Successful Aging with Innovations in Technology and Housing.

Emphasizing personal autonomy and community support, this paper presents three independent housing models in which older adults may be empowered to age successfully at home and engage in self-care and shared community care with innovations in technologies, financing, and nurse care coordination. Cooperative communities, naturally occurring retirement communities, and virtual villages are described and mapped to the AARP "age friendly" Livability Index, stakeholders, and partners. Helpful neighborhood services are mapped to innovative technologies that will enable them. On-site nurse-led Wellness Hubs are proposed to bridge from self-care in the community to established health care systems. Medicare payment for remote care, care coordination, and transitional care, as well as home-based care for dementia, will support this evolution toward what matters most to the growing population of older Americans.