state planning grants deborah burns aging services program specialist office of community based...
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STATE PLANNING GRANTS
Deborah Burns Aging Services Program Specialist
Office of Community Based ServicesUS Administration on Aging
James WhaleyDirector
National Association of State Units on Aging
4th State Units on Aging Nutritionists & Administrators Conference August 2006
Project Outcomes
Aging network move toward a coordinated, systematic and consistent planning process
OAA State/AAA compliance plans reflective of comprehensive planning efforts of SUAs & AAAs
Purpose to demonstrate clear and purposeful methods of comprehensive State and area planning methodologies
Comprehensive Plans Include
All programs & funding streams administered by the SUA and AAAs
Programs & services for older individuals administered by other state government agencies
Comprehensive Plans Include 2
AoA Strategic Action Plan goals AoA Initiatives
– ADRCs– POMP– Evidence-Based Prevention Programs– Integration of long-term care services/planning
within the State – Incorporation of internet technology (IT) systems
management into planning
Project Conceived
A cooperative effort among eight State grantees, AoA, and the technical consultant, NASUA
A three year effort beginning, September 2005, with development, testing and implementation stages
State Planning Grantees
Arizona Florida Indiana Kentucky
Minnesota North Carolina New Jersey Pennsylvania
Arizona
Arizona 2020 Improve coordination & consistency of the
State & AAA plans Use plans as strategic documents to
strengthen organizational capacity Involve other state government agencies ADRC & Pomp
Florida
Comprehensive planning model Uniform data collection, needs assessment &
outcome-measurement methodologies Development of web-accessible national
planning database Involve other state agencies in the planning
workgroups
Indiana
Test the AdvantAge Initiative as a state-level planning model
Design & create comprehensive demographic database
Statewide randomized telephone survey 16 PSA Aging Summits
Kentucky
New State & Area plan formats Develop statewide outcomes Improve coordination of area & state plans Incorporate new client tracking system into
the planning model
Minnesota
Develop a system-change/service-development planning model
Establish web-based application & reporting system
Develop evidenced-based health promotion programs at the state & local levels
New Jersey
Develop 3 nutrition program planning models:– Cost effective & efficient program operations– Integration of nutrition plans into the ADRC
initiatives– Service delivery for diverse populations
North Carolina
Coordinated “Logic Model” planning model for state and area plans
Focus on client outcomes Integrate POMP into the planning model Link goals and features of AoA Strategic
Action Plan to state & AAA planning
Pennsylvania
Produce standard measurement model for each State Plan objective
Develop local outcome measures Statewide adoption of Culturally and
Linguistically Appropriate Standards (CLAS) “How to” guide on State Plan outcome
measures
First Year Activities of State Grantees
The State PGP grantees have: – Brought together all stakeholders (including other
State government agencies) and provided thorough orientation;
– Developed/implemented various assessment/survey tools;
– Reviewed best practices in areas relevant to each state;
1st Year State Grantee Activities 2
– Developed planning formats and upcoming plan updates;
– Developed communication tools to enhance project discussions and information dissemination; and
– Developed performance measurement strategies
1st Year National Model Activities
The Project Resource Center at NASUA has Developed and disseminated planning
research briefs Convened expert panels Drafted elements of a national planning
model Provided individual TA to grantee states
New Jersey’s Nutrition Project
Three teams, each has developed its own logic planning model
Program Operations Integration into ADRCs Service to Diverse Populations
New Jersey Nutrition Project
Program Operations
Development of cost model(s) that allows for standardized budgets & reporting
Evaluation of the cost effectiveness of various cost options including purchasing methods, group buying, and volumepurchasing.
New Jersey Nutrition Project Integration Into ADRCs
Current nutrition program assessment/ intake tools were collected and analyzed
NJ’s ADRC I&A/intake/assessment process tools also analyzed
Gaps identified in the areas of race/ ethnicity, language spoken, and specialdiet needs.
New Jersey Nutrition Project Integration Into ADRCs 2
Recommendations developed and forwarded to the ADRC Management Team
ADRC team identified 3 questions to be added to ADRC intake tool to assess need for a nutrition referral
ADRC team developed position paper to support addition of Nutrition Risk Assessment tool to ADRC assessment tool
New Jersey Nutrition Project Service to Diverse Populations
Assessing current program utilization and local demographics
Assessing provision of cultural competency training to nutrition program staff
Implementing initiatives to improve/expand service delivery to diverse populations.
New Jersey Nutrition Planning Grant Contact
Gerry McKenzie
609-943-3499
NJ Department of Health and Senior Services
240 West State Street
P.O. Box 807
Trenton, NJ 08512
Minnesota Evidence Based Health Promotion Program
A Cross-System Evidence-Based Partnership Falls prevention initiative with public and private
partners Older Minnesotans:
fewer falls and fall-related injuries
maximizing independence and quality of life
MN Evidence Based Health Promotion Program Objectives
Increase awareness of the prevalence of and risk factors for falls
Increase availability of evidence-based falls prevention programs that help older adults gain lower body strength and balance
Increase access to these programs through frequent falls risk assessments and referrals
Increase quality assurance efforts related to falls prevention activities
MN Evidence Based Health Promotion Program Enhanced "YouCan!" Model
Developed by the Southeast Minnesota Area Agency on Aging
Conducted at seven congregate dining sites (five in senior housing, one in a community center, and one in a senior center)
Original model: walking program and nutrition education
Additional components: chronic disease self-management education/exercises focused on lower body strength and balance (prevent falls)
MN Evidence Based Health Promotion Program Enhanced "YouCan!" Model 2
Classes taught by teams including certified fitness trainers, physical therapy assistants and health care professionals
Participants: Average age 80-85 years (oldest: 96), 77% live alone, 20% live with spouse, 3% live with other family members
Outcome measures: eating habits, level of physical activity, self-reported health status/ appetite status, personal nutrition/physical activity goals, blood pressure, BMI, Timed Up and Go test, Timed Stands
MN Evidence Based Health Promotion Program Enhanced “YouCan!” Evaluation
Individual screening information and group survey results shared with participants
Participants/partners provide group and individual feedback on program structure, content, process
Participants experienced significant improvement in physical activity levels, health status measures and self-reported health
MN Evidence Based Health Promotion Program “You Can!” Lessons Learned
Worth the time and effort to track their health status throughout the program - Very motivating (Participants)
Not difficult to ensure confidentiality of individual health information in order to comply with HIPAA requirements
MN Evidence Based Health Promotion Program “You Can!” Next Steps
Share evidence with local health care purchasers and clinics
Generate additional funding for the program Recruit more participants Expand to additional locations
MN Evidence Based Health Promotion Program “You Can!” Programs Contact
Kari Benson
651-431-2566
MN Board on Aging
P.O. Box 64976
St. Paul, MN 55164-0976
Plans for Year 2 and 3
The second and third years of the project will involve field-testing and refining of the State and national models.
The state grantees will be providing ongoing input for the national model from their individual projects, and will be tapped for review and refinement of the model beginning the fall of 2006.
National Planning Grants Program Contacts
Deborah BurnsUS Administration on Aging202/[email protected]
James WhaleyTechnical Assistance Support Center202/898-2578 ext [email protected] www.nasua.org/tasc