Case Study About Clearfield County Area Agency on Aging

Clearfield County Area Agency on Aging is a 501(c)3 non-profit in central Pennsylvania that supports the maximum independence of older adults . The Agency provides services which range from home delivered meals to home healthcare clinics for the older adults in Clearfield County. Their comprehensive array of services enhances the quality of life of older adults through coordinated community partnerships and initiatives that support and educate members in the community.


Reduce preventable hospitalizations, placements, and other negative consumer outcomes

With only 10 case managers and over 1,000 older adults in need of active attention Clearfield County Area Agency on Aging was looking to find a solution for analytics and increased communication. Prioritization of cases was difficult and case managers were spending too much time trying to keep track of each consumer.

Increase communication internally and with outside partners

Clearfield County Area Agency on Aging’s quality of service depends on solid communication and coordination with their multiple contracted service partners. To provide the level of transparency and oversight that keeps their team engaged requires a communication solution that works on any device in real time. Clearfield County Area Agency on Aging’s staff and partners keep each other up to date as patient conditions change.

Assuring secure communications of confidential documents and information

Clearfield County Area Agency on Aging’s case managers are highly trusted partners to their consumers. They need to have the ability to share sensitive information with other team members to assure seamless service and continuity of care. The ability to easily and securely share documentation, care plans, and other information is critical to the quality service they provide.
“ is providing us with data to support our funding requests and to identify those at greatest risk.” – Kathy, CEO


Manage Consumer Risk in Real Time

With the implementation of, Clearfield County Area Agency on Aging is better equipped at pinpointing older adults most in need of service through data driven solutions. The consumer journey map tracks the history of each individual adult and the services and care they have received. Plus, real time acuity scores are built from custom acuity scores from evidence-based assessments. This allows the agency to better manage intensive caseload and develop person-centered interventions.

Consumer-Centered Messaging + Patient Family Communication

Rather than sorting through streams of 1-1 silo messages (phone calls, texts, emails, etc.), provides easy to access patient centered messaging channels. Now instead of sending or making 5 communication attempts with 5 different media, the entire team communicates with timely information in the context of each consumer. Each consumer’s collaborating team can coordinate in real time. Separate patient family channels keep family members in different geographic locations on the same page.

Easy Texting and More –Practical Sharing

Clearfield County Area Agency on Aging’s staff and partners back each other up to assure that consumers always have the support they need. gives them the ability to share care plans, provide necessary updates and share photos securely without using any phone storage. Everything is securely saved in the cloud in organized channels.

Affordable, Responsive and Easy to Work With

Clearfield County Area Agency on Aging needed a solution that fit their service model so they can meet the challenges of managing numerous older adults. has been responsive to their needs to support their business goals by developing new features such as real time acuity scores and risk stratification flags.

Improved Reporting on Outcome Measures’s flag reporting enhances data collection. This allows Clearfield County Area Agency on Aging to capture SDOH factors and clearly demonstrate the efficiency and quality of services their network provides to older adults in their community. also provides reports that track partner performance level, effectively keeping all partners accountable.
“We have better access to consumer experience data and are able to manage our team more proactively.” – Ethen, COO


Saved Time

Better client information sharing improves communication and enables continuity of care.

Teams on The Same Page

The right team members and contracted service partners are now included in every communication. This improves collaboration and oversight among teams.

Ability to Identify Risk

Insightful analytics that highlight risks for interventions that support maximum independence. Presents Unique Person-Centered Solution for AAAs at the N4A Conference (Virtually from July 19-22, 2021) is supporting virtual gathering of leading Area Agencies on Aging by providing person centered secure texting along with real-time acuity scoring tools

#HCBC #careteamcommunication #notforprofitexcellence #healthyaging

The Annual Conference and Tradeshow of the National Association of Area Agencies on Aging is the USA’s biggest event and gathering of local leaders in aging services. Every year, the n4a Annual Conference and Tradeshow brings together local professionals, government experts, business leaders, policymakers with other Aging Network practitioners so that they can share their expertise, knowledge, and new inventions or directions in the field of aging. The agencies have various funding sources and are #notforprofitexcellence.

This year, the n4a Conference and Tradeshow will be held virtually to provide peer-to-peer learning, insight into federal policy and national trends that affect local communities. The Conference will offer different formats to discuss innovative approaches, hot topics, and current issues in aging including development opportunities.

A little Background on “Aging” in the USA

By 2030, it is expected that more than 70 million Americans will be 65 and older. 90% of the adults 65 and older hope to stay in their homes as long as they can and experience #healthyaging. However, this also means that these aging people will require some level of service and support to live safely and successfully in their homes and communities. facilitates effective team communication in Healthcare

The Older Americans Act (OAA) was created in 1965 for those aged 60 and older with the mission to assist older adults in different facets such as income, healthcare, housing and more so that they can retire and live their remaining days in health, honor and dignity. Currently, there are 622 Area Agencies on Agency (AAA) in the USA assisting older people to fulfill OAA’s mission. The AAAs play a key role in planning, developing, coordinating, and delivering a wide range of long-term services and support to elder consumers under their areas.

Challenges in Healthcare Faced by the Aging Community and AAAs

The COVID-19 pandemic dramatically affected the lives of older people and how they live in their communities. Since their movements were naturally restricted, they needed in-home assistance more than ever. AAA in the USA saw a 70% rise in support and services required by their existing clients in areas of healthcare, nutrition, and referral/assistance. Due to COVID-19, AAAs have been adapting some programs to an online format including caregiver programs, evidence-based health and wellness classes, general wellness programming.

AAAs are also facing challenges and need technological solutions to provide direct assistance on telehealth to clients and to have agency staff work remotely longer-term. can help in these areas and for #carecoordination.

“ assists Area Agencies on Aging in reaching consumers with person centered communication. Plus,with real time acuity scoring built in, AAAs deliver efficient and effective care,” said Founder and Chairman Asif Khan. is participating in the Conference and rolling out its AAA services to achieve OAA’s mission and to help AAA adapt to their changing environment with its unique capabilities that are built to address the very issues faced by AAAs. With an easy to use, HIPAA compliant text messaging application, can be used by AAA to:

Manage Consumer Risk in Real-time. can highlight risks for interventions that support maximum independence. With the real-time acuity score feature, AAA can standardize separate assessment scores allowing them to better manage intensive caseload. Collaborators can also highlight older adults at greater risk and prioritize them through risk stratification. The availability of consumer journey maps means that AAA can track the history of each adult patient and the services/care they have received.

Improve Transparency and Oversight Among Teams and Partners provides network performance visibility to improve the quality and efficiency of the service delivery network. There is greater accountability of results with partner reporting and reduced communication errors. The real-time messaging capability ensures that delays in #careteamcommunication are reduced. AAAs can create better and stronger connections with skilled nursing and hospital teams by allowing them to plan, schedule and share relevant documents in real-time.

Increase Supporting Staff Satisfaction Virtually and Reduce Employee Turnover provides easy communication and recognition for staff, partner employees and volunteers. All communication is centralized and teams can gain visibility with the app’s “Honor Points” feature that allows for recognition and appreciation of staff members who manage a greater load of challenging cases. is an efficient and effective messaging communication app that reduces the reliability on phone answering services, phone tag and missed connections. These help the staff feel more involved at the right time.

Extend Consumer-Centered Reach with Tech-enabled Services can increase access to services remotely. Providers and facility staff can tag each other and receive timely notifications. A patient’s family member can also be added in separate conversations, keeping them updated about the care progress for ease of mind. alone can replace 5 traditional silo communication tools like fax, emails, text, phone, voicemail, making it super easy for staff members, patients, and family members to come together in one platform to achieve better patient outcomes.

To read more details about’s services for AAA, click here.

The National Association of Area Agencies on Aging (n4a) is a 501(c)(3) membership association representing America’s national network of 622 Area Agencies on Aging (AAAs) and providing a voice in the nation’s capital for the more than 250 Title VI Native American aging programs.

Whether it is helping Washington set priorities, building the capacity of our members, raising the visibility of AAAs and Title VI programs nationwide, offering training and educational events, or working to drive excellence in the fields of Information & Referral/Assistance, transportation, livable communities and volunteerism, n4a is dedicated to supporting the success of its members.

About’s mobile/web apps allow for easy messaging among teams within an organization, with outside organizations, and with consumers & families (via a separate messaging mode) – all in person centered context. is affordable, requires NO IT staff, launches in minutes, and provides deep care coordination analytics.

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