improving the lives of older americans helping medicare beneficiaries get the most out of prevention...
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Improving the lives of older Americans
Helping Medicare Beneficiaries Get the Most out of Prevention
Linking to the Chronic Disease Self-Management Program
© 2011. National Council on AgingA nonprofit service and advocacy organization
National Council on Aging
NCOA’s MissionTo improve the lives of older Americans.
Who We Are NCOA is a non-profit service and advocacy organization based in Washington, DC.
NCOA Core Values
Social and Economic
Justice
Respect and Caring
Innovation
Integrity and Excellence
© 2011. National Council on AgingA nonprofit service and advocacy organization
National Council on Aging
What We Do• NCOA is a national voice for older adults—especially those who are
vulnerable and disadvantaged—and the community organizations that serve them.
• NCOA brings together non-profit organizations, businesses and government to develop creative solutions that improve the lives of all older adults.
• NCOA works with thousands of organizations across the country to help seniors live independently, find jobs and benefits, improve their health, live independently and remain active in their communities
© 2011. National Council on AgingA nonprofit service and advocacy organization
Chronic Disease Self-Management Program
• Chronic Disease Self-Management Program (CDSMP) developed in the early 1990s by the Stanford University
• This ‘gold standard’ of evidence-based disease prevention programs has been able to duplicate clinical trial results in a variety of settings, populations, and chronic conditions.
• Now used internationally in 23 countries and over 46 U.S. states, DC and Puerto Rico.
• Provides knowledge and skills for individuals to take a more active role in their own health.
© 2011. National Council on AgingA nonprofit service and advocacy organization
CDSMP is.. A low cost or no cost tool and resource you could link
Medicare beneficiaries to that would improve their quality of life
A proven evidence-based program supported by AoA and CDC, most recently through Recovery Act grants
A strategy to help beneficiaries manage their medications and their health conditions
© 2011. National Council on AgingA nonprofit service and advocacy organization
Chronic Disease is an Epidemic of Unparalleled Proportions More than 1.7 million Americans die of a chronic disease
each year. 80% of older adults have at least one chronic condition;
50% at least two. Greater prevalence among minority populations 95% of health care spending for older adults attributed to
chronic conditions Four chronic diseases—heart disease, cancer, stroke, and
diabetes—cause almost two-thirds of all deaths each year.
© 2011. National Council on AgingA nonprofit service and advocacy organization
CDSMP Workshops Small group workshop of 10-16 people helps people of all
ages with chronic conditions and their caregivers:o Improve/increase healthy behaviors o Use tools and strategies to manage long-term conditionso Feel bettero Spend less days in hospitals, emergency rooms and have
fewer doctor visits Workshop topics include:
o Exercise and nutritiono Medication usageo Stress managemento Talking with your doctoro Dealing with emotions and depression
© 2011. National Council on AgingA nonprofit service and advocacy organization
Results for Participants Workshops help participants regain control of their life and do the
things that matter to them.
People feel calmer, less worried and more confident about managing their health.
Participants report they have energy to do more and get relief
from pain, fatigue and other symptoms.
Workshops are held in AAA’s, senior centers, other community
settings• NCOA has an online version, Better Choices, Better Health
• Insurers/health plans are offering program to their patients • Grant-funded pilots in CA, HI, IA, MA, ME, NJ and OR • Now available nationwide
© 2011. National Council on AgingA nonprofit service and advocacy organization
Where AoA Supported Workshops are Held
© 2011. National Council on AgingA nonprofit service and advocacy organization
CDSMP Reach Chronic Disease Self-Management Programs reaching
more than 69,000 older adults
© 2011. National Council on AgingA nonprofit service and advocacy organization
Adoption of Evidence Based Programs Supported by the Administration on Aging
Years of Growth
2001 4 communities
2003 14 communities
2006 16 states
2007 27 states
2010 46 states, DC, & Puerto Rico
© 2011. National Council on AgingA nonprofit service and advocacy organization
Recovery Act CDSMP Grant Progress* 40,313 participants and 29,771 completers 3,669 workshops at 2,685 sites Average age 67 years; 22.3% males; 68% Whites, 20.2% African Americans; 17.6% Hispanics
58.9% more than one chronic condition • Hypertension 41.5%• Arthritis 40.3%• Diabetes 29.5%
*As of May 18, 2011
© 2011. National Council on AgingA nonprofit service and advocacy organization
Working Together Benefits Counselors (MIPPA Grantees and Benefits Enrollment Centers at AAAs, ADRC, CILs, SHIPs and more) and CDSMP:
o Can engage in mutual referrals and cross communications – CDSMP is particularly relevant to the new provisions for a wellness visit and prevention plan for Medicare beneficiaries
Ask your state’s CDSMP coordinator to do a presentation at an in-service training for benefits counselors to talk about CDSMP
Include information about CDSMP in Medicare related presentations, outreach events, at health fairs and in written information
Inform your partners – such as Federally Qualified Health Centers –about CDSMP
© 2011. National Council on AgingA nonprofit service and advocacy organization
Working Together.. Revise protocols for telephone contacts with consumers
and family members. Consider adding a couple of questions:
• “Do you have a long term condition such as arthritis, heart disease or diabetes that impacts your life?”
• “Are you worried or concerned you might fall? (YES/NO) • As a result of this concern, have you stopped doing some of the
things you used to do or like to do? (YES/NO)”
Refer appropriate callers to CDSMP coordinator for class schedules
© 2011. National Council on AgingA nonprofit service and advocacy organization
Example: New Jersey Flyer
Take Control of Your HealthYou’ve chosen your Medicare Part D Plan
Now learn how to work with your doctor to get the best results through our 6-week workshop on
Chronic Disease Self Management
You will learn how to:
Determine the purpose of medications
Understand the effects of your medication
Take responsibility for medication use
Evaluate your medical treatment
Communicate with your doctors
Call now to enroll in a workshop – Name and phone #
© 2011. National Council on AgingA nonprofit service and advocacy organization
Resources A 2011 report entitled, Enhancing Use of Clinical Preventive Services
Among Older Adults: Closing the Gap, published jointly by CDC, AoA, and AHRQ, reviews interventions to increase awareness and use of preventive services, particularly in diverse communities: http://www.cdc.gov/Features/PreventiveServices/Clinical_Preventive_Services_Closing_the_Gap_Report.pdf
For more information about the Chronic Disease Self Management Program (CDSMP) and other Evidence Based Programs for Disease and Disability Prevention: www.healthyagingprograms.org
For the CDSMP AoA-funded contact in your state:
http://aoa.gov/AoARoot/AoA_Programs/HPW/ARRA/index.aspx
© 2011. National Council on AgingA nonprofit service and advocacy organization
PresentersMary Walsh, Senior Program AssociateNational Council on Aging, Center for Healthy [email protected](207)737-2807(207)446-7253
Abigail MorganUS Administration on Aging(202)[email protected]
Patrick Adams, Manager - Community ProgramsOffice of Elder Services, Augusta, Maine Phone: (207) [email protected]