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2
Acknowledgement
The NC Roadmap was supported by
• National Association of Chronic Disease Directors Senior Opportunity Grants
• HA2006-II, HA2008
• Division of Aging and Adult Services
• Division of Public Health
• The Institute on Aging
3
NC RoadmapSession Objectives
• Understand the importance and effectiveness of health promotion and disease prevention programming for older adults
• Identify the evidence-based health promotion programs for older adults available in North Carolina
• Utilize the NC Roadmap to implement evidence-based health promotion programs and upload your programming information on to www.ncroadmap.org
4
The Silver Tsunami
• Older adults are NC’s fastest growing population due to:
• Decreasing birth rates, improved life expectancies, migration, better health…and the boomers
• Greater life expectancy due to:
• Advances in health care and (opportunities for) healthier lifestyles
“When I’m 64: How Boomers Will Change Health Care ”, American Hospital Association, May 2007
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Percent of Population Age 65+ in North Carolina, 2000
The average for NC is 12.0%.
The range is from 6.3% to 23.6%
12% or less
12.1% to 13.0%
13.1% to 14.4%
14.5% to 15.9%
More than 16%
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*Based on July 2006 population projections
The average for NC is 17.7%.
The range is from 10.5% to 35.2%
12% or less
12.1% to 13.0%
13.1% to 14.4%
14.5% to 15.9%
More than 16%
Percent of Population Age 65+ in North Carolina, 2030*
7
United States Life Expectancy 1900-2008
• 1900: Avg. life expectancy was ___?
• 2008: Avg. life expectancy is 78.1 yrs.
• In NC ___?
• In NC, average years of healthy life remaining at birth ___?
www.schs.state.nc.us/SCHS/pdf/SCHS -129.pdf
www.schs.state.nc.us/SCHS/data/lifexpectancy
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66.6
59.3
62.4
53.3
13
16.5
10.6
14.7
10 30 50 70 90
White women
Nonwhite women
White men
Nonwhite men
Years
years of healthy life years of poor health
How Many Years of Good Health?
Source of data: CDC, Chronic Disease Notes & Reports, vol. 16, no. 2/3 (2004).
Minority men and women in North Carolina have shorter life expectancies, but more years
of poor health.
9
The Challenge
• A rapidly growing older adult population in almost every county in the state
• Chronic disease epidemic
• Limited healthcare providers
• Limited resources
10
Division of Aging & Adult Services
• Adult Day Services
• Care Management
• Nutrition Services (Congregate, Home Delivered Meals)
• Respite Care
• In-Home Aide
• Information and Case Management
• Senior Center Operations
• Transportation
• Housing and Home Improvement
• Other Services - Health Promotion, Ombudsman Advocacy Program, Adult Protective Services , etc.
11
The Aging Network
Federal LevelAdministration on Aging
State LevelNC Division of Aging &
Adult Services
Regional LevelArea Agencies on Aging (17)
County LevelPerson County Council on Aging
12
The Health Promotion Solution
Older adults who make healthier choices demonstrate
• Lower rates of premature death due to chronic disease
• Decreased rates of disability
• Better mental health and cognitive function
• Lower healthcare costs
13
Partnerships for Health Promotion
Aging, Public Health & the Institute on Aging
• Set a more coordinated and systemic effort to address healthy aging in the state
• Build infrastructure to support and disseminate EBHP
• Memorandum of Understanding
• Partnerships and Coalitions
• Programs, Resources & Other Tools
14
Outcomes
• Five NACDD Senior Grants
• AoA Grant to disseminate Living Healthy
• North Carolina Healthy Aging Coalition
• North Carolina Falls Prevention Coalition
• Roadmap for Healthy Aging
15
Evidence-Based Health Promotion Programs 2009
• Chronic Disease Self-Management Program—(Living Healthy)
• Arthritis Foundation Exercise Programs• Matter of Balance• Active Living Every Day• Powerful Tools• Diabetes Self-Management Program• Fit and Strong• Walk With Ease• Healthy IDEAS• And more to come….
16
Future Directions
• Expansion of evidence-based programs
• Workshops to educate about EBHP
• More master trainer sessions
• Sustainability (Living Healthy Program)
• Expand users of NC Roadmap
• Minimize replication of efforts, maximize resources
• Create one-stop shopping for health promotion programming
18
What is the NC Roadmap?• A user-friendly, interactive guide for
providers to learn about and deliver EBHP
• A statewide inventory of health promotion programming
• A county-by-county listing of evidence-based health promotion programs
• A marketing tool to attract both new partners and new clients to programs
• A networking tool to identify community partners to implement and deliver health promotion programming
19
What is it, Really?
• A wiki
• A website that uses wiki software, allowing easy creation and editing of any number of interlinked Web pages
• Wikis are often used to power community websites
(http://en.wikipedia.org/wiki/Wiki, accessed 9/21/09)
20
Who Will Find the Roadmap Helpful?
• Community Providers• Resources/strategies to identify partners in
the community and to implement EBHP• Healthcare Providers
• Education about what is an EBHP; listings of EBHP and health promotion programming in their community
• Policy Makers• Health, demographic, and health promotion
data for each county in the state• Researchers
21
Why is this important?
• Easy access to health information for your community
• Provides a listing of current health promotion programs so efforts will not be replicated
• A venue to educate public and providers about health issues in your community, and the importance of EBHP
22
Case Study: Watauga County
Use of the NC Roadmap to develop new and effective partnerships
• AAA Region D NC Roadmap Workshop
• Purpose of Workshop
• Educate about EBHP
• Introduce tools for implementation
• Explain use of Roadmap
• 38 attendees, 7 counties represented
• 14 from Watauga County
23
Case Study: Watauga CountyAging Services, Healthy Carolinians, ASU Faculty, Physical Therapy, Rehabilitation
• Outcomes
• Realization of common health promotion goals
• Identification of duplication of efforts
• Decision to meet quarterly to pool resources to develop and support EBHP
• Utilize the NC Roadmap to advertise programs and update partners
24
How Does the NC Roadmap Work?
• www.ncroadmap.org
• Information and tools for EBHP
• Guides for implementing programs in NC
• Contact information for master trainers
• Links to additional resources
• County specific information that can be updated and maintained by each facility
• Search engine to find programs
• Additional state and national resources
• Information can be updated or added by any registered user
25
www.ncroadmap.org
• Site demonstration
• New program information
• New regional or statewide program
• Modify current programming information
• Other tools
26
Dr. Seuss on EBHP & The NC Roadmap
‘‘a person’s a person, no matter how small”
If enough providers in a community support and utilize EBHP, great things in health promotion can be accomplished
27
Questions?
Thank You!
Tiffany Shubert
Audrey Edmisten
Sharon Rhyne