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Jewish Home of San Francisco

New year, new realities, and repositioning for long-term success

New year, new realities, and repositioning for long-term success

New year, new realities, and repositioning for long-term success

NEW YEAR, NEW REALITIES, AND REPOSITIONING FOR LONG-TERM SUCCESS
below to see it:
From vision …

As a valued member of our community, you are probably familiar with
our vision statement that came about through our strategic visioning
process of a few years ago. That statement describes our intent:
“To become a regional resource as an integral part of a continuum
of care throughout the Bay Area that provides senior adults with a
variety of life-enriching programs and services that are accessible,
promote individual dignity, encourage independence, connect them to
their community and reflect the social, cultural and spiritual
values of Jewish tradition.”

… to reality

Jewish Senior Living Group (JSLG) is the separate entity that the
Jewish Home of San Francisco’s trustees launched that is entrusted
directly to bring our vision to reality. In essence, the Jewish
Home spun off “a parent” (i.e., JSLG) that will provide management
and “back-of-the-house” services to the Jewish Home of San Francisco,
Jewish Home & Senior Living Foundation, Moldaw Family Residences,
and other future operating entities. Additionally, JSLG will guide
our community to determine how we can best serve a broader range of
Bay Area elderly. It will serve as the development arm to foster and
grow a network that will address the changing and wider scope of
older adults’ care, service needs and interests.

Key initiatives

Central to strategic visioning is change, not constancy. So how do
we take our vision – to become a truly, nationally recognized
network of senior living programs and facilities – and make it
concrete? What do we need to change or re-evaluate? Allow me to
share a few of our key initiatives for the new year:

Site master plan

Involving as it does bricks and mortar, it does not get more
concrete than the Jewish Home’s site master plan. By realigning
our existing Silver Avenue campus and, where necessary, replacing
or refurbishing the aging elements of our infrastructure, we will
be able to meet the changing needs of older adults we serve and
respond to trends in senior living. Our goal is to have the Jewish
Home’s national reputation for quality and innovation become
synchronous with modern centers of excellence that fit community
needs and that will support our long-term financial viability.

This mention of our site master plan segues into our two current
campaigns, one to renovate our rehabilitation center, the other to
expand our research center.

Rehabilitation center campaign

Rehabilitation therapy is a major element of the Home’s core program
– for both our long-term care residents and for our short-term care
patients, who come to the Home to recover from a severe illness,
surgery or other form of hospitalization, and then return to their
own home. The rehabilitation program is an important part of our
vision for the future. Increasing the size of the center by 3,500
square feet and providing state-of-the-art equipment suitable for
our current and future needs comes at a cost of $2.5 million. With
thanks to the commitment and support of our community – a $1
million challenge grant from the Koret Foundation, a gift of
$400,000 from the Jewish Community Endowment Fund, and a grant of
$100,000 from the Mount Zion Health Fund – we look forward to
offering our rehabilitation program in an expanded, up-to-date
facility that reflects the level of excellence that has become
the Home’s hallmark.

Campaign for Research on Aging

The Home’s Campaign for Research on Aging responds to the future
challenges of our older adults’ changing healthcare needs. Combining
our unique clinical and research expertise with that of the
University of California, San Francisco, we aim to have a world-class
research center, including examination rooms and laboratory services,
from which we will develop and coordinate a clinical research agenda
devoted to diseases and conditions associated with very old age.
Funds raised will also be used to endow the Harris Fishbon
professorship (in partnership with UCSF), which will be dedicated
to exploring new and improved therapies for aging adults, and
endowing positions for visiting scholars and graduate students in
geriatric medicine, thus ensuring the next generation of geriatric
healthcare providers. To date, we have raised $2 million of this
$5 million campaign.

Reformed healthcare environment requires repositioning
What we are doing – both strategically and concretely – is designed
to reposition ourselves to be relevant and successful as America’s
healthcare system undergoes an overhaul.

With tens of millions of Americans now guaranteed access to medical
insurance through the Affordable Care Act, new, fully integrated
and coordinated models of care will evolve, such as home and
community-based services. To this end, we will continue to explore
collaborations with organizations whose missions are similar to that
of the Jewish Home’s, with the aim of extending the breadth of care,
programs, and services so as to better serve constituent members.

Healthcare consumers and payers will expect greater value; in other
words, reduced costs while maintaining or improving patient outcomes.
To ensure our future success, we will find ourselves working with
healthcare providers that work together to manage and coordinate
care for a distinct population that shares in any savings achieved
by reducing the total cost of care while maintaining or improving

As the healthcare provider environment becomes increasingly
competitive, our flexibility and ability to implement change
efficiently will be called into action, so that we may be well-
positioned to negotiate for adequate reimbursement under new payment
models. Reimbursement will be based upon achieving certain quality
benchmarks, reached not only by fulfilling regulatory reporting and
satisfaction and nursing home ratings.

The time for working in silos is rapidly ending. Collaboration
between healthcare providers, collaboration within facilities
themselves, and a trained, educated staff that is adept in the use
of electronic medical and health records will, in turn, facilitate
collaboration with ACOs.

To put it succinctly: The model for continued relevancy and future
growth in the reformed healthcare environment is being able to
provide the right service, at the right time, in the right setting,
at reduced costs, and with enhanced patient/consumer satisfaction.
This is our challenge. We are repositioning ourselves so that we
will be poised to turn this challenge into an opportunity for
long-term success.

Daniel Ruth
President & Chief Executive Officer
Research identifies a drug that could reverse the immunological
decline in aging

Findings of a research paper – the culmination of years of research
by Dr. Edward Goetzl, director of University of California,
San Francisco’s Allergy and Immunology Research, and which lists
Dr. Janice Schwartz, the Jewish Home’s Research director, as one
of the co-authors – received extensive coverage, ranging from
University of California, San Francisco’s print and online sources,
to Science Blog and newspapers in Canada and the United Kingdom.
The research team’s findings – that extremely low doses of the drug
lenalidomide can stimulate the body’s immune-cell protein factories
(that decrease production during aging) – could lead to a daily
pill to boost immunity in the elderly. Read about this “fountain
of youth” pill online.
Hope for new directions in Alzheimer’s prevention and treatment
For years, it seemed that the problem in Alzheimer’s disease was
that brain cells were making too much beta amyloid, a protein that
everyone’s brain makes. But a surprising new study has found that
most people with Alzheimer’s seem to make perfectly normal amounts
of this protein. They just cannot get rid of it, with the result
that it “clumps into barnaclelike balls” in the brains of those
with this degenerative neurological disease.

Scientists’ views of the genesis of Alzheimer’s are being enriched
by a number of unexpected findings such as the above. Read the
complete article to learn about the work researchers are doing
to find a way to speed up disposal of amyloid and so perhaps slow
down or halt the disease.
Keep a healthy eye on omega-3s

It is well-documented that certain types of fish are heart healthy
because they are rich in omega-3 fatty acids. The fact that omega-3s
can be found in high concentrations in the retina of the eye has now
led to speculation that adequate levels of the substance may be
important in preventing some diseases of the eye. Researchers at
the Wilmer Eye Institute at the Johns Hopkins School of Medicine
looked at food intake over one year among people ages 65 to 84
and found that those who consume a lot of fish and shellfish have
lower rates of age-related macular degeneration, the most common
cause of blindness in the United States.

Strength and determination

Smart, spirited, and strong-willed, Nanette Goldman’s decision to
move into a skilled nursing facility was not made lightly. But
the Jewish Home has proven to be the place where Nanette can enjoy
the socialization she was missing, continue to keep her mind astute,
and work on being as independent as possible.

Thanks,
Daniel Ruth, Jewish Home of San Francisco

Research identifies a drug that could reverse the immunological decline in aging
Hope for new directions in Alzheimer’s prevention and treatment

As a valued member of our community, you are probably familiar with our vision statement that came about through our strategic visioning process of a few years ago. That statement describes our intent: “To become a regional resource as an integral part of a continuum of care throughout the Bay Area that provides senior adults with a variety of life-enriching programs and services that are accessible, promote individual dignity, encourage independence, connect them to their community and reflect the social, cultural and spiritual values of Jewish tradition.”

Jewish Senior Living Group (JSLG) is the separate entity that the Jewish Home of San Francisco’s trustees launched that is entrusted directly to bring our vision to reality. In essence, the Jewish Home spun off “a parent” (i.e., JSLG) that will provide management and “back-of-the-house” services to the Jewish Home of San Francisco, Jewish Home & Senior Living Foundation, Moldaw Family Residences, and other future operating entities. Additionally, JSLG will guide our community to determine how we can best serve a broader range of Bay Area elderly. It will serve as the development arm to foster and grow a network that will address the changing and wider scope of older adults’ care, service needs and interests.
Central to strategic visioning is change, not constancy. So how do we take our vision – to become a truly, nationally recognized network of senior living programs and facilities – and make it concrete? What do we need to change or re-evaluate? Allow me to share a few of our key initiatives for the new year:
Involving as it does bricks and mortar, it does not get more concrete than the Jewish Home’s site master plan. By realigning our existing Silver Avenue campus and, where necessary, replacing or refurbishing the aging elements of our infrastructure, we will be able to meet the changing needs of older adults we serve and respond to trends in senior living. Our goal is to have the Jewish Home’s national reputation for quality and innovation become synchronous with modern centers of excellence that fit community needs and that will support our long-term financial viability.
This mention of our site master plan segues into our two current campaigns, one to renovate our rehabilitation center, the other to expand our research center.

Rehabilitation therapy is a major element of the Home’s core program – for both our long-term care residents and for our short-term care patients, who come to the Home to recover from a severe illness, surgery or other form of hospitalization, and then return to their own home. The rehabilitation program is an important part of our vision for the future. Increasing the size of the center by 3,500 square feet and providing state-of-the-art equipment suitable for our current and future needs comes at a cost of $2.5 million. With thanks to the commitment and support of our community – a $1 million challenge grant from the Koret Foundation, a gift of $400,000 from the Jewish Community Endowment Fund, and a grant of $100,000 from the Mount Zion Health Fund – we look forward to offering our rehabilitation program in an expanded, up-to-date facility that reflects the level of excellence
that has become the Home’s hallmark.
The Home’s Campaign for Research on Aging
responds to the future challenges of our older adults’ changing healthcare needs. Combining our unique clinical and research expertise with that of the University of California, San Francisco, we aim to have a world-class research center, including examination rooms and laboratory services, from which we will develop and coordinate a clinical research agenda devoted to diseases and conditions associated with very old age. Funds raised will also be used to endow the Harris Fishbon professorship (in partnership with UCSF), which will be dedicated to exploring new and improved therapies for aging adults, and endowing positions for visiting scholars and graduate students in geriatric medicine, thus ensuring the next generation of geriatric healthcare providers. To date, we have raised $2 million of this $5 million campaign.
What we are doing – both strategically and concretely – is designed to reposition ourselves to be relevant and successful as America’s healthcare system undergoes an overhaul.
With tens of millions of Americans now guaranteed access to medical insurance through the Affordable Care Act, new, fully integrated and coordinated models of care will evolve, such as home and community-based services. To this end, we will continue to explore collaborations with organizations whose missions are similar to that of the Jewish Home’s, with the aim of extending the breadth of care, programs, and services so as to better serve constituent members.
The time for working in silos is rapidly ending. Collaboration between healthcare providers, collaboration within facilities themselves, and a trained, educated staff that is adept in the use of electronic medical and health records will, in turn, facilitate collaboration with ACOs.
To put it succinctly: The model for continued relevancy and future growth in the reformed healthcare environment is being able to provide the right service, at the right time, in the right setting, at reduced costs, and with enhanced patient/consumer satisfaction. This is our challenge. We are repositioning ourselves so that we will be poised to turn this challenge into an opportunity for long-term success.

Findings of a research paper – the culmination of years of research by Dr. Edward Goetzl, director of University of California, San Francisco’s Allergy and Immunology Research, and which lists Dr. Janice Schwartz, the Jewish Home’s Research director, as one of the co-authors – received extensive coverage, ranging from University of California, San Francisco’s print and online sources, to Science Blog and newspapers in Canada and the United Kingdom. The research team’s findings – that extremely low doses of the drug lenalidomide can stimulate the body’s immune-cell protein factories (that decrease production during aging) – could lead to a daily pill to boost immunity in the elderly. Read about this “fountain of youth” pill online.

For years, it seemed that the problem in Alzheimer’s disease was that brain cells were making too much beta amyloid, a protein that everyone’s brain makes. But a surprising new study has found that most people with Alzheimer’s seem to make perfectly normal amounts of this protein. They just cannot get rid of it, with the result that it “clumps into barnaclelike balls” in the brains of those with this degenerative neurological disease.
Scientists’ views of the genesis of Alzheimer’s are being enriched by a number of unexpected findings such as the above. Read the complete article to learn about the work researchers are doing to find a way to speed up disposal of amyloid and so perhaps slow down or halt the disease.

It is well-documented that certain types of fish are heart healthy because they are rich in omega-3 fatty acids. The fact that omega-3s can be found in high concentrations in the retina of the eye has now led to speculation that adequate levels of the substance may be important in preventing some diseases of the eye. Researchers at the Wilmer Eye Institute at the Johns Hopkins School of Medicine looked at food intake over one year among people ages 65 to 84 and found that those who consume a lot of fish and shellfish have lower rates of age-related macular degeneration, the most common cause of blindness in the United States.

Smart, spirited, and strong-willed, Nanette Goldman’s decision to move into a skilled nursing facility was not made lightly. But the Jewish Home has proven to be the place where Nanette can enjoy the socialization she was missing, continue to keep her mind astute, and work on being as independent as possible.

302 Silver Avenue
San Francisco, CA 94112
415.334.2500www.jhsf.org

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