Transcript Positioning the Aging Network for the Future of Long Term Care

Positioning the Aging Network
for the
Future of Long Term Care
John Wren
4th State Units on Aging Nutritionists & Administrators
Conference August 2006
Choices for Independence
A Strategy for:
• Giving Seniors More Choices, Control
and Independence in the Community
• Positioning the Aging Network
Policy Environment
• Growing Elderly Population
• Increasing Numbers of Impaired Elderly
• Growing Cost of LTC
• Dissatisfaction with Current System
Challenges with Current System
• Not Responsive to Consumers
• Institutional Bias
• Fragmented and Inefficient
• Very Expensive
Growth in LTC Expenditures
2005
2005
2030
2030
140
140
120
120
100
100
80
80
60
60
40
40
20
20
0
Medicaid
Medicare
LTCI
Other Public
Family
0
Medicaid
Medicare
LTCI
Other Public
Family
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
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
Key Program Components
• Aging & Disability Resource Centers
• Evidence-Based Prevention Programs
• Community Living Incentives
Aging Network’s Unique Assets
• Consumer Focus
• Advocacy / System Development Role
• Nation-wide Infrastructure for HCBS
• Capacity to Reach People Early
Choices for Independence
• Current Status
– Reauthorization
– FY 2007 Budget
Strategies We’re Using to
Achieve our Strategic Goals
Grants to States,
Territories and Tribes
Advocacy
Consumer Information
and Public Education
Knowledge Development,
Research Translation and
Community Implementation
Technical Assistance
Goals
Effective and Responsive
Management
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.”
•A partnership approach
Better nutrition and
increased
physical activity is well
within reach.
http://www.aoa.gov/youcan
•Outreach and
mobilization to community
organizations
•Partners encourage older
Americans to eat better
and move more
Strengthening National Programs
Alzheimer’s Disease
• Alzheimer’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
Contract
– Gather Best Practice Case Studies
– TA – Replicating best practices & community-based
alternatives
– Link to federal and state long term care systems
development initiatives
Strengthening National Programs
Return Focus of Nutrition Programs as Wellness Programs
• “You Can! Steps to Healthier Aging” Mini-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
Health Promotion in Native
American Communities
• National Resource
Center on Native
American Aging
– Reducing LTC Needs
through HP/DP
– Counseling Healthy
Behavior
Eliminating Health Disparities Among
Minority 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
Eliminating Health Disparities Among
Minority 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
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
Older Americans Act
Title 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
Making It Happen: The CM Enablers
Getting the Resources
ASA
Making and Overseeing the
Grants/Contracts
OCBS
Providing IT Service and
Support
OAIN
Keeping AoA Staff Healthy
and Safe
OE
CCCS
OCCP
CWCBS
ES
RSC
CM
CPPD