People living with >1 chronic disease often experience a diminished quality of life, and it is estimated that nearly 2 of every 3 Americans are living with multiple chronic conditions. Additionally, having multiple chronic conditions is associated with substantially increased health care costs. As a community, the ability to address and combat the rising cost of healthcare for older adults, particularly in Medicare dollars, stress and liability for first responders and health care providers, is increasingly important. Research suggest that implementing advance care planning can significantly reduce hospital patient days, patient admissions to the hospital from nursing facilities, and cost of care. By providing advance care planning resources and support, the HCSF Community Connection Program can potentially lead to cost savings of tax dollars and resources due to less unnecessary testing, care and services based on the implementation of one's care wishes during their end of life. Additionally, advance care planning can tremendously ease the stress and burden on the individual's loved ones ensuring that the wishes of the individuals are heard, documented and respected.

As more residents begin to age in place, are faced with declining health, and are experiencing the consequences of COVID-19, the need to link vulnerable residents to social services becomes crucial to improve the health and quality of life of Hialeah residents.