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Sharon Rhyne, MBA, MHAAudrey Edmisten, RD, LDN, MPH

Tiffany Shubert, MPT, PhD

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Acknowledgement

The NC Roadmap was supported by

• National Association of Chronic Disease Directors Senior Opportunity Grants

• HA2006-II, HA2008

• Division of Aging and Adult Services

• Division of Public Health

• The Institute on Aging

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NC RoadmapSession Objectives

• Understand the importance and effectiveness of health promotion and disease prevention programming for older adults

• Identify the evidence-based health promotion programs for older adults available in North Carolina

• Utilize the NC Roadmap to implement evidence-based health promotion programs and upload your programming information on to www.ncroadmap.org

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The Silver Tsunami

• Older adults are NC’s fastest growing population due to:

• Decreasing birth rates, improved life expectancies, migration, better health…and the boomers

• Greater life expectancy due to:

• Advances in health care and (opportunities for) healthier lifestyles

“When I’m 64: How Boomers Will Change Health Care ”, American Hospital Association, May 2007

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Percent of Population Age 65+ in North Carolina, 2000

The average for NC is 12.0%.

The range is from 6.3% to 23.6%

12% or less

12.1% to 13.0%

13.1% to 14.4%

14.5% to 15.9%

More than 16%

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*Based on July 2006 population projections

The average for NC is 17.7%.

The range is from 10.5% to 35.2%

12% or less

12.1% to 13.0%

13.1% to 14.4%

14.5% to 15.9%

More than 16%

Percent of Population Age 65+ in North Carolina, 2030*

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United States Life Expectancy 1900-2008

• 1900: Avg. life expectancy was ___?

• 2008: Avg. life expectancy is 78.1 yrs.

• In NC ___?

• In NC, average years of healthy life remaining at birth ___?

www.schs.state.nc.us/SCHS/pdf/SCHS -129.pdf

www.schs.state.nc.us/SCHS/data/lifexpectancy

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66.6

59.3

62.4

53.3

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16.5

10.6

14.7

10 30 50 70 90

White women

Nonwhite women

White men

Nonwhite men

Years

years of healthy life years of poor health

How Many Years of Good Health?

Source of data: CDC, Chronic Disease Notes & Reports, vol. 16, no. 2/3 (2004).

Minority men and women in North Carolina have shorter life expectancies, but more years

of poor health.

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The Challenge

• A rapidly growing older adult population in almost every county in the state

• Chronic disease epidemic

• Limited healthcare providers

• Limited resources

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Division of Aging & Adult Services

• Adult Day Services

• Care Management

• Nutrition Services (Congregate, Home Delivered Meals)

• Respite Care

• In-Home Aide

• Information and Case Management

• Senior Center Operations

• Transportation

• Housing and Home Improvement

• Other Services - Health Promotion, Ombudsman Advocacy Program, Adult Protective Services , etc.

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The Aging Network

Federal LevelAdministration on Aging

State LevelNC Division of Aging &

Adult Services

Regional LevelArea Agencies on Aging (17)

County LevelPerson County Council on Aging

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The Health Promotion Solution

Older adults who make healthier choices demonstrate

• Lower rates of premature death due to chronic disease

• Decreased rates of disability

• Better mental health and cognitive function

• Lower healthcare costs

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Partnerships for Health Promotion

Aging, Public Health & the Institute on Aging

• Set a more coordinated and systemic effort to address healthy aging in the state

• Build infrastructure to support and disseminate EBHP

• Memorandum of Understanding

• Partnerships and Coalitions

• Programs, Resources & Other Tools

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Outcomes

• Five NACDD Senior Grants

• AoA Grant to disseminate Living Healthy

• North Carolina Healthy Aging Coalition

• North Carolina Falls Prevention Coalition

• Roadmap for Healthy Aging

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Evidence-Based Health Promotion Programs 2009

• Chronic Disease Self-Management Program—(Living Healthy)

• Arthritis Foundation Exercise Programs• Matter of Balance• Active Living Every Day• Powerful Tools• Diabetes Self-Management Program• Fit and Strong• Walk With Ease• Healthy IDEAS• And more to come….

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Future Directions

• Expansion of evidence-based programs

• Workshops to educate about EBHP

• More master trainer sessions

• Sustainability (Living Healthy Program)

• Expand users of NC Roadmap

• Minimize replication of efforts, maximize resources

• Create one-stop shopping for health promotion programming

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The North Carolina Roadmap for Healthy Aging

www.ncroadmap.org

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What is the NC Roadmap?• A user-friendly, interactive guide for

providers to learn about and deliver EBHP

• A statewide inventory of health promotion programming

• A county-by-county listing of evidence-based health promotion programs

• A marketing tool to attract both new partners and new clients to programs

• A networking tool to identify community partners to implement and deliver health promotion programming

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What is it, Really?

• A wiki

• A website that uses wiki software, allowing easy creation and editing of any number of interlinked Web pages

• Wikis are often used to power community websites

(http://en.wikipedia.org/wiki/Wiki, accessed 9/21/09)

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Who Will Find the Roadmap Helpful?

• Community Providers• Resources/strategies to identify partners in

the community and to implement EBHP• Healthcare Providers

• Education about what is an EBHP; listings of EBHP and health promotion programming in their community

• Policy Makers• Health, demographic, and health promotion

data for each county in the state• Researchers

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Why is this important?

• Easy access to health information for your community

• Provides a listing of current health promotion programs so efforts will not be replicated

• A venue to educate public and providers about health issues in your community, and the importance of EBHP

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Case Study: Watauga County

Use of the NC Roadmap to develop new and effective partnerships

• AAA Region D NC Roadmap Workshop

• Purpose of Workshop

• Educate about EBHP

• Introduce tools for implementation

• Explain use of Roadmap

• 38 attendees, 7 counties represented

• 14 from Watauga County

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Case Study: Watauga CountyAging Services, Healthy Carolinians, ASU Faculty, Physical Therapy, Rehabilitation

• Outcomes

• Realization of common health promotion goals

• Identification of duplication of efforts

• Decision to meet quarterly to pool resources to develop and support EBHP

• Utilize the NC Roadmap to advertise programs and update partners

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How Does the NC Roadmap Work?

• www.ncroadmap.org

• Information and tools for EBHP

• Guides for implementing programs in NC

• Contact information for master trainers

• Links to additional resources

• County specific information that can be updated and maintained by each facility

• Search engine to find programs

• Additional state and national resources

• Information can be updated or added by any registered user

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www.ncroadmap.org

• Site demonstration

• New program information

• New regional or statewide program

• Modify current programming information

• Other tools

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Dr. Seuss on EBHP & The NC Roadmap

‘‘a person’s a person, no matter how small”

If enough providers in a community support and utilize EBHP, great things in health promotion can be accomplished

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Questions?

Thank You!

Tiffany Shubert

tshubert@med.unc.edu

Audrey Edmisten

Audrey.Edmisten@dhhs.nc.gov

Sharon Rhyne

Sharon.Rhyne@dhhs.nc.gov