positioning the aging network for the future of long term care john wren 4th state units on aging...
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Positioning the Aging Network for the
Future of Long Term Care
John Wren4th State Units on Aging Nutritionists & Administrators
Conference August 2006
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Choices for Independence
A Strategy for:
• Giving Seniors More Choices, Control
and Independence in the Community
• Positioning the Aging Network
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Policy Environment
• Growing Elderly Population
• Increasing Numbers of Impaired Elderly
• Growing Cost of LTC
• Dissatisfaction with Current System
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Challenges with Current System
• Not Responsive to Consumers
• Institutional Bias
• Fragmented and Inefficient
• Very Expensive
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Growth in LTC Expenditures
0
20
40
60
80
100
120
140
Medicaid Medicare LTCI Other Public Family
2030
0
20
40
60
80
100
120
140
Medicaid Medicare LTCI Other Public Family
20052005 2030
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Aging Network’s Unique Assets
• Consumer Focus
• Advocacy / System Development Role
• Nationwide Infrastructure for HCBS
• Capacity to Reach People Early
• Trusted Source of Information and Assistance
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Key Elements of Choices
• Empowering People to Make Informed Decision and to Access Needed Care
• Helping High Risk Individuals Avoid Nursing Home Placement
• Keeping People Healthy
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Key Program Components
• Aging & Disability Resource Centers
• Evidence-Based Prevention Programs
• Community Living Incentives
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Aging Network’s Unique Assets
• Consumer Focus
• Advocacy / System Development Role
• Nation-wide Infrastructure for HCBS
• Capacity to Reach People Early
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Choices for Independence
• Current Status
– Reauthorization
– FY 2007 Budget
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Strategies We’re Using to Achieve our Strategic Goals
Goals
Advocacy
Consumer Informationand Public Education
Knowledge Development,Research Translation and Community Implementation
Grants to States,Territories and Tribes
Technical Assistance
Effective and ResponsiveManagement
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AoA’s Overall Strategy
“Strengthen the capacity of the Aging Services Network to play a leadership role in health and long-term care
through initiatives that involve partnerships with
other key stakeholders.”
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Better nutrition and increased physical activity is well within reach.
http://www.aoa.gov/youcan
•A partnership approach
•Outreach and mobilization to community organizations
•Partners encourage older Americans to eat better and move more
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Strengthening National Programs
Alzheimer’s Disease• Alzheimer’s Disease Demonstration GrantsAlzheimer’s Disease Demonstration Grants
– Vehicle for advancing changes to a state’s overall system of home and community-based care
– Require grantees to use evidence-based research from NIA and other sources in developing their plans
• Program Evaluation and TA Resource Center Program Evaluation and TA Resource Center ContractContract– Gather Best Practice Case Studies– TA – Replicating best practices & community-based
alternatives– Link to federal and state long term care systems
development initiatives
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Strengthening National Programs
Return Focus of Nutrition Programs as Wellness Programs
• “You Can! Steps to Healthier Aging” Mini-GrantsMini-Grants– Fund 8-10 nutrition programs; announce April 30 at Secretary’s
“Steps to Healthier US” Summit
• $1.5 Million Earmark – “Bridges to Health and Wellness”– Provide high risk older adults, short term home delivered meals,
nutrition education/counseling, referral to physical activity programs, and links to community wellness programs
– Change the culture of home delivered "meal" providers – nutrition as a wellness program and a link to other community services
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Health Promotion in Native American Communities
• National Resource Center on Native American Aging– Reducing LTC Needs
through HP/DP
– Counseling Healthy Behavior
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Eliminating Health Disparities AmongMinority Elder Individuals
Target Population: Older Persons of Hispanic Descent
• Project Title: Project Salud A La Vida• Grantee: Asociacion Nacional Pro Personas Mayores• Goal: Increase awareness of—
– cardiovascular disease in older Hispanic women– prostate cancer in older Hispanic men– need for annual influenza and pneumococcal vaccine
• Strategies: Multilanguage, culturally based, Fotonovela format• Focus: Reach monolingual Hispanic immigrant elders in 4 cities
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Eliminating Health Disparities AmongMinority Elder Individuals
Target Population: African American Elders
• Project Title: Obesity: A Leading Risk Factor for Healthy Living• Grantee: National Caucus and Center on the Black Aged, Inc. • Goal: Reduce obesity, a leading risk factor for chronic disease among African American seniors, including:
– Cardiovascular disease; hypertension; kidney failure, & diabetes• Strategies: Establish church-based aging and health advocacy committees that will disseminate health promotion information designed to:
– promote weight reduction– improve nutrition– increase physical activity
• Focus: Reach African American elders through faith-based collaborations
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Evidence-Based Prevention Grants Program
• Goal– Demonstrate efficacy of delivering proven risk
reduction interventions through our providers
• Key Design Elements– $6+million over 3 years– 12 projects & National TA Center– Public/Private Partnership
• Anticipated Outcomes
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Older Americans ActTitle III D Evaluation
• Involvement of AoA and the Network in Heath Promotion/Disease Prevention
• Evaluation of III-D underway through RTI International
• Literature Review and Expert Panel Observations Suggest Program Effectiveness
• AoA Seeks Observations and Information of Value for Health-Related Program Development at Federal, State and Community Levels
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Making It Happen: The CM Enablers
Getting the Resources
Making and Overseeing the Grants/Contracts
Providing IT Service and Support
Keeping AoA Staff Healthy and Safe
CCCS
OE
CPPD
CWCBS
ASA
OCBS
OAIN
OCCP
ES
RSC
CM