for your community leadership – all virtually and as needed on-site. Our goal is to enroll residents as quickly as possible through the Care Concierge to supercharge their care, while CareFlows is enabled for every resident to improve overall community health. Our superpower is our intensive focus on care management materials, workflows, assessments to enhance whole-person resident care – physically, mentally and socially.
This is our service differentiator – family involvement is built into the program. The Care Concierge will make proactive outreach to the families (or POAs) – what are their concerns, what are they seeing with their loved one, and how they can help to take things off of the family's plate when it comes to coordinating care. The Care Concierge also provides real-time updates when medications or health status changes for the resident. Families have peace of mind that there is one person inside the community coordinating their loved one's care as a single point of contact for any day to day help in coordinating appointments, care, and doctor's visits. For your team, that means fewer anxious phone calls and stronger family confidence in the community care team.
