I'm Josh Dancy. I spent 20+ years on healthcare systems in the Air Force Medical Service and the VA. I now work with seniors and families in Tampa Bay and remotely on the practical work that keeps someone home: strength, food, fall risk, and the care team.
Based in
Tampa Bay, Florida
+ Remote consultations available
I spent more than 20 years on healthcare systems at the Air Force Medical Service and the VA. Families usually got a real plan only after a crisis. I started Senior Optimization to do the earlier work.
I have an M.S. in Geriatric Care Management from the University of Florida and a gerontology background from USF. What I actually do is sit with a family, look at movement, food, fall risk, and the current medicine list, and write a 30-day plan they can share.
I work with seniors and families in Tampa Bay and remotely.
Master of Science - Geriatric Care Management
University of Florida
Gerontology
University of South Florida
20+ Years Federal Healthcare Optimization (Air Force Medical Svc and VA)
Systems-level expertise in care delivery
Prevention-First Philosophy
Movement · Nutrition · Whole-health navigation
I work three areas at once: movement, food, and navigating the care team. Strength without protein does not hold. A care plan that ignores fall risk does not either.
If someone cannot stand from a chair or feels unsteady walking, independence is already at risk. I use a simple fall-risk review, strength and balance work, and I loop in physical therapy when that is the next step.
Protein at meals, fewer packaged snacks, hydration, and food a person will actually eat. I turn the usual nutrition lecture into a week they can keep.
Appointments, medication lists, and three doctors who do not talk to each other. I help the family keep one current picture and a short list of questions for the next visit.
“The point is not a longer decline. It is staying capable at home.”
Josh Dancy · Senior Optimization
Start with a free FallShield or Scorecard PDF. If you want a guided plan, the Foundation Assessment gives you a written 30-day packet you can share with family, a clinician, or a care team. Monthly Continuity keeps those reports coming.
One-time
A written plan for staying at home and staying capable. The first 30 days are spelled out. The next 90 days are one clear aim. You leave with a packet you can share.
Monthly
A monthly FallShield report and a short written update you can forward to family or helpers. Optional, after the first plan or after you have tried the free tools and want a regular check on fall risk.
Per session
Help with one situation or one decision. You leave with a short checklist.
Prefer to try a tool first? FallShield and the Scorecard are free.
Organizations: run FallShield under your nameI built FallShield for families and for the people who already visit the home. It takes under 5 minutes. You get a score and a branded report. No hardware.
Free to try • No account required for this demo
Score three core principles and five pillars in about 5 minutes. See your lowest-leverage area and download a printable plan for your next doctor visit.
Try the Scorecard, freeWhether you're in a moment of crisis, planning ahead, or just curious about what senior optimization looks like for your specific situation, reach out. There's no pressure, no pitch, just a conversation.
Location
Tampa Bay, Florida
In-person & remote available
Response time
Within 24 hours
Monday – Friday
No sales pressure. Every conversation starts with listening. I'll tell you honestly whether I can help, and if I can't, I'll point you to someone who can.