beyond community programs: evidence based interventions ... · community-based social services, and...
TRANSCRIPT
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Beyond Community Programs:
Evidence Based Interventions
for Home Bound Participants
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Session Agenda
• HLCE Overview
• Benefits for in home programming
• 1:1 intervention coach Model
• Program successes: Falls
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The Healthy Living Center of Excellence
An innovative collaboration of 90+
community-based and governmental
organizations with a goal of improving better health outcomes for
adults through evidence-based programs.
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Overview of the HLCE
Vision: Transform the healthcare delivery system. Medical systems, community-based social services, and older adult will collaborate to achieve better health outcomes and better healthcare, both at sustainable costs.
Key Features:
* Statewide Provider network of diverse community based organizations* Seven (7) regional collaboratives
* Centralized referral, technical assistance, fidelity, & quality assurance
* Multi-program, multi-venue, multicultural across the lifespan approach
* Centralized entity for contracting with statewide payors
* Diversification of funding for sustainability
* EBP integration in medical home, ACO and other shared settings
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Where community programs happen
259 sites
91 Community Partners
2.3 workshops per site2.8 workshops per
partner
Senior Centers,
32%
Housing, 31%
YMCA, 9%
Multicultural, 8%
Faith Based,
7%
Clinical, 6% other, 7%
Senior Centers
Housing
YMCA
Multicultural
Faith Based
Clinical
other
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Why Look Beyond Group Programs
• 12.9% of adults 65-74 years of age and 29.4% of adults over the age of 75 have significant ambulatory impairment
• When compared to their non-homebound peers, homebound adults have increased incidence of:
• Diabetes (39% vs. 11.4%)• Stroke (21% VS. 1.7%)• Hypertension (92% VS.
41.1%)
The Massachusetts Healthy Aging Data Report, 2016
0
20
40
60
80
100
Homebound
Non-Homebound
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Why In home Programs
• Benefits to Participants• Overcomes transportation challenges• Reach low-mobility population• Freedom of Choice
• Benefits to Payors• Enhanced Reach
• Benefits to Organizations• Potential to Embed in existing systems: Case
Management, Meals on Wheels• Leader Satisfaction
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1:1 In Home Coach Model
1:1 Coach
Community EBP resource
In Home Falls Assessment
Healthy IDEAS
Enhanced Wellness
Better Choices
Better Health
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In Home Interventions
• In Home Falls Assessment
• Healthy IDEAS
• Enhance Wellness
• Better Choices, Better Health
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Success Story: In home Falls Assessment
• Utilizes CDC’s STEADI Falls Risk Screening Tool• Screening, Education, Home Assessment, Goal
Setting and Referrals• 360 referrals, 140 screened in 16 months• 3 Month Post Survey Results:
75% did not suffer another fall 50% increased their physical activity 50% had their vision checked 42% had their medications reviewed 83% felt more comfortable discussing falls
with their doctor
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Thank you to our Partners
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Contact Information
Jennifer RaymondChief Strategy Officer
Director, [email protected]
Melissa DoneganAssistant Director, [email protected]
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© 2018 Meals on Wheels America
B E Y O N D C O M M U N I T Y
P R O G R A M S : T R A I N I N G
TO R E A C H H O M E B O U N D
C L I E N T S
L. CARTER FLORENCE
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MEALS ON WHEELS AMERICA
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A national leadership organization supporting the 5,000+
local, community-based Meals on Wheels programs across
the country through advocacy, education, research, and
national partnerships and campaigns.
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ADDRESSING A GROWING PROBLEM
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Our nation’s senior population is growing exponentially,
outpacing available resources and leaving more and more
Americans at risk of facing hunger, falling, and isolation.
50
Falls among seniors result in $50 billion
in healthcare costs each year.
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16
SOCIALIZATIONProviding social interaction that
contributes to overall physical
and emotional well-being
SAFETYHelping at-risk seniors feel safe
and more secure in their own
homes
Serving as the “eyes and ears” in the
home to monitor client change in
condition and connect seniors to
needed services in the community
NUTRITIONMeeting the nutritional needs of
at-risk seniors
SO MUCH MORE THAN JUST A MEAL
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IN-HOME SAFETY & FALL PREVENTION
THROUGH MEALS ON WHEELS AMERICA
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• Education & training
• Research
• Partnership &
thought leadership
• Advocacy
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SUPPORTING THE NETWORK
EDUCATION & TRAINING
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• In-person training
• Annual Conference
• Web-based training
• Webinars
• Communities of
practice
• Peer-to-peer learning
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UNDERSTANDING THE NETWORK
RESEARCH
19
• White papers
• Pilot projects
• e.g., CAPABLE
• More Than a Meal® body
of research
• Pilot Research Study,
Medicare Claims Analysis
and more.
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EQUIPPING THE NETWORK
PARTNERSHIP & THOUGHT LEADERSHIP
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• Partnerships
• Corporate
• Private
• Convenings
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LEVERAGING THE NETWORK
ADVOCACY
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• Equip Member programs with tools and support for
advocating locally, in their state and on Capitol Hill
• E.g., #SaveLunch, March for Meals
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WHAT’S AHEAD
Increasing In-Home Safety. Building upon knowledge
from external stakeholders and our Member programs
to leverage what we know works, and share that
throughout the network and wider aging communities
Preventing Falls. Implementing proven models in Meals
on Wheels settings, and continuing to raise awareness
and supports for preventing falls
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CALL TO ACTION
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Carter Florence, MPH
Director, Strategy & Impact
(o) 571.290.7005
g
Let’s stay in touch and perhaps do lunch.
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TOGETHER, W E CAN DELIVER®