The Center for Elder Care and Advanced Illness (CECAI) is working to develop methods for the aggregation of person-centered care plans to estimate the need for services and supports for frail elders in a community.
If most frail and disabled persons in a population have a well-constructed and accurate care plan, and if those care plans are able to be aggregated, the entity or entities responsible for the quality of care for that population will be able to use the resulting data to manage their service delivery system. This tool will enable the manager to track the match between various service needs and their supply over time and compare caseloads and service utilization patterns with those of similar populations in other communities.
This project will explore the best examples of care planning through expert interviews and review of the literature, investigate which data would be most useful for community management, and identify actual and appropriate benchmarks of supply and quality. We will then test and improve the aggregation method at diverse sites with increasing size numbers of care plans.
This three year project is funded by the Gordon and Betty Moore Foundation. The Gordon and Betty Moore Foundation fosters path-breaking scientific discovery, environmental conservation, patient care improvements, and preservation of the special character of the Bay Area.