aging and health program strategic plan update september 2010

Aging and Health Program

Strategic Plan UpdateSeptember 2010

Goals for Today

• Quick review of grantmaking approach• Review program strategies, grants, and

spending• Update on progress on target indicators• A modest proposal and future directions

Aging and Health Program: Strategic Plan Update // 2

Grantmaking Approach

• Only national funder focused on aging and health mission

• Highly strategy driven

• Expert staff, engaged in the field

• Creating change, not grants alone Aging and Health Program: Strategic Plan Update // 3

2010 2011 2012 2013 20140

5

10

15

20

25

30

24.2

20.218.7 19.2 19.6

Projected Payout ($ millions)

Aging and Health Program: Overview


Better Health of Older Adults


Health CareDelivery Redesigned for Older Adults

Model Developmentand Testing

AARP –Caregiver Support

Guided Care

Sigma Theta Tau –Leadership Academy

Practice Change Fellows

Dissemination of Proven Ideas

Agents of Change

OHSU – CareManagement +

Partners in Care –Medication Mgmt.

U. of Washington – IMPACT

VNSNY – CHAMP

U. Colorado –Care Transitions

Mount Sinai – Palliative Care

SHM – BOOST Care Transitions

PHI – Coaching Supervision

Integrating & Improving Services: Portfolio


$3,862,303

$623,134

$692,129

Dissemination

Change Agents

Model Development

Integrating & Improving Services:Outstanding Commitments


Integrating & Improving Services:Grant Outputs

• Models Adopted in 50 States

• 3,764 Clinical Sites

• 5,372 Providers Trained


Goal: Two new models of care demonstrate clinical benefit and feasibility.

In Progress• Guided Care• AARP Caregiver Support• PHI Coaching Supervision

Integrating & Improving Services:Indicators of Impact

Goal: Four models in dissemination become self sustaining in their spread.

In Progress• Care Management + • Care Transitions •

VNSNY-CHAMP• Meds Management •Palliative Care •

IMPACT• SHM BOOST


Social Work: Portfolio

Social WorkersCompetentto Care forOlder Adults

Faculty Development

GSA – Doctoral Fellows

LeadershipAcademy

CurricularChange

Pre-DissertationAwards

NYAM – HPPAE

CSWE – Gero-Ed Center

GSA – Faculty Scholars


Social Work: Outstanding Commitments

8,232,622

$2,182,275

Faculty Development

Curricular Change


Social Work: Indicators of Impact

MSW Programs Having >2 Faculty Specializing in Geriatrics

MSW Programs with* Coursework in Aging

MSW Programs Adopting Hartford Practicum Model for Training

Series1

0%10%

20%30%

40%50%

60%70%

80%90%

100%

Goal Current*Represents % programs with coursework available, not requiring coursework, which remains our goal.


Nursing: Portfolio

All NursesCompetentto Care forOlder Adults

Faculty Development

BAGNCScholarship & Fellowships

CGNES

Gero PsychCollaborative

CurricularChange

Gero Nurse Ed. Consortium

Associate Degree Programs

Adult Advanced Practice Nursing


Nursing: Outstanding Commitments

$2,710,304

$1,421,398 $8,702,304

Faculty Development

Centers of Excellence

Curricular Change

Scholars Programs


Nursing: Indicators of Impact

Bachelors Nursing Schools Adopting AACN Geriatric Competencies

Masters Programs Adopting AACN Geriatric Competencies

Bachelors Programs with >1 Geriatrics Faculty Member(s)

Series1

0%10%

20%30%

40%50%

60%70%

80%90%

100%

Goal Current


Medicine:Portfolio

All PhysiciansCompetentto Care for Older Adults

Faculty Development


ADGAP –Leadership

Surgeons Initiative

Reynolds Foundation Programs

CurricularChange

MSTAR

Beeson

Williams

Jahnigen

Scholars Programs

Internal MedicineSpecialist Initiative

ADGAP –Chief Residents


Medicine: Outstanding Commitments

$8,220,619

$9,378,676

$3,673,786 Curricular Change


Scholars Programs Faculty Development


Medicine: Indicators of Impact*

% Aca. Medical Centers with Divisions of Geriatrics

Average MD faculty = 16

% Medical Schools with geriatric requirements

% IM Residencies with some geriatrics requirements

Se-ries

10% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%

Series1

Goal Current*Original Indicators of Impact: Faculty in Divisions of Geriatric Medicine Grow by 20%Medical Schools Adopting AAMC Geriatric CompetenciesResidencies, Specialties, & Subspecialties Adopting Geriatric Training Standards

Aging and Health Program: Strategic Plan Update// 18


Aging and Health Program:Allocation of Funds

Commitments

Area Plan Actual Proposed

Medicine 40% 41% 36%*

Nursing 24% 25% 24%

Social Work 16% 20% 20%*

Services 20% 10% 20%

Future Directions

• 2010– CGNE & PHI renewals

• 2011– Strategic planning– Rebalance faculty development vs. curriculum– Continuing education

• 2012– Finish making deferred payments– Make new grants to spend ~$7M unallocated

in 2013


Aging and Health Program: Strategic Plan Update

Questions & Discussion


Aging and Health Commitments: 2003 - 2010 (in thousands)

Outcomes (in dollars) 2003 2004 2005 2006 2007 2008 2009** 2010 Grand Totals('03 - '09)

Medicine 7,221 12,986 1,518 19,787 17,972 3,400 14,815 1,812 77,699

Nursing 3,050 4,267 18,587 591 8,173 8,181 1,331 1,780 44,180

Social Work 3,449 9,185 5,383 9,195 14,425 0 4,607 0 46,244

IIS 328 6,606 2,376 4,800 6,824 5,215 1,199 400 27,348

Aging & Health Other 0 135 2,340 1,264 74 2,403 400 0 6,616

Totals By Year (in current $s): 14,048 33,179 30,204 35,637 47,468 19,199 22,352 3,992 202,087

Cumulative Total (Current $s): 14,048 47,227 77,431 113,068 160,536 179,735 202,087 206,079

Totals By Year (in constant $s):* 14,048 32,318 28,456 32,526 42,124 16,408 19,170 3,376 185,051

Cumulative Total (Constant $s): 14,048 46,366 74,823 107,349 149,473 165,880 185,051 188,426

Outcomes (percentages) 2003 2004 2005 2006 2007 2008 2009 2010 Grand Totals ('03 - '09)

Medicine 51.4% 39.1% 5.0% 55.5% 37.9% 17.7% 66.3% 45.4% 38.4%

Nursing 21.7% 12.9% 61.5% 1.7% 17.2% 42.6% 6.0% 44.6% 21.9%

Social Work 24.6% 27.7% 17.8% 25.8% 30.4% 0.0% 20.6% 0.0% 22.9%

IIS 2.3% 19.9% 7.9% 13.5% 14.4% 27.2% 5.4% 10.0% 13.5%

Aging & Health Other 0.0% 0.4% 7.7% 3.5% 0.2% 12.5% 1.8% 0.0% 3.3%

Totals: 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

Includes Projected Commitments through December 2010

*2003 Consumer Price Index Base

** Includes AFAR CoE National Program Office Grant ($8.4 million)


Medicine38%

Nursing22%

Social Work23%

IIS14%

Aging & Health Other3%

Medicine

Nursing

Social Work

IIS

Aging & Health Other

Medicine: $77,699Nursing: 44,180

Social Work: 46,244IIS: 27,348

Aging & Health Other: 6,616Total: $202,087

Aging & Health Grants Committed: 2003-2009


2003 2004 2005 2006 2007 2008 20090

5,000

10,000

15,000

20,000

25,000

Aging & Health Grants Committed: 2003 - 2009

Medicine Nursing Social Work IIS Aging & Health Other

Year of Trustee Authorization

Do

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(In

Th

ou

sa

nd

s)


Aging and Health Grant Payouts: 2003 - 2010 (in thousands)

Outcomes (in dollars) 2003 2004 2005 2006 2007 2008 2009 2010 Grand Totals('03 - '09)

Medicine 8,118 9,492 9,630 6,029 9,165 7,564 8,480 6,231 58,478

Nursing 7,044 6,424 6,567 5,550 6,407 4,952 6,441 3,802 43,385

Social Work 2,655 3,906 5,265 3,650 6,830 6,142 4,458 3,406 32,906

IIS 4,132 2,577 3,191 1,777 5,042 4,195 5,077 3,088 25,991

Aging & Health Other 451 429 813 1,070 1,142 832 666 620 5,403

Totals By Year (in current $s): 22,400 22,828 25,466 18,076 28,586 23,685 25,122 17,147 166,163

Cumulative Total (Current $s): 22,400 45,228 70,694 88,770 117,356 141,041 166,163 183,310

Totals By Year (in constant $s):* 22,400 22,236 23,993 16,498 25,368 20,241 21,546 2,361 152,282

Cumulative Total (Constant $s): 22,400 44,636 68,628 85,126 110,494 130,736 152,282 154,643

Outcomes (percentages) 2003 2004 2005 2006 2007 2008 2009 2010 Grand Totals ('03 - '09)

Medicine 36.2% 41.6% 37.8% 33.4% 32.1% 31.9% 33.8% 36.3% 35.2%

Nursing 31.4% 28.1% 25.8% 30.7% 22.4% 20.9% 25.6% 22.2% 26.1%

Social Work 11.9% 17.1% 20.7% 20.2% 23.9% 25.9% 17.7% 19.9% 19.8%

IIS 18.4% 11.3% 12.5% 9.8% 17.6% 17.7% 20.2% 18.0% 15.6%

Aging & Health Other 2.0% 1.9% 3.2% 5.9% 4.0% 3.5% 2.7% 3.6% 3.3%

Totals: 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

Payments Made Through August 31, 2010

*2003 Consumer Price Index Base


Medicine35%

Nursing26%

Social Work20%

IIS16%

Aging & Health Other3%

Aging & Health Grants Paid: 2003 - 2009


Medicine: $58,478 Nursing: 43,385

Social Work: 32,906IIS: 25,991

Aging & Health Other: 5,403Total: $166,163

NOTE: ALL DOLLAR FIGURES EXPRESSED IN THOUSANDS


2003 2004 2005 2006 2007 2008 20090

2,000

4,000

6,000

8,000

10,000

12,000

Aging & Health Grant Payouts: 2003 - 2009


Do

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AACN – American Association of Colleges of NursingAAMC – Association of American Medical CollegesADGAP – Association of Directors of Geriatric Academic ProgramsBAGNC – Building Academic Geriatric Nursing CapacityBOOST – Better Outcomes for Older adults through Safe TransitionsCGNEs – Centers of Geriatric Nursing ExcellenceGSA – Gerontological Society of AmericaHPPAE – Hartford Partnership Program in Aging EducationIM – Internal MedicineMSTAR – Medical Student Training in Aging ResearchMSW – Master’s in Social WorkNYAM – New York Academy of MedicineOHSU – Oregon Health & Science UniversityPHI – Paraprofessional Healthcare InstituteSHM – Society of Hospital MedicineVNSNY – Visiting Nurse Service of New York

Acronyms

aging and health program strategic plan update september 2010

Documents

health mission

overview aging

aging msw programs

portfolio slide

better health of older

strategic planning

spending update

care medication