Transcript Sustaining Evidence-Based Health Promotion Programs

Role of CDA Evidence-Based Health
Promotion Programs in Fall Prevention
Efforts
Lora Connolly, CA Department of Aging
April 14, 2008
Contributing Fall Factors
 Balance problems
 Lack of exercise
 Poor nutrition
 Medication side effects
 Vision problems
 Environmental hazards
 Fear of falling leads to more falls
Compelling Fall Statistics
• More than 13, 700 people over age 65
die each year from fall related injuries
(30%-40% were preventable)
• Leading cause of senior injury deaths
• After a fall, 40% of seniors remain
dependent on care from others
Chronic Diseases Contribute
to Increased Fall Risk
• Arthritis, diabetes, Parkinson's, various
cardiovascular conditions, vision loss,
MS, and many other chronic conditions
increase the risk of falling.
• Medications taken for these & other
health conditions can also contribute to
fall risks.
Nexus with California’s
Evidence Based Health Promotion
Federal Grant
• 2006--Administration on Aging releases
competitive grants to states to implement the
Evidence Based Health Promotion Programs
in in home & community settings
• 2006—California submits & receives AoA
grant ($300,000 to be used over 3 years)
California Older Adult Evident
Based Health Promotion Program
• CDA is the lead agency in partnership with
CA Department of Public Health
• 5 initial counties & respective Area Agencies
on Aging participating (Fresno, Los Angeles,
Madera, San Diego & Sonoma)
• Partners in Care Foundation, already
implementing two AoA evidence based
programs serving frail seniors, acting as
project coordinator
• Goal that seniors at all levels of disability
including the very frail would be served.
Would be offered in English and Spanish.
Participating CA Counties
Original County
New County
Programs Being Implemented
• Stanford Chronic Disease Self
Management in LA, Orange, and soon
in SD, Sacramento, San Bernardino
counties;
• Matter of Balance in LA, SD, Sonoma
and other counties
• Healthy Moves & Medication
Management in LA, Fresno/Madera,
soon in Kern counties
Atlantic Philanthropies Grant
• CA was just awarded additional $300,000 to
be used over next 3 years
• Expand & develop sustainability of the
Chronic Disease Self Management Program
• Strategy relies on building an infrastructure
that involving community colleges older adult
courses; CA Association of Physician Groups,
and county public health departments.
Ultimate Goals
• Develop an infrastructure/platform for
disseminating a variety of evidence
based health promotion interventions
• Leverage the shared resources of CDA
and CDPH
• Establish strong regional partnerships
invested in these programs to continue
these programs after grant funding ends
CA Grant Overview
Initial Participating Counties
Overview of Statewide Steering Committee and Geographic Partnerships
Advisory members of
Steering Committee
Arthritis
Foundation
CA Department of
Aging
CA Department of Health Services
California Arthritis Partnership Program
California Center for Physical Activity
CA Fall Prevention Center of Excellence
Kaiser Permanente
Community Clinic
Association
Los Angeles
 City & County
AAAs
 Kaiser Permanente
 Community Clinic
Association
 Providence Health
Systems
 Jewish Family
Services
 Good Samaritan
Hospital
 Angeles Plaza
 Arthritis Foundation
 Multipurpose Senior
Services Program
Partners in Care
Foundation
Fresno/Madera
 AAA
 Kaiser Permanente
 Retired Senior
Volunteer Program
 Multipurpose Senior
Services Program
 Senior Community
Service
Employment
Program
San Diego County
 AAA/Aging &
Independent
Services Health
Promotion Unit
 Aging & Disability
Resource Center
ADRC
 Silver Age Yoga
 Kaiser
 Community Clinic
Association
Sonoma County
 AAA
 Aegis Rehabilitation
Therapies
 Kaiser Permanente
 Life STEPS
 No. California
Center for Well
Being
 Santa Rosa Junior
College
 Dept. of Health
Services
 Sonoma State
University
 St. Joseph Health
Systems
 Sutter Medical
Center