Our Work

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It Takes YOUR Community

This symposium provides the tools needed to advocate and plan community-based health and long-term services and supports for the coming Age Wave.

Building a MediCaring Community in Ypsilanti with the Huron Valley PACE Program

The Center for Elder Care and Advanced Illness (CECAI) is working with Huron Valley PACE of Ypsilanti, Michigan to establish a pilot MediCaring Community through expansion of the PACE model.

Aggregating Care Plans in Order to Monitor and Manage Eldercare Services for a Population

Sponsored by the Gordon and Betty Moore Foundation, the Aggregating Care Plans project will develop methods for the aggregation of person-centered care plans to estimate the need for services and supports for frail elders in a community.

America CARES Forum Digital Asset Page

America CARES Forum Digital Asset Page

Elder Care Policy Work

Below please find a collection of comments and submissions regarding elder care policy over the last 1-2 years.

White House Conference on Aging

On Monday, July 13, the Obama Administration will host the sixth White House Conference on Aging (WHCOA) in Washington, DC.

JAMA: Reliable and Sustainable Comprehensive Care for Frail Elderly People

Those lucky enough to grow old—including millions of Baby Boomers—face a health care system not designed to meet the real needs of very old people for continuity of care, community-based services, access to nutrition and transportation, and help for family caregivers.


MediCaring is the exciting idea that Americans can learn to build reliable, effective, and efficient arrangements for services to support one another when we face the serious chronic conditions associated with very old age or the last years of life — and that such a care system will be quite different from the one we have now.

Groundbreaking Study on Care Transitions Yields Substantial Results, JAMA Study Says

A recent study published in JAMA yields major results in terms of quality, cost, and patient experience.

Improving Life for the Oldest Among Us: Altarum Roundtable Highlights Options

Nearly 300 people participated in a September Altarum Roundtable, “Advanced Old Age in America: What Can We Count On?”

Commonwealth and Altarum: Working for Mary

The Altarum Center for Elder Care and Advanced Illness is at the vanguard of improvement efforts, providing technical assistance and consulting services to programs nationwide as they work to improve care transitions—a move that would, in turn, result in fewer unnecessary hospitalizations, controlled costs, and better patient and family experiences.

Comprehensive Care Planning for Frail Elders

Comprehensive care plans for frail elders are essential for improving patient-family-provider communication; for helping patients and families better understand the future they face; for enabling communities to develop and track needs and resources; and for shaping a world in which it is “safe to grow old.”

Supporting Data and Communities

Under a contract with the Quality Improvement Organization for Colorado and the Centers for Medicare and Medicaid, we are exploring how communities can use many kinds of data on-line to help them design, test, and implement programs that improve care for their Medicare beneficiaries.

QIO Infographic

An infographic depicting key findings from a study published in JAMA which reports on how 14 communities worked with their quality improvement organizations to improve care transitions among fee-for-service Medicare beneficiaries.

QIO Care Transitions Project

An overview of a study, published in JAMA, describing how quality improvement mechanisms can be applied to help communities interested in reducing hospital readmissions among fee-for-service Medicare beneficiaries.

Pharm 2 Pharm

For the University of Hawaii at Hilo, College of Pharmacy, Altarum is tasked with guidance and coaching of a new care delivery model where community pharmacists become consulting pharmacist and development of a sustainment model once the CMMI grant is completed.

Community-based Care Transitions Program (CCTP) Planning in San Diego, CA

Altarum serves as a consult with the HHSA Community-based Care Transitions Program (CCTP) grant on the advisory board.

Caregivers Confronting the Care System

A roundtable on family caregiving and aging offers insights and action items about the lives and roles of family caregivers.

Featured Project