Ageing in Place
A clinical strategy to preserve independence.
For many people, staying at home is the preferred option. Ageing in Place is a clinical strategy to preserve independence: assessing what is actually manageable, addressing the risks that tend to end independence suddenly, and adjusting as things change.
What it includes
A home safety and function review
An assessment carried out where the person actually lives, because a clinic room reveals very little about stairs, lighting, bathrooms and the routes someone takes every day.
Falls prevention that starts before a fall
Balance and strength work, medication review, and changes to the home environment - the three things that most reliably reduce falls.
Regular functional review
Strength, balance, mobility and day-to-day capability re-measured on a schedule, so decline is noticed while there is still time to act on it.
Coordination with the wider care team
Family physician, specialists, allied health and any home support kept working from the same plan.
Planning conversations, held early
Discussions about what happens if circumstances change, had while everyone is calm rather than during a crisis.
What this is not
- This is not a substitute for publicly funded home and community care. Where someone is eligible for those services, we help them access them.
- It is not long-term care or residential care, and it does not provide 24-hour supervision.
- It does not provide faster access to MSP-covered tests or specialist referrals.
- It is not emergency care. In an emergency, call 911.
How it is arranged
Ageing in Place is delivered within a Monarch Health membership, so the clinical plan and the support at home are one arrangement rather than two.
Monarch Ageing in Place
Typically age 65 and over, or earlier when support is needed
An annual assessment weighted to function and independence, monthly contact at home, and someone steering when care becomes several things at once - so that staying independent stays the plan.
What it includes
Publicly insured services remain publicly insured. Where an independently practising physician provides an MSP-insured service, that service is separate from Monarch Health and is billed through MSP in accordance with applicable requirements. Membership fees do not cover or provide priority access to MSP-insured services. The uninsured components - assessment, planning, coordination and monitoring - are covered by a Monarch Ageing in Place membership.
Your information, your care team
With your consent, Monarch can exchange relevant health information with your physicians and other healthcare providers.
This may help your care team understand your health goals, assessments, results and recommendations and support continuity across different parts of your healthcare.
Information is shared only as authorized and in accordance with applicable privacy requirements.