Introduction
Life Plan Communities, formerly called Continuing Care Retirement Communities, initially set out to provide healthcare to medium-acuity and high-acuity seniors. Life Plan Communities conceived of themselves as providers of long-term post-acute (LTPAC) care.1 Here, we show that the scope of healthcare has expanded to include care coordination and care delivery to low-acuity seniors. Common concerns among low-acuity and medium-acuity seniors motivate grouping them into a new population called pre-acute. This article summarizes the task and challenges of delivering pre-acute care to seniors.
Problem #1
Senior adults are entering Life Plan Communities later in life.2 Residents often cite some precipitating event (usually medical) that catalyzed the mental/emotional switch from “I’m not ready” to “I’m ready” to move. A practical consequence of delayed entry is that residents enter the community with more chronic health conditions to manage. Life Plan Communities are being asked to, directly or indirectly, help low-acuity residents manage their chronic health conditions.
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