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Updated: AUG 5, 2019

Nolcox Scholarship   Community Based Health Home   Go to CAADS

The Alliance for Leadership and Education (A.L.E.) is a 501(c) 3 corporation governed by a seven member Board of Directors.

Its mission is to "advance innovation and quality in adult day services through research and analysis, training, policy development and leadership for the benefit of consumers and their caregivers."

The ALE also provides guidance and information about adult day services to the public and policy-makers through its partnership with the California Association for Adult Day Services (CAADS).

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Congratulations to the 2019 Nolcox Scholarship Recipient!

Humboldt Senior Resource Center


Nina Nolcox
Nina M. Nolcox, RN, PHN
1965 - 2014
CAADS President
2012 - 2014

The purpose of this year’s Nina M. Nolcox Nursing Scholarship is to award a qualified nurse, employed by a CAADS member, a paid registration to attend the CAADS 2019 Spring Conference and Membership Meeting, April 29 - May 1, at the DoubleTree Berkeley Marina in Berkeley, CA and a stipend of $750 to cover related expenses. Nina Nolcox was a visionary in public health nursing and devoted her passion and skills to serving low income adults with chronic health conditions.

To honor the legacy of Nina M. Nolcox, RN, PHN, ideal applicants will:

  • Exemplify nursing leadership
  • Display a passion for service
  • Demonstrate a commitment to enhancing quality care for participants
  • Promote innovative nursing practices in the adult day setting

To be considered eligible you must be:

  1. A Licensed Nurse in good standing with applicable Nursing Board.

    Licensed by California Board of Vocational Nursing and Psychiatric Technicians

    Licensed by California Board of Registered Nursing

  2. Be employed by and currently working at an Adult Day Services center in membership and in good standing with CAADS.
    Contracted (outsourced) nurses are ineligible to apply.

  3. Past recipients of the Nina M. Nolcox Scholarship are ineligible to apply.

To apply, please complete the Scholarship Application Form -- Fill-In or Write-On -- and submit it by 5:00 PM March 22, 2019.

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CBHH logo


An Introduction

The California-based Alliance for Leadership and Education has designed and successfully tested the Community Based Health Home (CBHH), the first model in the nation to advance the Triple Aim by allying national health home standards with the multi-faceted Adult Day Health Care (ADHC) / Community Based Adult Services (CBAS) team-based service platform. In partnership with the primary physician, the CBHH model comprehensively strengthens effective care and support for vulnerable, chronically ill adults by intensifying ADHC's "hightouch" nursing care coordination and in-depth assessment of needs, as well as the addition of transitional care support, patient activation, and education to advance health literacy. MORE

Early Outcomes

The Community Based Health Home early outcomes are summarized in a PowerPoint presentation, with a focus on:

  • CBHH Patient Profile
  • Top 8 CBHH Patient Conditions
  • Key CBHH System Outcomes Results

Evaluation Underway in 2018

Dr. Sadarangani, Assistant Professor/Faculty Fellow in the NYU Rory Meyers College of Nursing, will conduct a mixed-methods evaluation of the Community Based Health Home (CBHH) Project in 2018. This evaluation will entail a quantitative analysis of participants' descriptive data; clinical assessments over time; and health care utilization. Dr. Sadarangani will also execute a qualitative research study assessing the experiences of older adults, their caregivers, and their healthcare providers – all of whom participate(d) in the CBHH project.

Project Goals

The purpose of this project is to evaluate the experiences of individuals who participate(d) in the Community Based Health Home Project to isolate components that were highly effective and contributed significantly to positive health outcomes. This project will also serve to highlight any inefficiencies in this model which will contribute to targeted improvements.

At the conclusion of the study Dr. Sadarangani will:

  • Provide ALE with a summary and analysis of interviews and disseminate to stakeholders as a brief report.
  • Prepare a minimum of one manuscript for publication in an academic journal.
  • Co-present findings at a national conference.

Dr. Sadarangani’s research interest is exploring barriers to health access and community-based services for elderly immigrants. Her work has received significant funding from the National Hartford Centers for Gerontological Nursing Excellence and the Hillman Family Foundation. She was recognized as a Patricia G. Archbold Scholar by the National Hartford Centers for Gerontological Nursing Excellence from 2014-2016 and received $100,000 in funding. She is currently a Fellow of the Hartford Institute of Geriatric Nursing at NYU. Dr. Sadarangani is also a board-certified adult/gerontological primary care nurse practitioner (NP) with experience in both primary care and specialty settings.

In addition to her PhD from NYU Meyers, she holds an MS in Nursing from the University of Pennsylvania, a BS in Nursing from NYU, and a BA in Anthropology from Georgetown University.


A.L.E. Logo
ALE is excited to share with you two just published research articles that examine the outcomes from ALE’s Community Based Health Home (CBHH) Project

AUG 2, 2019 | Alliance for Leadership and Education | Annoucement

This project began in 2012 with a generous grant from the SCAN Health Plan Community Giving Foundation and furthered advanced with funding from the Thomas J. Long Foundation. As California progressed toward early adoption of the Affordable Care Act health home option, ALE proactively created the first in the nation CBHH model built upon the interdisciplinary adult day health care (ADHC) program

  1. Racial Disparities in Nutritional Risk among Community-Dwelling Older Adults in Adult Day Health Care - Tina R. Sadarangani, Lydia Missaelides, Gary Yu, Chau Trinh-Shevrin & Abraham Brody, Journal of Nutrition in Gerontology and Geriatrics.

  2. A Mixed-Methods Evaluation of a Nurse-Led Community-Based Health Home for Ethnically Diverse Older Adults With Multimorbidity in the Adult Day Health Setting - Policy, Politics, & Nursing Practice by Sadarangani, T., Missaelides, L., Eilertsen, E., Jaganathan, H., & Wu, B. (2019)
Congratulations to Tina and Lydia, excellent work!


Community Based Health Home in the News!

Garden Grove nurses' house calls program helps seniors prolong independence
SEPT 6, 2016
Orange County Register
Lauren M. Whaley / Center for Health Reporting
Nurse navigator | Acacia Adult Day Services center | Medicare and Medicaid | Community Based Health Home | California Association for Adult Day Services | Medi-Cal | Alliance for Leadership and Education | SCAN Health Plan Community Giving | Health Homes for Patients with Complex Needs | Department of Health Care Services

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Grant Supported Projects

Thomas J. Long Foundation
Community Based Health Home nurse with patient


JAN 2015 (36 months) || $750,000

To replicate and advance the pioneering concepts of the Community Based Health Home (CBHH) as an emerging model for stabilizing health and psychosocial risk factors for older adults served in adult day health care settings whose complex conditions are exceptionally challenging.

SCAN Health Plan Community Giving
Community Based Health Home Project site logos


JAN 2013 (36 months) || $2,000,000

To create a Community Based Adult Services Health Home by building on the unique bio-psycho-social CBAS service platform by adding a specially trained skilled nurse to serve as health navigator for the neediest of the elderly dual eligibles served in CBAS centers in order to keep them aging in place in the community and out of more costly institutional settings.

The California Wellness Foundation
California Wellness Foundation logo


JUN 2011 (36 months) || $100,000
JUN 2008 (36 months) || $150,000

Adult Day Services programs will improve their community capacity to serve underserved low-income populations by increasing the awareness of the program model as a necessary component of community-based long term care within health care reform activities and policies.

The California Community Foundation TOPS logo


AUG 2011 (24 months) || $90,000

To maintain and promote the growth of the TOPS system initiated as part of the California Community Foundation's Adult Day Care--Best Care Initiative to strengthen the capacity of licensed Adult Day Services providers to assess program effectiveness and measure client outcomes in order to:

(1) Make evidence-based decisions; (2) Improve program quality; (3) Streamline data gathering for reports; (4) Outreach to potential clients (marketing); (5) Attract funding from multiple sources; and (6) Conduct effective advocacy.


AUG 2009 (24 months) || $102,000

To develop and facilitate strategic opportuities for adult day services to play an appropriate role within new and emerging health care reform and long term care structures and systems.

Archstone Foundation
Archstone Foundation logo

ADULT DAY HEALTH CARE AT A CROSSROADS: Conversion to a Federal Medicaid Waiver Creates Both Opportunity and Risk

2005 (36 months) || $300,000
2004 (12 months) || $15,000

To use this conversion from an optional Medi-Cal benefit to a benefit under a federal Medicaid waiver, which carries great risk for disruption of services for beneficiaries, as an opportunity to create a collaborative redesign effort working with policy makers, CMS, state departments, providers, and other stakeholders. The desired result will be a planned and careful transition to a modernized ADHC program, operating under a federal waiver that will provide, for the first time in California, opportunities for research and policy development based on data and treatment outcomes.

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Alliance for Leadership and Education
1107 9th Street, Suite 701 || Sacramento, CA 95814-3610
T: (916) 552-7400 || F: (866) 725-3123



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