· web viewmassachusetts 2014 ruth palombo, phd senior health policy officer tufts health plan...
TRANSCRIPT
Healthy Aging Data Report
Massachusetts
2014
Ruth Palombo, PhD Senior Health Policy Officer Tufts Health Plan Foundation Watertown, MA
TUFTS mHealth Plan
FOUNDATION
www.mahealthyagingcollaborative.org
Defining Healthy Aging
FIGURE 1: INGREDIENTS OF HEALTHY AGING
Older adults wlll.,
H.AVEGOOD 01ETS
BE SOCIALLY ENGAGED
BE PHYSICALLY ACTIVE
Healthy eating
Close relationships
Cardio
Healthy drinking Social activities Strength
Civic involvement Balance
Work
LEAn MEANINIGFUL LIVES BE PROACTIVE ABOUr F'EELSAFE AND SECURE Valued activities HEAlTH In income
Spiritual satisfaction Understand and manage In housing
Handle loss and anxiety
their health conditions
Seek and reef ive support From \(10 le nee
Sense of pu rpose from others
and ...cornrnunltles will support older ad u Its to ach leve these goa Is.
Walter Leutz, PhD. Healthy Aging in the Commonwealth: Pathways to Life Long Wellness.
Presented at the 2013 Healthy Aging Forum. Newton, MA.
TUFTS mHealth Plan
FOUNDATION
Healthy Aging- Adapted from World Health
Organization Definition
Supportive communities are necessary to achieve healthy aging.
A multi-dimensional model that aligns with the World Health
Organizations definition of active aging
Supports activities that Optimize opportunities for health, participation and security in order to enhance quality of life as people age.
TUFTS mHealth Plan
FOUNDATION
Gains in human longevity (1900=47; 2010=79).
1 in 8 (13.3%) US population. 41.4 million Americans (2011);
A remarkable 8,000 adults per day turn 65!
Source: (The Administration on Aging, Profile of Older Americans: 2012)
TUFTS mHealth Plan
FOUNDATION
Massachusetts will steadily get older.
(HA,IRI'l: MASSA(HUSETTS PROJE(TED POPULATION DISTR.lBUTION BVAGE GR,QUP2010-2030
9,0%,
710%,
60%,
510%,
410%,
310%,
210%,
110%,
0%
21010 21015 .20210 .2025 2030
TUFTS mHealth Plan
FOUNDATION
.0-19 .20-39 040-64 065+
Source Data: U.S. Census Bureau, 2010 Census Summary File 1: UMass Donahue Institute Population Projections 2013
The tools are all available at mahealthyagingcollaborative.org
r~ MASSACHUSETTS
J HEALTHY AGING
... COLLABORATIVE
lUI
DATA REPORT PROGRAMS BROWSE TOPICS RESOURCES CONNECT
Tr About Calendar
BLOG
Contact Q
Forgot your password7
Create Account e
MA Healthy Aging Data Report
View the Healthy Aging
Community Profile to see how your community compares to the state averages for various indicators of healthy aging.
Learn More>
DATA REPORT BLOG CONNECT
HIGHLIGHTS REPORT DATA REPORT TUTORIAL MEET THE TEAM BEHIND THE MASSACHUSETTS
MEMBERS
COMMUHIlY
PROFILES lG 14
Explore a Watch this short video snapshot of tutorial to learn what's findings from inside the MA Healthy
th" MA Aaina n::lt::l R"n"rt ::Inn
HEALTHY AGING DATA REPORT
Read More>
I VISIT THE REDESIGNED HEALTHY LIVING CENTER
Become a member of the community.
J)
TUFTS m Health Plan
FOUNDATION
Newly released tools for Healthy Aging toolbox
Watertown (Middlesex)
WatE!oown ~5a town I ocatsd approximately 10 Imfies. WE!s.tof IBoston. H has. 4,702. re,sicle-nts
~ged 65 or older. Th~ walkscort9> indicatas that tl:"Jis.is a vy walt..able mmm uility (80/1100). Cornparad to stat~av~agf!s ohnflr rf!sidents. ofWahlrtolNn do OE!ik!J Oil many hwltll'l
fliging; indicators with IQW.9Jratas (If diabEltE!s., rnrom c obstructi~ pulmonary diS-tMse
(COPD).. hY)llE!rtellision, ccrnplats tooth loss, oot?Si"fiy. ;;mn: anlllJaU Part D rmonUnly
prescription madlcations . Health promotion behaviors include physical activity, colorectal cancer scracnlno, filJJ shot shinqlas vaccine, annual damal exam, satinqS or mere ssrvln gs. of fruit or vegetables- per day, and not smoking. Howe-ver. older residents of Watertown do
worsathan statsavsraqs with higher rates otdopeosston. isdlemic heart otseasa. txsestcanosr. and mpatlant hospital
reacmlsslons, Community resources to prorecte rnMHhy aging' lncfuoe MBTA Ride. volunteer driving [program, alCoo:nciI on
Aging...MAlNH Chapter of the Alzheimer's Association, and an arts.and/or cultural department
Town I City
% of Depression
015.1%.22.7%
022.8%.25.7%
c:J 25.8%28.1%
_28.2%.31.1%
_31.2%.3'11.7%
State average: 28.6%
Source: eMS
cercmc Dlsean Map.
"""""!"~n'_.d"10 _, ."
0tf000 ,Ilt~" 1,...
11''' ~ ,"''' .. CC()f'O)
o_~....,."
...... ,.~ 1
,COMMlUIIiII"Ii'l"
12SliUU.~
STAliIE
u;;snr.ulilE
[tjrb. liv;ililg ,al\:iiIJe
4l-..4% .2.1"%
'%Ohr :2.1%
,2.9%
TUFTS mHealth Plan
IIHEAlifHlY' A.CING IINlDICAfCn!lS
P;1H"fSl~CAlIUMENrrAL [HEAL TiH?
91ITlim.i' wtIllISE SirA.n: IR:A iJ"E:
i[)(]MM1.lIlIIli1t.
ES"UI1r\Ii. iJ"E:
SliAiJ"E:
E'S"Ii(MJi. iJ"E:
[Ei .2iTIi ..7%
1r4 ..l[]ilJD
31.(1%
4..7%
[EI
1A_:5ilJD
14 ..4lilJD
32 ..\1%
[Ei 12..6%
44 .\.1%
[EI
4.:2%
.2mi ..\1 %
11111..3%
3_iB. % 3..3%
[Ei '1r4 ..6%
lJB%
2 .\.1%
TUFTS m Health Plan
FOUNDATION
[Ei $.:2%
8 H"Jj'J3R J MlIIIS E:
SiJ"}!j,n; MirE:
rnMMtJlIiIliY I2S'litM..ft.iI"I::::
~irE:
SliAirE:
91'..:8% 96.2%
3.7. %
Il
12.2% 11'.:.8%
\104. \1'17
4.:8 4.2
Il
2 ..3
OJ 51' ..0 52 .7.
IS
il2 ..3% IS .26.0% il@ ..\1%
W,a Ikahility :000 re {llII-11(0) 9'1 ..0
TUFTS m Health Plan
FOUNDATION
OJMMI!I NJ'IiY I2S'lilM.Jt n:
:SliAn:
~n:
370
$(OOI'fi'Y IESnNII~li1E
:$fiAn:
E:SliUi\An:
RAliIII) os: all UJIliY'
TO!:SliAn:
11_113
11_00
See ~r ~edh~
r:epllrt'fi:;:r infilll"ilmrool'llO'l1 olIam 5!:"lI~ I'I"1e'IJ-;;oo"\zJID!,Ylin.d mllrgin of~1'lIr.s... FoIMi'rn05t il'LdimDn'l:lh~
epOlTtti!l oOOJTI:I7I unro, ,lind nate 'RIU-B
&rio,mdllin:.mo.~3mpll!! G"l!!m...I-I~.sCi~onheoG"iAHI!RDI!,~.IbBw_n.~~,1iJId DlM7lrnLI~_timFpi&fioDn EI m ping. We-ILmiC f.m:-te>rm.s, '"ib~' ~ "WMs.;:-~D. hig ~hf d ~ be:tw-e-;:-n omo1rnL1~ o:ndl stzi1-e-'I!:sf;im.afl!':tsa.lortw.:l: ZlTI:"oJD nlxh:nt,liJ"e Imt
olIue EDoeihllnol!. ~. is !Used ~ II lilicgl'"P!:~'eIi''i'clue mouki ~e lPClSiti'..-eimpIDtiol:II15 filIr ~Iti=- h:.elIlthofDkle1iIre,sid~ts .VlDri~ is usediw.h:.eJe ,lI
ihicgherllo.weti'!StDro!; d1D1..1]dnli_ lI1eg2l~Wo!: implii2ilion.~,'Fo.r'II:;"e ihf!lIllh orrFol:Il:r ll!ESin"en11'.l,v,;,~ ~h;:-impr.~iDl'1 il"un'helilicy ag.Ttg1 i.~.uf10rlellr PMe ID.i:" lIn. ...
IUp b:'.mnD.ry Nbte
~ lorri:cl plIplJl;ili!:lll _lilUte:; ~e ifJ"ollm~.h:.e-,l!J~1GlIe~.s ,ZilHillI~ repllrted fIMi'indhrill)J~1 ;:ities;,i"fooms ~ su'"BIir= witlhil'lll!bst>!lllL "~iaI~ rnllml~ are ~dl
olIL.1.l!i1I,eligib1~!i!~: ~es.,liJ"eFor benl:5:i;uiestj,5'}~0Ii'olIll1"B ill ,11)1'II 'FrDl7l;the 2011 ~..,.te ...di:>I ~~ and ~ialidI~!I; (CMS) M!!ts1:;:-Ir[gensmary' S!1irnIMry' Fill! (PI~.F).. Fot;iIb!;~ _1il11i~ 51lJ1'TJe ED!i'iri5 'l!o;~h.srn~ p.:o.Dub1iDI:l5~"''99reg~ ~elihe1ies.lItin;'3 i;n 311 '3~r.:p1V: liSin 'tale !Sti:..~.e.'The
!S'lime'I!S~imaEI! is; repll~ MU'all ci~ie.sJ.;tD'l!;'Ju'WiI.t'Cl~:he ~,~~ '3~raphi;: llrell .. A!l ~'I!,sc;''113~I!,s;c'Je'frDl7l:the l'OD.]:-l{IJ ~ Jirnl:Dl::a1li ComlTIl.ll1il\)'
S!:J.t~ (kG) ;:mOllr'!: repllrb:ll1 f.i:tr inolliYic!l1..cldti~!IiIl5l1nd !Sub;ueuw.i'l:ihin. ~n.. Pe~g::s rnli}' noli;:.:ld] UJI"kI ~o!!1:;'
is- d r
'7 U r
TUFTS
Health
Plan
FOUNDATION
Interactive Maps of Health Indicators
Developed by Amanda Cox, MS (NYTimes)
Chronic Disease Maps
Alzheimer's disease or related dementias
Diabetes
Stroke
Chronic obstructive pulmonary disease (COPD)
Hypertension
Ever had a heart attack Ischemic heart disease Congestive heart failure
Osteoarthritis!
rheumatoid arthritis Ever had hip fracture Glaucoma
Women with breast cancer
Colon cancer
Men with prostate cancer
Lung cancer
Osteoporosis
nicville
Hartford
NcwHaven
Manchester
Provide
Cransto .-
Fal',' , ~.
Percent of people age 65+ with condition
6-11%
11 - 12
12 - 13
13 - 14
14 - 16
16+
4+ chronic conditions (of 14)
TUFTS m Health Plan
FOUNDATION
mahealthyagingcollaborative.org
Data Sources
Centers for Medicare and Medicaid Services for chronic disease prevalence and Medicare service utilization rates.
US Census (2010) and the American Community Survey data
pooled over five years (2007-2011).
Behavioral Risk Factor Surveillance System for health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury.
The Elder Economic Security Standard Index.
Federal Bureau of Investigation Uniform Crime Reports.
Area Health Resources File (2012-2013).
Walkscore.com.
Primary data collection on community resources.
TUFTS mHealth Plan
FOUNDATION
Ovelrviiew
Tllhis technical aplP,endiix contains details about 'tlhe development of'the hea.lltllhaging communiiity p rof les, 11c1c'tntalns the techniical defliiniUons of' a,llllrepOiliedi hea,ltlhy agingl lndlcators, inf:o'lrmation on allIIdata sou roe's andl 'the y,e,alfsof data employed, delffiiiniiitionsot the geogllllaJphicunits employed for dliiifferent types of' indiicatoills, and the sta,tiiisUcal
methods used to estiimate the lndlcators 'that were estimated 'from micro-level data,
1" Heallthy a'Qling mdlcator defiinitiolns
Dillie to resource Ilimitatiions alillheallthy 8'gingl iiindicators.lhad to be deriv,ed from secondary data sources, He,althya.gliillngindiicatoilis were Iliiimit:edto those for whiich secondary data was available for 'geograp,hi,c subareas wiitlhin Massa.chuseHs. Talblle A-il contains techniical de:~iinitions 'for a.11th1e he,aUhy agliing lndlcstors reported in this g,tudiy., Tllhis does no.t contaln definitiiiDIns f,o'irtillie soclo-demoqraphlc variables used to describe the pepuiatlon composiitiiion '0", Massachusetts citiiies because tlhes:e are basic lPopuillation clharacter,istics 'Unlatdo not require further explanation .
.2" O,ata Sources.
Mulltipl,e,data sources were used iiinthis. study, Table A-2 contains a. summary of alilldarla sources and the specltlc yeaJs of data used for each population comlP,os,iiitiiioal1.nd heallihy a.gliiinglni dlcetor, ilEstimate,s of community-level iindicators o.f physicailimenitall heallih, chronic diis,e,aseprevalence, access to care, wallness and prevention health behaviors, service utlllzatlon, and nutrition and diiiel: were derived from two majoiJrdata. C:.nnr,il"',~,C::t.hlOo r\/h:.rlli,il"'~rjQO[1lIfI~Ic:iIt,~,Rjr.~njQO'fi,il"'i~ru ~.I.Imm~llr\l FDI!~, ~Inn ilth~ RlOoha\Jii'nr~1 Riiic:k F.~rtnr
TUFTS m Health Plan
FOUNDATION
Inventory of healthy aging programs
A dynamic list of more than 150 evidenced-based and
other programs from across the state.
Find and access programs. Get ideas from other cities/towns. Consider replicating or regionalizing your healthy aging efforts.
Add yours today!
TUFTS mHealth Plan
FOUNDATION
How to use this data?
UNDERSTAND
Spend some time reading the reports and looking at the maps.
Let the reports and maps speak to you.
What indicators are different from the state average?
What challenges do you see? And what creative ideas do you have to overcome the challenges?
TUFTS mHealth Plan
FOUNDATION
Now What?
ACTION
Spread the word: Tell others about this resource.
Form or join a work group to identify local priorities and take steps to address them. Ask what does your community need to work on to improve healthy aging?
Try interventions or programs that help address issues in your
community. *If low on fruits/vegetables organize farmers markets.
*If obesity is a priority create walking clubs or other physical activities. Be creative!
Support policymakers who want to make healthy aging a priority.
TUFTS mHealth Plan
FOUNDATION
So What?
ENGAGE
Please join the healthy aging collaborative.
Participate on the web page.
Give us feedback, share your ideas, make your voice heard.
Together we can make healthy aging a priority in
Massachusetts, and in turn, become a model for the nation!
TUFTS mHealth Plan
FOUNDATION
.tAl.
~
Communities With
Strengths in Healthy Aging
Carlisle
+24
Wellesley
+23
Harvard
+21
Brookline
+20
Belmont
+20
Stow
+20
8\
~8 7