Jack Fenton
Jack Fenton
Assistant Director, Lean Services


The Small Care Neighborhood−Long-Term Care initiative is funded by the Indiana Family & Social Services Administration through a Centers for Medicare and Medicaid Services 90/10 matching grant for which Purdue University matches ten percent. Awarded in November of 2018, the effort is funded for two years with the potential for a third-year extension.

Small Care Neighborhood−Long Term Care


Enrollment Status: Full/Closed

About the Program

SCNThe Small Care Neighborhood−Long Term Care ("SCN−LTC") project aims to improve the quality and cost of care for Indiana Medicaid long-term care (LTC) and post-acute care patients through better care transitions, medication management, and improved processes.

The initiative involves two Indiana communities ― Evansville/Vanderburgh County and Terre Haute/Vigo County ― where Purdue has established a Small Care Neighborhood. These "neighborhoods" are collaboratives comprised of stakeholders who provide medical and non-medical services that impact the LTC services in a geographic area. 

Vigo and Vanderburgh countiesEvansville Small Care Neighborhood-LTC

  • Deaconess Hospital
  • Deaconess VNA Plus, LLC
  • The Village at Hamilton Pointe
  • Solarbron

Terre Haute Small Care Neighborhood-LTC

  • Union Hospital
  • Westminster Village Health & Rehab
  • Meadows Manor East
  • Visiting Nurse Association (VNA)

Purdue is helping each Small Care Neighborhood to form new collaborations, drive local and innovative solutions with broad community ownership, and move toward measurable outcomes, thus ensuring the greatest chance for success and the highest level of impact. Specific LTC goals include reduced hospital readmissions and reductions in unnecessary emergency room visits.

So far, each participating organization has completed a strategy session that generated an improvement work plan for the next 10-12 months. The work plans include Lean Daily Improvement (LDI) applications, Rapid Improvement Events (RIEs), and some project-based work. Sites also are prepping for and completing LDI training to build their internal capacity. Improvement work will begin in November 2019. 

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