10 things you need to know about older adults leadership briefing presentation 11 17 10...10 things...
TRANSCRIPT
10 Things You
Need to Know
about Older Adults
in Harris County
Jane Bavineau
Care for Elders Leadership Briefing
November 17, 2010
Goals for Today
• Provide overview of key issues
facing older adults
• Share what Care for Elders has learned
• Present you with options and
opportunities for impact at
multiple levels
- Individual
- Organizational
- Community
Care for Elders
● Partnership of organizations and
individuals
● More than 80 since 1999
● Goals
- Increase access to services
- Enhance the quality of care
- Improve the quality of life
● Visit us at www.careforelders.org
???
#1
If everybody knows about
the age wave, why aren’t
we doing more to
prepare?
Why… ● 7,600 geriatricians when need 20,000? (1)
● So few caregiver education programs
in companies?
● No crosswalks or timed crossing
signals at all fatal intersections?
● Only about half of older adults
have advanced directives?
#2
It’s not just the heart
attack that will kill you
anymore.
47% increase in deaths attributable to
Alzheimer’s Disease (2)
Falls Leading underlying cause of
accidental deaths in Harris County (3)
Medication related problems Responsible for 28% of
hospitalizations (1)
Today’s health challenge
–Chronic Disease
74% – High Blood Pressure (4)
● 17% increase since 2002 (4)
52% – Arthritis (4)
36% – Diabetes (4)
● 22.7% in Older Texans (5)
26% – Heart Disease (4)
Serious…
65.8% of older
adults in the
Houston area are
obese (5)
The impact …
65,000 older adults
in our community who
can’t manage daily
living tasks (4)
Chronic Disease
Self Management
Program
Stanford University http://patienteducation.stanford.edu/programs/cdsmp.html
#3 and #4
#3 There are some
challenges that cut across
all socio-economic levels.
AND
#4 Love doesn’t have
anything to do with whether
you end up in a nursing
home.
Alzheimer’s Disease
and Dementia
Estimated 140,000 individuals with
Alzheimer’s or dementia in Southeast
Texas (6)
Effects nearly half – 47% of
people over 85 (7)
Alzheimer’s Disease
and Dementia
Every 70 seconds, someone in
America develops Alzheimer’s (8)
Alzheimer’s Disease
and Dementia
Every 70 seconds, someone in
America develops Alzheimer’s
By mid-century, reduced to every
33 seconds (8)
Family members
provide the care
30% of adults in Houston are
caregivers (9)
833,000 people
1 in 3 of us!
Not going to get easier
Shrinking pool of family members to
draw from
In 1990, ratio of 11 to 1 (10)
Not going to get easier
By 2050, ratio shrinks 4 to 1
Shrinking pool of family members to
draw from
In 1990, ratio of 11 to 1
45% increase in
demand for paid helpers (11)
Not going to get easier
Labor pool expected to
increase by only
2% ()
Caregiving is Hard Work!
More likely to have health issues
- Diabetes
- High cholesterol
- High blood pressure
- Heart disease
20% suffer with depression (12)
Up to $660,000 in lost wages (13)
#5 and #6
#5 Older adults and boomers
could use a lesson or two
about long-term care costs.
AND
#6 Individuals and families
aren’t the only ones being
overwhelmed by them.
Older adults don’t know how
expensive long term care is…
Cost of Nursing Home Care (4)
• 12% didn’t know
• 50% underestimated
● Nursing Home – $80,000 per year
● Assisted Living – $40,000 per year
● Home Care – $26,000 per year
● $16 to $18 per hour at just 4 hours per day
Average Costs in
Harris County
Older adults don’t know who
pays for long term care …
50% don’t know if Medicare or
Medicaid pays for personal
assistance services (4)
Not Just Effecting Families
Corporations incurring costs ranging from
$17.1 to $33.6 billion annually (13)
● 8% differential in health care costs
alone for working caregivers (14)
● Estimated $13.4 billion/year (14)
Public sector spending in excess of $5 billion in Medicaid for long-term services and supports
in Texas (15)
Care for Elders
Consumer Priority Setting
Process (17)
• Surveyed 1,200 individuals
- 830 (70%) older adults
- 132 (11%) family caregivers
- 240 (20%) professionals
• Based on Aging Agenda
• How to make Houston elder-friendly
8 Domains
● Health and Well-Being
● Access to Quality Care
● Basic Needs
● Housing
● Transportation and Mobility
● Safety and Security
● Civic Engagement/Volunteerism and
Employment
● Spirituality, Culture, Recreation and
Lifelong Learning
#7
Transportation and mobility
still lead the pack in
“opportunities for
improvement.”
58% of respondents
Improve how current
transportation programs
operate so that they
better meet seniors needs (17)
Not just a “supply”
issue… ● 47% reported concerns about
“safety” while using public
transportation (17)
● Nearly 40% – carrying
packages or bags made using
transportation difficult (18)
● 32% reported cost as a problem (17)
Top 5 Priorities (17)
Transportation – only one that rated #1 by
all three groups
Make it easier to get help with paying
electric and utility bills
Teach older adults about scams and
how to protect themselves from
being taken advantage of
Make it a law that all home care and
“hands on” workers must be trained
before they help a senior
Work with businesses to encourage
them to hire older workers
Themes from ALL Studies
● Older adults want to take care of and
protect themselves
- They want to be able to get out
and about
- They want to work and feel productive
- They want to be safe & feel safe
#8 and #9
#8 You can teach an old dog
new tricks.
AND
#9 Older adults are spending
their encore years in a wide
variety of ways.
Many are working (19)
• 19% of the U.S. workforce in 2009
• Up from 12% in 1999
• 25% by 2019
More are volunteering (20)
• 41% of adults 65-74
• 39% of adults age 75+
Raising grandchildren • 45.2% in Harris County (21)
New Tricks
● Self-Management of Health Conditions
● 50,000 older adults in U.S. to be trained
in CDSMP (22)
● Internet and Social Media
● 922.7% growth in Facebook
users age 55 and older in 2009 (23)
● 16% increase – Harris County
seniors relying on the internet (4)
#10
#10 We know what it
takes to live a long
and healthy life!
Individuals who live long
and healthy lives…
● Take control of their health
● Eat a healthy diet
● Remain physically active
● Engage with other people
● Have a sense of purpose
Call to Action
● Create opportunities for healthy
aging
● Ensure services and supports for
family caregivers
● Honor the voice of the older adults
in this community
Contact Information
Jane Bavineau
Executive Director, Care for Elders
Vice President, Sheltering Arms Senior Services
713-685-6506
www.careforelders.org
References 1. Alliance for Aging Research. 2009 Task Force on Aging Research Funding. Retrieved from
http://www.agingresearch.org/content/article/detail/2366
2. Texas Department of State Health Services. Alzheimer’s Disease Statistics. Retrieved from
http://www.dshs.state.tx.us/alzheimers/statistics.shtm
3. Harris County Public Health & Environmental Services. Harris County Public Health & Environmental Services Annual Report 2009.
Retrieved from http://www.hcphes.org/
4. Cannon, J. and Kim, J. Mathematica Policy Research, Inc. The Community Partnerships for Older Adults Program: Second Survey of
Older Adults. Houston/Harris County. February 22, 2010.
5. Texas Department of State Health Services. Texas Chronic Disease Burden Report. (2010). Retrieved from
http://www.dshs.state.tx.us/chronic/publications.shtm
6. Alzheimer’s Association- Houston and Southeast Texas Chapter. Retrieved from http://www.alz.org/texas
7. Fillit, H.M., & Picariello, G. (1998). Practical geriatric assessment. London: Greenwich Medical Media.
8. Alzheimer’s Association. Texas Alzheimer Statistics. Retrieved from
http://alz.org/documents_custom/ALZ_FF_Texas.pdf?type=interior_map
9. Kinder Institute for Urban Research. Houston Area Survey, 2009. Retrieved from http://has.rice.edu/content.aspx?id=2334
10. National Alliance for Caregiving & American Association of Retired Persons. (1997). Family caregiving in the United States. Retrieved
from http://www.caregiving.org/finalreport.pdf
11. Direct Care Alliance. Texas Direct Care Fact Sheet. Retrieved from
http://directcarealliance.org/_data/global/images/DCA%20state%20fact%20sheets_Texas.pdf
References 12. National Alliance for Caregiving. The MetLife Caregiving Cost Study: Productivity Losses to U.S. Businesses. (2006).
http://www.caregiving.org/data/Caregiver%20Cost%20Study.pdf
13. Day, T. Guide to Long Term Care Planning. National Care Planning Council. Retrieved from
http://www.longtermcarelink.net/eldercare/long_term_care.htm
14. MetLife Mature Market Institute. Market Survey of Long Term Care Costs. The 2009 MetLife Market Survey of Nursing Home, Assisted
Living, Adult Day Services and Home Care Costs. October 2009.. Retrieved from
http://www.metlife.com/assets/cao/mmi/publications/studies/mmi-market-survey-nursing-home-assisted-living.pdf
15. National Alliance for Caregiving. The MetLife Study of Working Caregivers and Employer Health Care Costs. (2010). Retrieved from
http://www.caregiving.org/data/Caregiver_Costs_Study_Web_FINAL_2-12-10.pdf
16. Kaiser Family Foundation State Health Facts. Texas: Medicaid Spending. Retrieved from
http://www.statehealthfacts.org/profileind.jsp?cat=4&sub=47&rgn=45
17. Bhaloo, T. [2010] Stakeholder Priorities for an Elder Friendly Community: Results of Care for Elders 2009/10 Consumer Input Initiative
Final Report. http://careforelders.org/files/DDF/Consumer%20Input%20Report%20FINAL.pdf
18. Texas Citizen Fund. Assessing Transportation Challenges: Findings and Opportunities. Retrieved from
http://www.texascitizenfund.org/files/United%20Way%20of%20Greater%20Houston-
Texas%20Citizen%20Fund%20Transportation%20Report.pdf
19. National Council on Aging. Mature Workers Fact Sheet. Retrieved from http://www.ncoa.org/press-room/fact-sheets/mature-workers-
fact-sheet.html
20. Harvard School of Public Health- MetLife Foundation Initiative on Retirement & Civic Engagement. Reinventing Aging: Baby Boomers
and Civic Engagement. (2004). Retrieved from http://www.reinventingaging.org/
21. U.S. Census Bureau. 2005-2009 American Community Survey 5-Year Estimates. Harris County, Texas. Retrieved from
http://www.factfinder.census.gov/servlet/ADPTable?_bm=y&-geo_id=05000US48201&-qr_name=ACS_2009_5YR_G00_DP5YR2&-
ds_name=&-_lang=en&-redoLog=false
References
22. Administration on Aging (AoA). American Recovery and Reinvestment Act Communities Putting Prevention to Work: Chronic Disease
Self-Management Program. Retrieved from http://www.aoa.gov/AoARoot/AoA_Programs/HPW/ARRA/index.aspx
23. Istrategylabs. Facebook Demographics and Statistics Report 2010. Retrieved from http://www.istrategylabs.com/2010/01/facebook-
demographics-and-statistics-report-2010-145-growth-in-1-year/