Assisted living facilities play a crucial role in providing care for individuals with chronic conditions, offering a supportive environment that promotes independence while ensuring residents receive the necessary medical attention. Chronic care management (CCM) in assisted living settings involves a comprehensive approach to addressing the needs of residents with ongoing health issues, aiming to improve their quality of life and reduce the risk of complications.

“We implemented Chronic Care Management in our community to better serve our residents,” General Manager and Executive Director of Cedar Creek Lodge Boutique Senior Living, Teneille Adams said. “In being in a rural area, having access to additional providers support our resident’s wellness needs.”

“Our team is able to support our residents in-house longer,” Executive Director of The Pines at Columbia, Brian Shull said. “It’s made such a difference not having to send out to urgent cares and being able to decrease hospitalizations for our residents.”

 

Understanding Chronic Care Management

Chronic conditions, such as diabetes, heart disease, and arthritis, require ongoing management and monitoring to prevent exacerbations and maintain health. In assisted living facilities, many residents have one or more chronic conditions that require specialized care and attention. Chronic care management in this context involves a team-based approach, including healthcare providers, caregivers, and residents themselves, working together to address the unique needs of each individual.

“I work with residents in several assisted living communities across the state of South Carolina,” Gregory Smith, FNP, PMHNP with Athra Systems said. “Each resident averages 4-7 chronic conditions. It’s important that we collaborate closely with primary care providers to ensure the resident has the best team meeting their wellness needs.”

Key Components of CCM in Assisted Living

“When we implement CCM in the assisted living environment, we ensure core components are met to best serve our residents and patients,” Dr. Jason Miller, DO, Chief Clinical Officer and Managing Partner of Athra Systems said.

Comprehensive Assessment: A thorough assessment of each resident’s health status, including their medical history, current conditions, medications, and functional abilities, is essential for developing an effective care plan.

Individualized Care Plans: Based on the assessment, individualized care plans are developed to address the specific needs of each resident, including medication management, lifestyle modifications, and regular monitoring.

Medication Management: Ensuring residents receive the correct medications, at the right doses and times, is critical for managing chronic conditions and preventing adverse drug interactions.

Care Coordination: Effective communication and coordination among healthcare providers, caregivers, and residents help ensure that everyone is working together towards the common goal of improving health outcomes.

Health Education: Providing residents with education about their conditions, including self-management techniques and lifestyle modifications, empowers them to take an active role in their health.

Regular Monitoring and Follow-Up: Ongoing monitoring of residents’ health status, along with regular follow-up appointments, helps identify any changes or issues early and allows for timely intervention.

Benefits of CCM in Assisted Living

Implementing a comprehensive chronic care management program in assisted living facilities offers several benefits, including:

Improved Quality of Life: By effectively managing chronic conditions, residents can enjoy a higher quality of life, with fewer symptoms and complications.

Reduced Hospitalizations: Proper management of chronic conditions can help reduce the risk of exacerbations that may lead to hospital admissions, lowering healthcare costs and improving overall health outcomes.

Enhanced Resident Satisfaction: Providing personalized care that meets the individual needs of residents can lead to higher levels of satisfaction and engagement.

Better Care Coordination: CCM facilitates better coordination among healthcare providers, caregivers, and residents, leading to more efficient and effective care delivery.

“We’ve worked with WellClix LLC and Athra Systems to implement Chronic Care Management into several of our senior living communities with many more planned to implement CCM within the next couple months,” Joseph Hessley, CEO of WindRiver Management Corporation said. “We prioritize our resident’s wellness and implementing CCM has allowed us to keep residents in place longer, living healthier more active lives.”

 

In conclusion, chronic care management is a crucial component of care in assisted living facilities, offering residents with chronic conditions the support they need to live well. By implementing a comprehensive CCM program, assisted living facilities can improve the quality of life for residents, reduce healthcare costs, and enhance overall care delivery.

Athra Systems, a Veteran owned and operated company, works with assisted living and senior communities to implement chronic care management services. Visit www.AthraSystems.com to learn more or email trudloff@athrasystems.com.