For most of his youth, Tommy Chan lived at the Chung Mei Boys Home in San Francisco. Dr. Charles Shephard, a Baptist minister, started the home for boys of Chinese heritage. Some were orphans, some abandoned; others were there because their parents could no longer care for them.
Tommy was born in April 1920 in Fresno, the youngest of eight kids. His family moved to San Francisco when he was seven years old. When he was nine years old, he moved into the Boys Home and left when he was 18.
When his merchant father passed, the family went back to China. After two years, they returned to San Francisco. Tommy enrolled at Galileo High School and loved taking woodwork classes. As an adult, he loved doing carpentry projects. He left school before graduation to help two of his brothers run a butcher shop in Sacramento. He subsequently earned his GED.
One day, he met Sandra Fong at the Pagoda Café. Sandra had come to the U.S. as a young child. Her parents owned a poultry business, Sheu Fong Company, at 422 I Street. She was already engaged to a sailor, so Tommy didn’t pursue her.
Tommy went into the U.S. Army after WWII started. He completed basic training in Texas and was assigned to the 39th Combat Engineer Battalion. He worked with land mines and anti-tank retreats. He traveled to the Mediterranean with his unit. In recognition of his service, Tommy was awarded the Congressional Gold Medal in 2021.
Tommy returned to Sacramento after the war ended. He heard that Sandra was no longer engaged but learned she had another suitor. Undeterred, he pursued and eventually won her affection. They married in 1949, officiated by his mentor, Dr. Shephard. Tommy and Sandra had three daughters, Carolyn, Gale, and Donna. Settling in Greenhaven, Tommy worked in local grocery stores.
For over 30 years, Tommy and Sandra volunteered for ACC. He and Sandra were part of the first set of volunteers running bingo games. Tommy photographed all the fundraising activities, including all of the crab feeds and special events. His photographs are invaluable in documenting the history of ACC. The couple also volunteered for other community organizations like My Sister’s House.
Tommy feels he’s fortunate to be living so long. He’s grateful to be surrounded by his family and attentive caregivers. During our visit, he told me his favorite food is chocolate. He was all smiles when his lunch was served – it included a large slice of chocolate cake.
This past April, Hien Thi Nguyen celebrated her 100th birthday with family and the staff of the ACC Care Center. Affectionately called Grandma Hien, she is a prime example of the perseverance of the human spirit. Born in Hanoi in April 1923, her life journey has been filled with challenges and heartache. With the love and support of family, she has persevered through it all.
Hien was working in a clothing factory when she met Nguyen, the love of her life. They married in 1941. Their early years together were a happy time; they spent many hours nurturing their rose garden. To this day, red roses are still her favorite flower.
Then the Great Vietnamese Famine of 1944-1945 occurred. Nguyen would leave home for weeks in search of work and food. Home alone, Hien found solace in caring for neighborhood children while their parents sought work. Having lost twin daughters early in her marriage, Hien treated these children as if they were her own. She was an early recycler, sewing pillows and blankets for the children from old clothing.
Tragically, her husband died in 1950. She and her two sisters sought refuge in South Vietnam. Hien and her older sister, Thom, found work in a local restaurant bar. In 1970, Hien adopted Ngoc, a two-year-old girl. Ngoc’s parents were an American soldier and a Vietnamese woman. In 1975, she adopted her niece’s son, Trung Chau, who suffered from cerebral palsy and mental deficiencies.
Thom and her family left Vietnam in 1984 and eventually settled in South Sacramento. In 1990, Hien was 67 years old when she and her two children arrived in California. The family settled in a neighborhood not far from other members of Thom’s family.
After settling into life in the U.S., daughter Ngoc Nguyen went to beauty school and opened a nail salon. At age 91, the family realized Hien was unable to live alone. Ngoc sold her business and became a full-time caregiver for Hien.
Grandma Hien has been a resident at the ACC Care Center for the past four years. The family is grateful for the compassionate staff and quality of care given to her. Grandma Hien enjoys the social activities offered, pet therapy, and outings with her family.
Having unconditional love and support of her family has been a constant pillar of strength that has carried Grandma Hien through her 100-year life journey. In recognition of this achievement, City Councilmember Rick Jennings presented her with a very special birthday gift – a key to the city.
Virginia Gee has had 100 years of experience perfecting her culinary skills, which her family says she is known for. From Sacramento to Marysville and points in between, she has fed comfort Chinese food and homemade herbal soups to her family and friends.
She spent the first 18 years of her life in Sacramento. The oldest of nine children born to Chinese immigrants, she attended Lincoln Elementary and graduated from Sacramento High School. Her family lived in Land Park, not far from the former Jumbo Market that was located on South Land Park Drive. Her family was among the first Asians to own a home in this neighborhood. Her mother, Wong Shee Fong, was a housewife; her father, Fred Fong, co-owned a barbershop in Old Sacramento with his cousin.
Shortly after graduating from high school, relatives introduced her to Jack Gee. He was 28 years old and working at Yuba Grocery with his cousin. The couple married and she moved to Marysville to start her own family. They had six children: Carolyn, Beverly, Christine, Cynthia, Wendall, and Roddy.
Their first home was in downtown Marysville. When the home got too small for their growing family, they moved to a larger home in East Marysville, near Ellis Lake. Virginia devoted her life to raising her children, making homemade herbal soups that was always a mainstay on the dinner table. “She’d make sure we drank some right before we went to bed,” says daughter, Beverly Chan. “She believed that the medicinal properties would be better absorbed in our bodies while we slept.”
Meanwhile, Jack and his cousin opened another grocery store called Yuba Market. After Jack passed away in 1973, Virginia went to work at the Del Monte Peach Cannery. It was a seasonal job, but she loved it. She enjoyed socializing with the other workers. When she wasn’t at the cannery, Virginia filled her days gardening, making blankets, and cooking for everyone. Roddy says her fried rice was famous. She lovingly labored over the annual Chinese New Year meal. She didn’t play mahjong, but she regularly cooked for her friends that did play. Beverly recalls drinking “brown soup” every winter. The soup involved simmering deer hooves for hours in herbal soup broth.
In 2013, Virginia moved back to Sacramento and into Greenhaven Terrace, where her brother, Kui Fong, was living. For the past seven years, she’s lived with Roddy and enjoys visits from her extended family that now includes five grandchildren and seven great-grandchildren.
In March, Teruko Ono celebrated her 100th birthday at ACC with her mahjong friends. Born on March 9, 1923, in the city of Kyoto, Japan, Teruko grew up in a nice house with her parents, sister, and brother. She was the oldest of the three children. Her father, Kinoshuke Yamanaka, owned a lumber company. When World War II broke out, he sold his inventory and built rental homes.
Teruko met her future husband, Akira Ono, when he was a student at Kyoto University and she was a student at the Singer Sewing School, training to become a seamstress. Akira played the violin in the Kyoto University Symphony. One day, Teruko and a friend went to see one of the University Symphony concerts. After the performance, Akira and his orchestra friends met them in the audience and invited them to coffee.
Teruko and Akira got married in 1946. These were tumultuous years in post-war Japan. While Akira worked as a government interpreter, Teruko stayed home to raise their kids. In 1950, Akira became a Buddhist minister. For Teruko, becoming a minister’s wife marked the beginning of a life of public service and doing things for others quietly behind the scenes.
Her daughter, Junko Egi, recalls Teruko’s kindness and attentiveness throughout her childhood. “She made all of my clothes, and they were beautiful. I took piano lessons, and my mom would always listen to me play. Before each recital, she sewed me a new outfit.”
Junko also recalls a day in kindergarten when her teacher asked her to draw a sun. “I had no idea what to do, so mom took me outside and very patiently showed me how by first drawing a circle. I will never forget that day.”
Teruko was not only gifted in drawing but also in pastel painting, knitting, and crocheting. She loved Japanese food and was an excellent cook. With her formal training in dressmaking, she made dresses and kimonos for her family and friends. For ten years, she also studied the Japanese tea ceremony and taught it in Portland, Oregon, years later. Junko says her mom is very organized and proper, traits that she probably picked up from her training in the tea ceremony, which was performed for noble people and the Emperor of Japan.
In 1956, Akira was assigned a ministerial position in Fresno, and the family immigrated to the U.S. Because of his multiple assignments, they moved around a lot. Next, it was Odgen, Utah, then Lodi, Monterey, and Portland. By then, Teruko had taken up teaching the tea ceremony, opening up a school to teach this ceremonial art form. She had more than 30 students.
Teruko says that being 100 years old “feels like a dream.” She attributes her long life to what she eats, which is mostly fish, chicken, and rice. She has also stayed mentally and socially active by playing mahjong at ACC three days a week. Junko is always by her side.
Life in Hawaii in the 1930s was drastically different than it is today. Back then, Hawaii was a U.S. territory, not an official state. Visitors arrived by cruise ship, docking in Honolulu Harbor, not far from where Barbara Lee grew up. She was born in Honolulu in September 1923. Her father, Lee Ah Fey, was from Hawaii; her mother, Chew Shee, from China. She was the second of three girls.
The family home was in a small lane off Fort Street, now a main artery running through downtown Honolulu and Chinatown. The home no longer stands; it was torn down and replaced by commercial buildings when the area was redeveloped during the 1950s.
Chinatown was a thriving neighborhood when Barbara was growing up. As a child, she did all the grocery shopping. Every day, she’d leave home in the early morning hours – while her sisters were still sleeping! She’d purchase fresh produce, poultry, and fish from the outdoor open-air markets.
Barbara attended Central Intermediate School and McKinley High School, two of the oldest public schools on Oahu. She graduated from McKinley in June 1941.
During her daily morning grocery run, she recalls seeing many planes in the sky on Dec 7, 1941. She learned later that the Japanese staged a surprise strike on Hawaii. Barbara’s life changed after the bombing of Pearl Harbor.
Upon graduation, Barbara got a job at the Pearl Harbor Navy Yard. It was during this time that she met her future husband, Nom Sing Lau (Bill). Born in China, he had immigrated to the U.S. in 1938. During WWII, he enlisted in the U.S. Navy, serving as a Seabee from 1942 to 1945. He received the Bronze Star for his participation in the 1944 recapture of Guam.
After Bill was discharged, Barbara followed him to California. They were married in December 1946 and raised their three children, Yvonne, Johnston and Stanford, in South Sacramento. The extended family includes four grandchildren and five great-grandchildren.
“My mom’s baking was a highlight for us,” says Johnston. “She’d make German Chocolate Cake, Pig Pickin’ Cake, Krumkake cookies, and lots of other cookies. We enjoyed those much more than the Chinese medicinal soup we had to drink when we got sick!”
Barbara worked at Hale Brothers Dept. Store and later retired from the Franchise Tax Board. Besides baking, Barbara stayed busy making clothes on her Singer machine, crocheting doilies for every room in the home, and knitting afghan blankets for everyone.
Barbara’s life is quieter now. Family visits are a highlight, especially if you bring madeleines, her favorite cookies.
Annie Joe turned 100 on May 25, 2023. She lives at Maple Tree Village, where she continues to live a full life. She started working by helping in her parents’ Stockton market, then worked in a restaurant, next as a seamstress, and ultimately ended with a career in the field of electronics.
Her parents immigrated from China and became farmworkers, harvesting asparagus near Ryde, California. They ultimately scraped together enough money to open a Chinese market and restaurant in Stockton. The third oldest of eight children, Annie and her siblings all worked in their parent’s Chinese market, which sold poultry, rice, and other goods. In addition to going to school and helping in the store, she cooked for the family. Annie also accompanied her father on his rounds to deliver goods. Her job was to stay with the horse and wagon to ward off thieves!
She attended Lafayette School in Stockton and, as many Chinese children did, attended Chinese school in the evenings and Saturdays. According to her granddaughter Allison Joe, Annie married early, but her husband passed soon after. She moved to San Francisco, where Annie met her second husband, James (Jimmy) Joe. They had three children together, Dennis, Eric, and Spencer. The family later moved to Redwood City to help Annie’s sister Elsie run her restaurant, the Star Café. Jimmy passed away in the early 1980s. Annie continued to work at Litton Electronics until she retired in 1988.
Annie then moved to Sacramento, where she met Richard Gottlieb, her third husband. He has now passed. Annie’s three remaining siblings are Harry, Elaine, and Frank, and she has eight grandchildren.
In 2019, Annie appeared in a pilot web series called “Honest Abe: The Backstory,” which was partially filmed in the Delta town of Locke. She is seen in the show standing at the counter in a store, quietly counting jujubes while the action flies around her. The pilot never became a full series, but we can add “actress” to her list of accomplishments.
Annie has had many careers: store clerk, seamstress, cook, and assembly line worker. She shared that her long life must be “in the genes” as her father lived to be 102. But more importantly, she said the key to a long life is “don’t think about it; just live it and be nice to people.”
Her vision is diminishing, but her memory is crystal clear – especially when it comes to talking about the lush gardens she planted around her home. Perhaps being surrounded by beautiful foliage while he was growing up inspired her son, Donovan, to become a landscape architect. He’s designed many Sacramento residential landscapes.
Grace Fong was born in June 1924 in Sacramento, one of seven children. Dad worked for Southern Pacific, Mom at the local cannery. Grace’s one remaining 95-year-old sister lives in Kaneohe, Hawaii. They talk weekly.
She grew up among other Chinese families near 5th and P Streets. Grace recalls playing hide-n-seek and jump rope with her friends and playing team sports at the nearby YMCA.
She attended Lincoln Elementary and graduated from Sacramento High. Although Chinese was spoken at home, Grace also went to Chinese language school six days a week. Much to her mother’s chagrin, Grace only spoke limited Chinese with her children.
Grace was 22 when she met Walter Lee at the Chinese Gospel Mission. She liked him right away because he was thoughtful and a man of faith. Walter was from Walnut Grove and had 10 other siblings. He helped his brothers operate the U-Like Grocery store in Isleton.
Sacramento’s Westminster Presbyterian Church was the site of their October 1948 wedding. Walter found employment with the U.S. Postal Service; Grace worked for the State of California. They were married 55 years before he passed. They had two daughters, Daphne and Devonna, and two sons, Donovan and Duane. Grace has six grandchildren and four great-grandchildren.
Walter cooked most of the family meals, which followed a routine: every Sunday, there was Harvey’s burgers after church and a spaghetti dinner; steamed egg with cream of mushroom soup on Mondays; steamed pork on Tuesdays; sloppy joes on Wednesdays; flank steak on Thursdays; steak on Fridays; and on Saturdays, soy sauce chicken or striped bass. Walter was an avid photographer, chronicling Delta life and residents during the 1930-50s.
Grace’s passion was creating her home’s landscape. The produce garden was filled with Chinese vegetables – long beans, bitter melon, squash, and others, depending on the season. She alone tended to the immense landscape.
Grace hemmed the kids’ clothes on a sewing machine she bought from a neighbor who was sent to an internment camp. The family was very active with the Sacramento Chinese Baptist Church. She and Walter traveled extensively throughout Asia and Europe.
The secret to her long life? Maybe it’s her genes, her faith in God, or the gardens she lovingly created and nurtured. I think it’s a combination of all three.
On July 31, 2023, ACC’s Board of Directors approved the closeout of the 2013 ACC Capital Campaign. We thank all our supporters for donating to this campaign, which enabled ACC to enjoy unprecedented growth during the past ten years.
A total of 127 individuals made pledges, and another 200 individuals made ad hoc donations to the Capital Campaign. The total raised was $2,251,656.
The ACC Capital Campaign was launched in 2013 to accomplish these goals:
Supplement $1.5 million in reserves to fund the conversion of existing apartments in Greenhaven Terrace to 24 assisted living units, which opened in April 2014.
Help secure $4.3 million in financing for the co-location and renovation of the ACC Programs and ACC Administration office, which opened in January 2015 at 7335 Park City Drive.
Renovate ACC Care Center to ensure ongoing compliance with building regulations and increase resident safety, privacy, and quality of care. This was originally planned to start in 2020. The estimated cost was $10 million, but the COVID-19 pandemic and subsequent building issues have delayed movement on the envisioned larger project.
Help secure funding for the construction of ACC Maple Tree Village, which opened in January 2020.
The Capital Campaign did more than raise money for these infrastructure projects and strengthen our balance sheet. It signaled ACC’s commitment to the community and spurred our growth. It also led to increased overall charitable giving, more volunteerism, and the development of many community partnerships that make use of the facilities funded by the Capital Campaign proceeds.
The ACC Senior Services Board of Directors thanks the donors and the dozens of Board members, volunteers and staff who worked diligently on the ACC Capital Campaign and whose efforts enabled the provision of programs and services that our seniors and their caregivers enjoy today.
If you made a pledge to the 2013 Capital Campaign, you may request a statement of your gift history by calling ACC Donor Services at 916-394-6399.
It started with his first plunge into the pool at Heart Mountain Internment Camp. Well, if you can call it a pool. “A giant pit near the irrigation canal became the camp swimming pool. I learned to swim there,” recalls 91-year-old Tak Iseri. “In the winter, the pool became an ice-skating rink.” After leaving camp in 1945, Tak would make swimming a lifelong passion.
Tak and wife Kathy moved into ACC Greenhaven Terrace last year. Tak’s swimming accomplishments as a young teen are highlighted in a newly released book entitled Victory in the Pool, authored by Bill George. Coach Sherm Chavoor and his swimmers are the subject of the book.
Sherm is best known for leading swimmers Debbie Meyer, Mark Spitz and others to Olympic glory. In the late 1960s, the Olympians put Sacramento and the Arden Hills Swim Club on the “swimming map.” Tak was one of the first successful swimmers Sherm coached.
In 1942, President Franklin D. Roosevelt issued Executive Order 9066 authorizing the forced evacuation of over 100,000 men, women, and children of Japanese ancestry. Tak was 10 years old when he and his father were sent to Tule Lake. Tak said, “Dad had to close his flower shop and my friends from ‘Japanese Alley’ were gone. It was my first time to ride a train. I thought I was going on a vacation.”
For the next three years, they lived at Tule Lake, then at Heart Mountain in Wyoming, where he fell in love with the camp pool. After the camps closed, his family returned to Sacramento. Japantown wasn’t the same. The flower shop his father, Kaizo Iseri, once owned, had burned down. He had been one of the founding members of the Buddhist Betsuin Church. Church members helped each other find housing and jobs. To support his son, Kaizo took a job as a gardener.
In 1946, Tak was attending Cal Junior High and heard that the Sacramento YMCA was offering swim lessons. He rode his bike to the Y at 5th and J streets. Most of the swimmers were young kids of color. Excluded by law and custom from private clubs, minorities joined the Y to play basketball and learn to swim. Tak said it was the only pool Asians could swim in.
Sherm was a schoolteacher but had a second job as recreational director at the YMCA. He refereed basketball games, coached boxing, and supervised swimming. Sherm noticed Tak wasn’t in the pool to just horse around – he liked to swim fast. He took Tak and a few others under his wing, preparing them to race.
Tak said, “Sherm worked me hard during training, but I respected him.” Tak followed the two-hour swimming regimen, six days a week. “I developed confidence in myself. Sherm even helped me get a job as a lifeguard at Mather Field. He was like a big brother to me.”
When Tak entered McClatchy High School, there wasn’t a swim team. So, he swam competitively for the Sacramento YMCA. “We swam against everyone, even city college teams. Sherm even drove us down to So Cal to compete,” he said. Tak was soon posting record-breaking race times. He set a record of 1:20.2s in the 100-meter breaststroke at the Far Western Amateur Athletic Union swimming meet in San Francisco. He was only 15 years old. Swim teams were impressed with Tak’s strong kick movements. The San Francisco Examiner sports section had a photo of his winning race.
By 1949, Tak was nationally ranked. At the Far West AAU championship meet in Los Angeles, he bested his 100-meter breaststroke record, posting a time of 1:18.3s. The YMCA’s swim team won 17 of 18 dual meets. They won three Pacific Southwest YMCA titles and five state championships. A photo of the swim team was featured in the Sacramento Bee on July 5, 1949.
There was talk about Tak going to the 1952 Olympics, but Tak wasn’t so sure. He was only 5’7”, smaller than other competitive swimmers. He dreamt about swimming for the Golden Bears at UC Berkeley. He spent his initial college years on the UC Davis swim team, then transferred to Cal.
It was here that Tak mastered a new swim stroke called the butterfly. He was the Pacific Coast Conference champion in the 100-yard butterfly. In his senior year at Cal, just nine years after being released from Heart Mountain, Tak was elected co-captain of the UC team. “It’s one of the highest honors of my life,” he says.
Tak studied pharmacy at Cal and often rode the bus home from Berkeley. One day, he met a fellow rider, Kathy Osaki. Kathy told me she actually hatched a plan to meet Tak. “I knew he was this famous swimmer on campus. I saved the seat next to me so no one else would sit there. When Tak got on the bus, I told him he could sit there.” As they say, the rest is history.
Tak became a pharmacist, married Kathy and raised a family of three boys. This year, they’ll celebrate 65 years of marriage. The entire family loves sports. Kathy ran her first marathon at age 50. Since then, she’s run seven marathons and several Eppie’s Great Races. She’s been a performing member of the Sacramento Taiko Dan and a hula troupe which performs at ACC and other venues.
When he wasn’t swimming competitively for the Sacramento Masters Swim Club, Tak ran marathons with Kathy and did alpine ski racing. Until a few years ago, they traveled all over the country for swim meets. He even competed in the Canadian Nationals. He still holds individual All-American records for the 100-meter Breaststroke (60-64 age group).
Like Tak, their sons took swim lessons at the YMCA. Howard is a triathlon athlete. Ron is an extreme cyclist, participating in the Death Valley Century and other long distance races. Andy does alternative sports such as off-road skateboarding.
Andy said, “We were pleasantly surprised to see that dad was included in Bill George’s book. We’re proud of our father and all his accomplishments. Our parents have been good role models for us.”
Tak’s competitive swimming days are over. There is an outdoor pool at ACC Greenhaven Terrace, but he hasn’t gone in. Now he does light workouts in the community gym.
Tak’s story is one of overcoming incredible odds. Through hard work and sheer determination, he achieved success in the pool and in life.
Bill George has conducted several book signings at local libraries. Tak and some Olympic swimmers have attended. Bill is scheduled to hold a book talk at ACC on August 29. To register, go to accsv.org/classes. You can find Victory in the Pool on Amazon, Barnes and Noble, and as an e-book at the Sacramento Public Library.
In 2016, Donna Fontenot left her job as a social worker after 21 years. “I had post-traumatic stress disorder,” she says. “I lost so much; I had to heal when I got to Sacramento.” In 2017, she came to the SCSEP program at ACC to retrain for another career.
Judy Fong’s husband Gary passed away a couple of years ago, and it was an adjustment. She had been his caregiver for years and had lived her life for him. Now she had lost her companion, her confidant, and being single changed the way she interacted with others. Judy stayed home, feeling sad and alone. ACC Rides and ACC’s Lifelong Learning and Wellness helped Judy get back on her feet.
Donna and Judy are fortunate. They knew intuitively that their social and economic well-being had a huge impact on their physical and mental health. It’s also what healthcare providers know, but too often they have little control over what happens to their patients outside of their office.
Many studies have shown that up to 80% of a person’s health outcomes is attributed to social, economic and environmental factors while only 20% is attributed to clinical medical care. These non-medical factors are known as Social Determinants of Health (SDOH). They include transportation, food, housing, income, social support, and education. Often, they overlap or interact to influence a person’s health status: the number of bus transfers a person needs to take to buy groceries, fill a prescription, or get to their doctor’s office. Do they have enough money to pay for food, heating, air conditioning, or pest control? If they are a sole caregiver for someone, the problem gets worse.
Judy understands the interplay of these kinds of non-medical conditions, and the effect they have on a person’s well-being, too. She took care of her husband who was on dialysis and he later had a heart attack. During this ordeal, “ACC was a lifesaver.” Judy used ACC Rides five times a week to get Gary to dialysis and other appointments. It was so much easier than using Paratransit, which required long waits; and it was much more affordable than calling Lyft. But most importantly, the drivers were nice and caring and became trusted friends. Talking to to the drivers became the highlight of their day. “When you’re sick, not too many people come around. They don’t know what to say or they feel uncomfortable,” says Judy. Socializing with the drivers gave Gary and Judy a strong feeling of support. Today, Judy visits ACC two times a week, sometimes more. Friday Bingo is her favorite activity and she has made a new group of friends. “I learned that I could stay at home and look at the four walls, or I can go out and do something, learn something,” she says.
Donna Fontenot, like so many other SCSEP job-seekers, credits ACC with helping her achieve economic stability. She now works for the Department of Public Health and is a certified life coach on the side. “At ACC, not only me, but all the other seniors who came through SCSEP sharpened their skills and became better at who they are.”
In recent years, the Centers for Medicare and Medicaid Services (CMS) has recognized the power of SDOH in improving people’s health status, reducing health disparities in vulnerable populations, and lowering overall costs for all. New policies that cover non-medical interventions like transportation, home-delivered meals, health and fitness classes, housing access, employment supports, and activities that improve social support represent the gradual shift CMS is making from a fee-for-service model that rewards the quantity of medical services delivered, towards value-based care that makes health plans and providers accountable for better health outcomes. In other words, CMS is now encouraging health plans and providers to treat and hopefully prevent diseases by tackling SDOH like poverty and loneliness. Ultimately, that will save money and have the greatest impact on the health of our communities.
Meals on Wheels by ACC (MOW) has been doing this for years. MOW serves more than 2,000 meals a day to underserved people in Sacramento County and provides a lifeline to nutrition and social interaction. MOW delivery drivers, many of them volunteers, form lasting friendships with their participants and get them extra resources and help when needed.
“The evidence is clear: social determinants of health, such as access to stable housing or gainful employment, may not be strictly medical, but they nevertheless have a profound impact on people’s well-being,” says past CMS Administrator Seema Verma in a CMS press release. “Patients are more than a bundle of medical diagnoses, and it’s time our healthcare system treated them as such.”
Fostering health and a better quality of life by looking at the whole person, not just their medical diagnoses, but their socio-economic, environmental, and cultural make up, has been a part of ACC’s mission since our earliest days. Our Home and Community-Based programs like Rides Transportation, Senior Employment, Caregiver Support, and Lifelong Learning and Wellness are a testament to that belief.
ACC’s newest programs have a similar underlying logic and value system which targets SDOH. Over this next year, we will be providing mental health assessments and coaching for seniors, expanded opportunities for social engagement and care coordination to reduce isolation; and direct care worker training, career coaching and incentive programs to develop the workforce that helps older adults and their families through the aging process. All these services are designed to help people lead healthy, active and rewarding lives utilizing non-medical interventions.
As we continue this important work and grow our services, we hope to join forces with health plans and providers to marshal our resources in providing value-based care for older adults and their families. We have had some initial meetings with health plans in the Sacramento region which has resulted in a new partnership with Alignment Health. They are now sponsoring field trips for seniors using ACC Rides vehicles, staff and volunteers and capitalizing on the relationships we’ve built with seniors and their families over the years.
Judy Fong signed up for the first field trip to the California State Railroad Museum, and is looking forward to the next one. She encourages others to sign up too. “You gotta get out of the house,” she says, eyes shining as they crinkle into a smile, “because you always learn something!”