High-Performance Partnerships - National Academy of Public ...

identifying specific goals and outcomes. Its
mission—“creating a supportive continuing
care community where low-income older
adults can comfortably age in place”—constantly
guides its work.
In its July 1999-June 2002 strategic plan, the
partnership established four goals:
1. to promote quality of life, health, and housing
stability among Lapham Park residents
in an aesthetically pleasing environment
2. to nurture a sense of community, pride and
ownership, empowerment, and self-advocacy
3. to maintain a collaborative partnership to
foster a sense of program unity and cohesiveness
in the service team
4. to create and replicate a model service program
for the City of Milwaukee and other
housing communities
The venture has established objectives and a
detailed work plan for accomplishing each
goal. Assessing outcomes also is part of the
strategic plan. An excerpt from the plan is
provided in Appendix E.
Documented outcomes are extraordinary to
date. Ninety-six percent of the residents are
able to age in place, 91 percent with lease violations
have been able to preserve their tenancy,
and 75 percent have their health and personal
needs met. At the same time, the venture
has produced more than $1 million annually
in Medicaid nursing home cost savings.
The venture’s strength is evident by the partners’
collaborative relationships. An on-site
visit of Lapham Park provides ample evidence
of the productive relationship between the
service providers and residents. Also, the facility
demonstrates a strong sense of community.
The lower level of Lapham Park was renovated
to provide a state-of-the-art medical clinic and
community space. A dark, unusable basement
was transformed into a well-lighted, invigorating
replica of Walnut Street, a focal point of
African-American community life during the
1930s and 1940s. Residents can congregate for
meals and entertainment, go to the barber or
hair salon, play billiards, or visit the clinic.
These services are provided in replicas of the
TABLE 3-4
LAPHAM PARK VENTURE BUDGET AND FUNDING
Category Amount Sources
Adult Day Care Health $ 44,000 Medicaid, Medicare, Managed Medicare
and Medicaid
In Home Services $ 61,000 Medicaid, Medicare, Managed Medicare
and Medicaid, Older Americans Act
Medical Services $ 354,000 Medicaid, Medicare, Managed Medicare
and Medicaid
Hospital $ 205,000 Medicaid, Medicare, Managed Medicare
and Medicaid
Dedicated Staff Costs $ 276,000 Medicaid, Medicare, Managed Medicare
and Medicaid, HUD
Building Maintenance $ 11,000 HUD Operating Subsidy
TOTAL $ 951,000
43 Powering the Future: High-Performance Partnerships