AIP in the Community

In 1996, faculty from the MU Sinclair School of Nursing (SON) envisioned a new model of long term care based on the concept of aging in place (AIP). The traditional model of long term care forces older adults to move from home, to independent senior housing, to assisted living, then to a nursing home as health deteriorates. The aging in place model allows older adults to remain in the environment of their choice for as long as they wish without fear of forced relocation. The faculty worked with state legislators, industry advocates, and community leaders to enact the legislative changes in 1999 and 2001 to make AIP possible within the highly regulated long term care industry. This legislation designated four “aging in place” demonstration sites that are regulated by the Missouri Department of Health and Senior Services, but are regulated differently than traditional nursing homes or residential care (assisted living). In 1999, Sinclair Home Care, a home health agency developed by the MU SON, was created to provide care to residents of the MU AIP demonstration sites TigerPlace and Maplewood Apartments at Lenoir Woods, other private congregate senior housing, and public senior housing. The MU SON received a $2 million grant from the Centers for Medicare and Medicaid Services (CMS) to establish the agency and evaluate the effectiveness of the AIP mode in the community, other private congregate housing and public senior housing. In 2009, the Medicare and Medicaid components of the Sinclair Home Care agency were sold to Oxford HomeCare. The SON retained control of the AIP program and continues to provide services to the residents of TigerPlace and Lenoir Woods. Initial results of the AIP evaluation indicate the cost-effectiveness and positive health outcomes of AIP.

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