Demonstration of an integrated care program for chronically ill residents in personal care homes

The Foundation's initiative, Building Health Systems for People with Chronic Illnesses, was designed to find models of caring for people with chronic illnesses that will overcome the fragmentation, financing barriers, and episodic care of the current system.This grant supports a demonstration model that will integrate acute and long-term care for chronically ill elderly individuals living in SSI-supported personal care homes. The grantee, along with Philadelphia Corporation for Aging, the Area Agency on Aging, and a select group of personal care homes, will organize, implement and evaluate the performance of a comprehensive, integrated care network for these dual-eligible residents. A multidisciplinary team, headed by a primary care physician and a geriatric nurse practitioner, will provide care and case management in partnership with personal care home staff and other providers in the service network. An innovative pooled funding arrangement using SSI, Medicare capitation, and Medicaid 1915(c) waivers will be utilized to pay for medical care and supportive services.

Grant Details

Amount Awarded $450,000.00

Awarded on: 10/28/1998

Time frame: 11/1/1998 - 10/31/2001

Grant Number: 35627


Albert Einstein Healthcare Network

5501 Old York Road
Philadelphia, 19141-3018


Carol A. Irvine
Project Director


Christopher Minnick
Project Director