evidence-based programs virtual/remote delivery … · 7/28/2020 · in-person classes?...

Improving the lives of 10 million older adults by 2020 | © 2019 National Council on Aging

EVIDENCE-BASED PROGRAMS

VIRTUAL/REMOTE DELIVERY

GRAND ROUNDS

This call will begin shortly.

July 28, 2020

Improving the lives of 40 million older adults by 2030


ANNOUNCEMENTS

Falls Prevention Awareness Week, September 21-25, 2020

•Attend our August 4 webinar to learn how to participate in this year’s event.•Register for this important event for professionals: https://ncoa.zoom.us/webinar/register/WN_CbxTUFzgRLa3H35O2aX3FQ

• Preview: An interactive and valid 12-question Falls Free CheckUp to assess falls risk and a personalized report to share with a health care provider.

• Preview: Falls Free CheckUp Chat on Facebook in during Falls Prevention Awareness Week to understand the check up tool, common falls risks, and how to take action!

•Use the Falls Prevention Awareness Week Toolkit to spread the word in your community.

https://ncoa.zoom.us/webinar/register/WN_CbxTUFzgRLa3H35O2aX3FQ

https://ncoa.zoom.us/webinar/register/WN_CbxTUFzgRLa3H35O2aX3FQ

https://www.ncoa.org/healthy-aging/falls-prevention/falls-prevention-awareness-week/boost-your-budget-week-partner-toolkit-3/


Innovation and Collaboration

https://www.ncoa.org/centerforbenefits/promising-practices/finding-people/parking-lot-bingo/

Parking Lot Bingo: A COVID-19 Friendly Outreach Approach For many years, Indiana’s SHIP/MIPPA outreach staff have held Medicare bingo games to educate Medicare beneficiaries on the basics of Medicare and subsidies that help pay for it. Prior to COVID-19, games were held in community gathering spots such as town halls, local restaurants, libraries. With the advent of COVID-19 and the associated physical distancing requirements, the outreach staff and a volunteer counselor recognized that if outreach and education events were to continue, they needed to get creative. Thus, Parking Lot Medicare Bingo was born.

https://www.ncoa.org/centerforbenefits/promising-practices/finding-people/parking-lot-bingo/


AGENDA

July 28, 2020

1. Understand the Juniper network and modes of evidence-based health promotion program delivery during COVID-19, including in-person

2. Review the Juniper resuming in-person class document

3. Hear about experiences with in-person classes

Objectives

AREA AGENCY

ON AGING

Matter of Balance

Tai Ji Quan: Moving For Better Balance

Stepping On

Living Well with Chronic Conditions*

Living Well with Diabetes*

Living Well with Chronic Pain

Diabetes Prevention Program**

Social Connect

Arthritis Foundation Exercise Program

Stay Active & Independent for Life

* Culturally appropriate Spanish versions available** Not a covered benefit for MSHO members at this time

5,644Participants

562Classes

850Community-

basedclass leaders

164Organizations

offering Juniper classes

Juniper in 2019

In-Person Classes?

• "Options for remote delivery will be available while in-person programming is not possible."

• Remote programs are still necessary, especially for the most vulnerable populations including older adults and adults with multiple chronic conditions.

• While in-person classes may become available, some participants and providers are choosing not to join in-person.

• Assessing local community infection rates.

How does Juniper ensure safety of participants and class leaders during COVID-19?

In-Person Class Guidance Document

Decision Tree

Health & SafetyChecklist

Local Support

Native Tribes

Juniper provider relationship managers• Knowledge of local public health

guidance• Understanding needs of local

communities and providers• Innovative modes of in-person delivery

unique to local communities• Review in-person class guidance

document thoroughly with provider and class leader

Learnings

1. Planning is important • Team to synthesize and monitor varying guidance• Content changes– this is a living document

2. Walk through guidance with providers• Input from providers is key

3. Assessing community needs and preferences is key

4. Community examples • Assumptions (infection rate, technology, participant preference)• Spectrum of risk • Short term versus long term• Innovative methods of delivery = constant assessment

Contact us at

1-855-215-2174yourjuniper.org

[email protected]

© 2020, Wisconsin Institute for Healthy Aging© 2020, Wisconsin Institute for Healthy Aging

Development of Safety Plan

Resuming in-person workshops during COVID-19

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© 2020, Wisconsin Institute for Healthy Aging

Background

• Purveyor of 8 EBHPPs

• >250 Program Providers across WI

• >100 workshops cancelled due to COVID

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Virtual Workshops

• Bi-weekly office hours

• Leaders saying they want to run virtual workshops

• 12 virtual workshops thus far

• 14 scheduled to start after Aug 1

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In-Person Workshops

• Leader feedback Re: In-person workshops:

• Eager to get started

• No workshops through 2020

• Shut down until March of 2021

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Safety Plan

• Input from:

• Chief Medical Officer Dr. Jane Mahoney (Geriatrician)

• Guidelines from:

• CDC (K-12 schools and child care program information)

• Wisconsin Department of Health Services

• University of Wisconsin’s Return to Research and Public Health Protocol

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https://www.cdc.gov/coronavirus/2019-ncov/faq.html#Prevention

https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/schools-faq.html#:~:text=Work%20with%20your%20local%20health,other%20in%20the%20school.

https://www.dhs.wisconsin.gov/covid-19/index.htm

https://research.wisc.edu/reboot-phase1/

https://research.wisc.edu/wp-content/uploads/sites/2/2020/06/Public-Health-Protocols-for-Reopening-1.pdf


Safety Plan

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5 parts

1. Transmission Reduction

2. Sanitation

3. Face Mask Requirements

4. Physical Distancing

5. Food and Drink

Link to Safety Plan: Here

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https://wihealthyaging.org/_data/cms_files/COVID%20Response/WIHA%20workshop%20COVID-19%20Safety%20Plan%20-%20Required%20Protocols%20-%20FINAL%2007-20%20%281%29.pdf?u=1V3PNN


1-Transmission Reduction Required Protocols

• Maximum Class size will be reduced to 6-8 participants

• Ask participants when they register and again before each session whether they have experienced any of the symptoms listed below, on page 3.* If they have, ask them not to attend the session.

• Leaders should not facilitate a session if they have symptoms or anyone in their household has symptoms below (unless individual has tested negative to COVID-19). Leaders who have a known exposure to COVID-19 should not facilitate a workshop for 14 days after the exposure.

• Print any materials that will be distributed at least three (3) days before the program. Then leave the items untouched for 3 days.

• Leaders apply sanitizer to hands prior to distributing materials and then place items at the seats of participants prior to participants’ arrival.

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*SYMPTOM QUESTIONS:

• Note: If answer to #1 is “not well” and/or answer to any of other questions is “YES,” individual should not attend session.

• How are you feeling today?

• Do you have a fever?

• Do you have a cough?

• Have you been experiencing shortness of breath or difficulty breathing?

• Have you been experiencing chills?

• Have you been experiencing muscle pain or new weakness?

• Do you have a headache?

• Do you have a sore throat?

• Do you have a new loss of taste or smell?

• Does anyone in your household have symptoms?

• Have you had a known exposure to COVID-19 in the last 14 days?

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2-Sanitation Required Protocols

• Leaders bring at least three 8-ounce bottles of sanitizers and put on tables.

• Prior to participant arrival, Leader must ensure all tables, chairs, and points of touch have been sanitized thoroughly (including any equipment and doorknobs)

• Leaders direct participants to sanitize upon entry to the room, and when they leave.

• Leaders ask participants not to touch their face.

• After participant dismissal, Leader wipes down all tables, chairs, and other points of touch.

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3-Face Masks Requirement Protocols for all Indoor Workshops

• NOTE: If workshop held outdoors, no face mask required if six-foot distancing is observed.

• All leaders put on a mask (of any type) before entering the workshop room and keep mask in place until after leaving the workshop room. Masks should cover the nose and mouth.

• Leaders or Program Provider Organizations notify all participants upon registration that they will be required to wear a mask (of any type) upon entering the workshop building, throughout the workshop (including break except when eating) until after leaving the building. Leaders and program provider organizations may ask participants to bring their own masks but will have a supply of masks at the workshop and provide them if a participant does not bring one. Masks should cover the nose and mouth.

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3-Face Masks Requirement Protocols for all Indoor Workshops- Cont.

• If an individual refuses to wear a mask, he or she may not participate in the workshop. If individual becomes argumentative or belligerent, simply explain that:

• Masks are used to protect both the wearer and others, and it is your responsibility as a program Leader to keep all safe.

• Leaders and participants wearing masks is a rule imposed by the program’s licensing agency, the Wisconsin Institute for Healthy Aging [and your local public health agency, if true].

• Provide WIHA’s contact information: 608-243-5690 or [email protected] if they want to discuss further.

• Inform them that if they change their mind and are willing to wear a mask, they would be welcome to participate.

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mailto:[email protected]


4-Physical Distancing Requirement Protocols

• Select a room that is large enough to allow for adequate distancing (~113 square feet/person)

• Set chairs at distances > 6 feet apart

• Remind participants to maintain physical distancing when out of chairs

• If a break time is included, ask participants to maintain distancing within the bathroom and hallways. Leaders may want to plan for additional time so all have the ability to use the restroom in a timely manner, without the risk of missing part of the session.

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5-Food and Drink Requirement Protocols

• At time of registration and confirmation (if provided), inform participants that you will not be providing water. Ask participants to bring their own water bottle or other beverage.

• If snacks are provided, Leaders will provide individually wrapped items (e.g., granola bars) and put on a table, and invite participants to come up individually to get them. (Alternatively, Leader may put on chair at beginning, reminding folks they are for break or whenever they choose.)

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Leader Confirmation

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Lessons Learned

• 1 workshop so far (outdoors)

• 30 scheduled in-person workshops coming up

• No in-person workshops through 2020

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Questions?

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Erin EggertCommunity Research Associate

Wisconsin Institute for Healthy Aging [email protected]

608-852-4303

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mailto:[email protected]

Questions?

Please use the Chat Box to ask questions or to identify that you want to verbally ask a question.


KEY REMINDERS

• Access all Grand Rounds recordings, notes, and resources: https://www.ncoa.org/uncategorized/upcoming-and-archived-events-health-promotion-programs-and-covid-19/

• Next Grand Rounds Call will be August 25, 2020 from 12pm –1pm EST (every 4th Tuesday of the month)

https://www.ncoa.org/uncategorized/upcoming-and-archived-events-health-promotion-programs-and-covid-19/

evidence-based programs virtual/remote delivery … · 7/28/2020 · in-person classes?...

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