- What is the CAPABLE Program?
CAPABLE is a client-directed home-based intervention to increase mobility, functionality, and capacity to “age in place” for older adults. CAPABLE consists of time-limited services from an occupational therapist, a nurse, and a handyman working in tandem with the older adult as an interprofessional team. A key component of this approach is having the older person drive the goal setting and brainstorming strategies with the team toward reaching their goals. Each service builds on the others by increasing the participants’ capacity to function at home. This can decrease hospitalization and nursing home stays by improving medication management, problem-solving ability, strength, balance, mobility, nutrition, and home safety, while decreasing isolation, depression, and fall risk.
Participants work with the occupational therapist and nurse to identify three achievable goals per discipline. The team members use motivational interviewing to examine how to overcome barriers to independent living. The participant learns new skills, exercises, and how to work with additional tools/equipment/home modifications-- practicing in between visits. In the case of safe bathing, for example, barriers could include a slippery tub, muscle weakness, and lack of grab bars which impact how to get safely into and out of the tub. In this example, the occupational therapist and client work together on safe ways to use the tub including selecting the proper adaptive equipment, plus ways to conserve their energy. The registered nurse addresses medical or condition related factors that could affect balance, such as pain, and the handyman makes structural improvements needed to overcome these barriers, such as installing grab bars and repairing broken flooring.
- Is CAPABLE evidence-based?Yes. CAPABLE is approved by the National Council on Aging as an evidence based fall prevention program. CAPABLE has been tested in multiple small and large trials, each showing a benefit towards better function and lower hospitalization rates. The larger studies have also showed decreased nursing home admission. CAPABLE is being recognized by Federal and State agencies as an effective program in improving health and decreasing costs among older adults. As of August 2018, CAPABLE is being offered through programs in 22 organizations across 12 states in the U.S., and Australia.
- I am the Medical Director for a Medicare Advantage plan. If we have 10,000 covered lives over age 65, how many could benefit from CAPABLE?
Generally, in 10,000 people over 65, 40%-50% will have difficulty with at least one Activity of Daily Living (ADL). After subtracting the 10% who have dementia, there should be approximately 3,500 who can benefit from CAPABLE. This will, of course, depend on the composition and characteristics of your own population.
- What are the steps to Implement CAPABLE from the Organizational Perspective?
To adopt the program, the organization(s) will need to identify and address the following at a minimum:
- Capacity, staff resources, workflow, and where the program will be “housed” within the organization(s)
- Training of the registered nurse (RN) and occupational therapist (OT) and identification and preparation of the handyman services to be engaged
- Funding for the program with an eye towards a sustainable business model
- How the program will be monitored and evaluated
With regard to the flow of the program, these are the key components and steps:
- Determine lead organization, key contact
- Contact JHU CAPABLE Center for guidance/Technical assistance
- Determine partnership or single organization approach – ensure leadership commitment
- Review CAPABLE protocol and Fidelity expectations
- Identify and secure start-up funding
- Create plan for initial implementation that matches capacity and funding
- Set measurement/results goals
- Hire/contract staff
- Sign agreement and train staff through JHU
- Begin invitational/referral/marketing strategy
- Follow protocol and serve participants
- Participate in continuous learning/sharing with JHU CAPABLE community
- Provide annual report of results to JHU
- Initial Screening and Interview
- 1st OT visit – includes assessment and discussion of priority goals
- 2nd OT visit – includes fall prevention and recovery, examining the home and working with the participant to create a goal-related work order for the Handyman
- Handyman comes to make repairs and accessibility modifications. A site visit maybe necessary to assess for needed supplies to do the work.
- 1st RN visit focuses on pain, strength, medication, communication with health care providers
- Additional OT visits to address priority goals
- 2nd RN visit to set goals, review exercises, consider how to improve communication with primary care provider
- Additional RN visits to review progress and use strategies, complete action plans
- The 6th OT visit is a wrap-up and for helping the participant generalize what they learned so that they can address new challenges. The number of OT visits may depend on the number of stated goals. For instance, if an individual is working on only 2 goals, the OT may only have 5 visits.
- What organizations can implement CAPABLE?
Many types of organizations are implementing CAPABLE. This includes: health care systems, Accountable Care Organizations, Area Agencies on Aging, Medicare Advantage health plans, insurance companies, PACE programs, state/county/city Department of Aging, Home and Community Based Services providers, skilled nursing facilities, nursing homes, Veterans Administration centers, home healthcare agencies, and non-profit organization in the healthcare and housing sectors. There is also potential for local startups to offer CAPABLE as a self-pay model.
- Can CAPABLE only be implemented in houses?
No, CAPABLE can be implemented anywhere older adults live.
- Private homes, condos, townhomes (pursuant to association rules)
- With clearance from the landlord:
- Apartment buildings
- Other non-home owner situations (e.g., participant lives in a relative’s home)
- Who is eligible to participate in CAPABLE?
Organizations generally determine participant eligibility criteria that fit the needs of their location. The evidence base of CAPABLE is with people who:
- Are older adults (over 60); although some health systems are including people as young as 50.
- Are cognitively intact or have only mild cognitive impairment to be able to participate in the brainstorming and action planning process.
- Have some or a lot of difficulty in performing Activities of Daily Living (ADLs), such as bathing, dressing, grooming, or walking across a small room. This could apply to adults at any age with ADL difficulty.
- How do we find a handyman partner?
There are several possible sources for a handyman. For instance, we have worked with an AmeriCorps training site that trains handy people to do such work. Other possibilities include:
- hire one internally
- contract with an AmeriCorps training site
- contract with one of the many non-profits that provide home modifications for older adults.
Knowledge and experience with local code requirements is advantageous. There is currently no specific training for the handyman. There is a brief video available for viewing as part of the training for clinicians that describes the CAPABLE Handyman experience. However we recommend orientation on the CAPABLE program, and basic skills in working with older adults, as well as background check and other organizational clearances to ensure the individual has the necessary credentials and does not pose a risk to the older adult.
- What are some typical services provided by the Occupational Therapist and Registered Nurse or objectives identified by the participant?
Environmental changes at home; decreasing falls hazards, improving balance, improving strength and mobility; reviewing medications and potential need for changes in working with the prescribing physician; providing self-care strategies for better management at home. Participants have also raised issues around incontinence/bladder control, fatigue, muscle weakness or stiffness, poor vision, and social isolation. Examples of approaches or strategies that have been helpful including showering later in the day when the body is less stiff to increase ease of bathing; identifying specific products like LED lights or medication reminder alarms. All services support achieving the patient-identified goals.
- Who determines the scope of work for home modifications?
The occupational therapist works together with the older adult to determine what will be modified. This is based on the participants’ goals for meaningful daily activities. The handyman may also add basic safety repairs if money remains after the agreed upon home modifications are completed.
- What are some customary modifications made by the handyman and some typical supplies ordered?
Here are examples of each.Modifications:
- Install grab bars in the tub area
- Install interior and/or exterior railings
- Fix hole in floor
- Staple down loose wall-to-wall carpet
- Tub transfer bench
- Raised toilet seat
- Night light for safe transfer from bedroom to bathroom at night
- Sturdy step stool with a rail to reach kitchen cabinets safely
Training and Staffing
- Is training required for the Registered Nurse and Occupational Therapist to implement the program?Yes. Registered Nurses and Occupational Therapists are required to be trained through the Hopkins CAPABLE training program, which consists of the following activities:
- Five 60 minute on-line learning modules (self-paced, recommended to complete modules over 2 weeks)
- Reading the discipline specific training manuals
- Completing the CAPABLE Home Visit Simulations (OTs and RNs have access to both discipline simulations. Encouraged to review both.)
- Attending or viewing CAPABLE webinars
- Office Hours to ask questions, brainstorm ideas, share successes
- What are key skills for the Registered Nurse-Occupational Therapist team?
The training for CAPABLE provides team members training in motivational interviewing skills. They use these to build the self-efficacy of the older adults who have functional difficulty. While the older adult is in charge of what the goals are, the Registered Nurse and Occupational Therapist use their clinical knowledge and experience to support the older adult’s goals through a process of brain storming and action planning. This is crucial. These skills require critical thinking and experience in working with older adults in their own homes.
- Can we train and utilize staff from disciplines other than Occupational Therapy and Nursing for CAPABLE?
The occupational therapist (OT) and registered nurse (RN) can not be substituted and have the program still be called CAPABLE. The training builds from the knowledge base and experience of occupational therapists and registered nurses. For instance, building from the education in occupational therapy, the focus is specifically about activity analysis and achieving the best fit between persons and their living environments to maximize daily function and home safety, and reduce difficulties with Activities of Daily Living (ADLs). The nurses use their pathophysiological knowledge in addressing pain, mood, and medication complexity. The critical thinking involved builds on how OTs and RNs are trained.
- Is social work part of CAPABLE?
Social work can be added as an addition to CAPABLE very successfully. This is especially useful in situations with complicated family dynamics or when access to benefits and other resources are needed. This does not take the place of the occupational therapist (OT) and registered nurse (RN).
- Do the Registered Nurse and Occupational Therapist have to be trained together?No.
- What is the appropriate caseload for a full time team?
One full time Registered Nurse (RN) and one full time Occupational Therapist (OT) can carry a caseload of 20-30 at a time which leads to seeing up to 100 clients in a year.
- Can CAPABLE be provided if your state doesn’t allow OTs direct access to clients without a referral for treatment from a licensed physician?
Yes. CAPABLE is a pre-emptive, proactive, health promotion, behavior and environment change program. It focuses on both the person and their environment, through a structured, time-limited series of interactions with the inter-professional team of OT, RN, and handyperson--with the participant--not a doctor--dictating goals and action plans.
CAPABLE is not "medical". CAPABLE is not a substitute for physical or occupational therapy or nurse home health care visits, as directed by a physician or nurse practitioner who may prescribe such therapy and home visits--for example after surgery. In fact, sometimes the CAPABLE occupational therapist or nurse refer people for home health visits by an occupational therapist or physical therapist.
- How much does starting a CAPABLE program cost and what do the costs pay for?
Contact CAPABLEInfo@jhu.edu for start-up packages.
- What is the cost to provide CAPABLE to each participant?
The cost for providing CAPABLE per person is approximately $3,000 over a five month period.
This average cost includes:
- Registered Nurse and Occupational Therapist salaries, including home visits, driving time, coordination, follow-up
- mileage reimbursement to/from the home visits (may vary widely by region)
- home repair, modification, assistive equipment, and everyday items (e.g., Sturdy step stools). It is crucial that the system be able to pay for items needed to help older adults reach their self-identified functional goals and enhance their home safety that are not normally deemed “medically necessary” such as a sturdy step stool, a sturdy chair with armrests, a mailbox, or loud doorbell.
- supervision meetings
These did not include the tablets for data collection or Electronic Health Record (EHR) modification.
Sample start up budget available upon request.
- Can the services be covered by Medicare?
Not yet. This is a work in progress. In June 2019, a committee that advises the Government approved CAPABLE to be considered for reimbursement by Medicare. There will be many next steps. In the meantime, Accountable Care organizations, insurers and other organizations that can benefit from reducing hospitalization or nursing home admission are potential payers or partners.
- How are various implementation sites funding the intervention?
Accountable Care Organizations are using their global budget, Area Agencies on Aging are providing within Medicaid waivers, state/county/city Department of Aging, Home and Community Based Services providers are using their global budget, Veterans Administration is using pilot money, home healthcare agencies, and non-profit organization in the healthcare and housing sectors have worked together to start with philanthropic money. A hospital is using money to prevent readmissions. Managed care organizations designated as special needs plans are exploring how CAPABLE fits into their care and funding models for persons dually-eligible for Medicare and Medicaid. With new changes to how Medicare Advantage pays for “non-medical” items, Medicare Advantage companies are an excellent partner.
- What materials are provided to support the adoption of the CAPABLE program?
- Training manuals for the Registered Nurse and Occupational Therapist *
- C-CAP assessment forms *
- Documentation forms for home visits*
- Brainstorming, and action planning forms*
- CAPABLE Exercise Booklet, Health Passport, medication calendar, and items for the participants folders *
- Tip Book for participants (ordered by each organization or JHSON could order and ship for a fee)
- Webinars for additional training and information sharing. These are offered live and recorded, and archived by topic for later access.
- Office hours so trained clinicians, as well as program administrators, and construction partners can ask questions, discuss challenging cases, share equipment solutions, and participant successes.
- Each OT can have up to 3 work orders reviewed.
- Access to Vimeo video clips of visit scenarios
- Access to other CAPABLE sites’ outcomes and experience through an online user group.
* These materials will be supplied electronically. The cost of copying is the responsibility of each organization
- How does the team communicate with each other between visits?
Every organization develops their own system that best works for their staff. Some CAPABLE programs use:
- In-person coordination meetings
- Phone calls
- Electronic health record platforms and data systems that can support interprofessional team communication.
- Where can I read more about the program?
- Who should I contact with my follow up questions?