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Larimer County Summit on Aging. Bonnie Shetler, PhD President Foundation on Aging for Larimer County . January 22, 2010. Foundation on Aging for Larimer County . Larimer County Summit on Aging. The Foundation on Aging for Larimer County - PowerPoint PPT Presentation
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Larimer County Summit on Aging
Bonnie Shetler, PhDPresident
Foundation on Aging for Larimer County
Foundation on Aging for Larimer County January 22, 2010
Larimer County Summit on Aging
The Foundation on Aging for Larimer County aims to bring about community awareness of the unmet needs of aging – and to be a catalyst for addressing such needs through collaboration that seeks innovative, funded solutions that result in health, happy, and enrich lives for us all.
Foundation on Aging for Larimer County January 22, 2010
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Bonnie Shetler, PhD
ServiceProviderNetwork
Office OnAging
FoundationOn Aging
Aging-In-Place
Unmet Needs
Aging-In-Place
Aging-In-Place
Unmet Needs
Collaborate
Coordinate
CreateAwareness
ProvideLeadership
FacilitateProcess
Larimer County Summit on Aging
Foundation on Aging for Larimer County January 22, 2010
Larimer County Summit on Aging
Aging as an Out-of-Body Experience
Philip B. Stafford, Ph.D. Director, Center on Aging and Community Indiana Institute on Disability and Community Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
Community Indiana University
Aging as an Out-of-Body Experience
Aging is not about time and the body, but about place, and relationships
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
CommunityIndiana University
Our work together should involve creating good place to grow up and grow old
Communities large and small are taking up the challenge
The Summit on Aging positions Larimer County to leap into the future with confidence
“Community is the smallest unit of
health.”
Wendell Berry, Health is Membership In Another Turn of the Crank
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
CommunityIndiana University
Our work should help create good places to
grow up and grow old…
livable communities for a lifetime
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
CommunityIndiana University
Aging as an Out-of-Body Experience
What is an elder-friendly community?
Data driven and participatory planning for the future
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
CommunityIndiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
CommunityIndiana University
ADDRESSES BASIC NEEDS
Housing Is Modified To AccommodateMobility And Safety
“% of 65+ householders with home mod needs”
The Domain
The Dimension
The Indicator
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
CommunityIndiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
CommunityIndiana University
• Identify the stakeholders• Understand the issues • Frame the problems• Identify potential action steps• Identify the assets in place/needed• Prioritize actions• Support and monitor the responsible parties• Benchmark and evaluate
Making our community elder-friendly
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
CommunityIndiana University
“Improving a community, from beginning to end, involves organizing
people. Money is secondary.”
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and
CommunityIndiana University
Who knows about the
issue?
Who cares about it?
Who can do something about it?
Stakeholders
Community Change
THE GRAYING OF LARIMER COUNTY: IMPLICATIONS AND OPPORTUNITIES FOR THE FUTURE
Susanna D. Bozinovski, Ph.D.CEO and PresidentBozinovski and Associates, Inc.Human Services Consulting12412 King StreetBroomfield CO [email protected](303) 882-6826
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
S.D. Bozinovski/Bozinovski & Associates, Inc.
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
S.D. Bozinovski/Bozinovski & Associates, Inc.
2.9% 1.9%
7.9%6.1% 4.8%
6.9%
14.5%
21.5%
28.0%
3.3% 2.8%4.1%
0%
5%
10%
15%
20%
25%
30%
35%
40%
2000-2004 2004-2008 2008-2012
Perc
ent c
hang
e
0-17 18-59 60-74 75+
GROWTH BY AGE GROUP, 2000-2012LARIMER COUNTY
National Research Center 2004
Percent of Larimer Residents Age 60+
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
S.D. Bozinovski/Bozinovski & Associates, Inc.
THE GRAYING OF LARIMER County
Age 60+ and over
45,42915%
Under age 60248,508
85%
All Larimer County Residents
July 2008 Population Estimates, Colorado Demographer’s Office
Larimer County Summit on Aging
Boomers & Beyond: Housing Trends in the 21st Century
Janice BlanchardAging in Community Network Initiative
Denver, CO
Foundation on Aging for Larimer County January 22, 2009
1950s & 1960s: Growth of the Suburbs
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Blanchard, AICN Initiative
• Economic prosperity• Single family homes• Father, Mother & 3 to 4 kids• Mother stayed at home
1950s & 1960s: Birth of Retirement Communities
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Blanchard, AICN Initiative
1970s: Apartments, Condos, Duplexes & Trailers
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Blanchard, AICN Initiative
• Recession/rising fuel costs • Increase demand affordable housing• New demand for multi-family units• Rise in divorces & single households• Mothers enter the workforce
The 1980s: Colonial Homes and Luxury High Rises
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Blanchard, AICN Initiative
• Reagan years of prosperity• Echo boom• Dual-wage earning family is norm• Renewed interest in urban living
The 1990s: McMansions and New Urbanism
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Blanchard, AICN Initiative
• Greed, excess and wealth• Increasing concern of unchecked
growth – Exurbia • Awhannee Principles • Rising inflation
The 1990s: Assisted Living Facilities & Retirement Communities
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Blanchard, AICN Initiative
• Housing for Older Persons Act of 1995 • Golden Age of Retirement• “The Third Place” – new niche market• WW II Generation Values
Housing in the 21st Century:What’s Next?
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Blanchard, AICN Initiative
From Aging in Place…..
What’s Next ?
Shifting the Paradigm
….To Aging in Community
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Blanchard, AICN Initiative
It takes a village to raise our children…
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Blanchard, AICN Initiative
It takes a community to care for our elders.
Larimer County Summit on Aging
Aging with Options
Diane M. StobnickeVolunteers of America
Foundation on Aging for Larimer County January 22, 2009
Aging with Options
An overwhelming majority of adults wish to remain in their own homes as they age.
Rapid growth of older adults “aging in place” presents opportunities and challenges.
Opportunities: substantial source of civic, social, and potentially financial ‘capital’. (Volunteers, board members, activists, community leaders, elected officials.)
Challenges: affordable, flexible, coordinated services for an increasing number of frail and disabled adults.
Aging in Place
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Diane M. Stobnicke/Volunteers of America
Aging with Options
Community Engagement Programs or Self Help Communities Provide an integrated set of support services such as: social,
cultural, and educational activities; wellness and fitness programs; religious services; service coordination (usually non-medical); volunteer opportunities; transportation
Monthly membership fee
Organized by residents or a service agency
Coordinates services with screened vendors
Example, Beacon Hill Village and SAIL (Supporting Active Independent Lives)
Promising Community Strategies
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Diane M. Stobnicke/Volunteers of America
Aging with Options
Preventive Services and Service Enhancements Evidence based interventions – A Matter of Balance, Arthritis
Foundation Exercise Program, Powerful Tools for Caregivers, Chronic Disease Self Management
PEARLS (Program to encourage Active, Rewarding Lives for Seniors) – Sessions with Social Worker to reduce symptoms of depression
Service Coordinators working with seniors in high rises
Promising Community Strategies
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Diane M. Stobnicke/Volunteers of America
Aging with Options
Injects ‘aging’ into local community planning
Engages older adults in community planning
Addresses basic needs (housing, safety, food)
Optimizes physical health and well-being (promotes healthy behavior, access to services)
Maximizes independence for the frail and disabled (transportation, resources to age in place, support for family caregivers)
An Elder Friendly Community
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Diane M. Stobnicke/Volunteers of America
Larimer County Summit on Aging
THE MOBILITY CHALLENGE
Gary D. ThomasExecutive Director
SAINT Volunteer TransportationSenior Alternatives In Transportation
Foundation on Aging for Larimer County January 22, 2009
THE MOBILITY CHALLENGE
A “perfect storm” of issues will soon impact how Coloradans move about:
• Fuel prices• Climate change concerns• Aging of the baby boom generation
Several initiatives are underway to provide new options – but will the funding arrive in time?
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Gary Thomas / SAINT
THE MOBILITY CHALLENGE
Several new efforts underway to provide alternatives to private automobile travel:• Fort Collins and Loveland just completed their first ever consolidated Transit Strategic Plan• CDOT has formed a new Transit and Rail Division• Amtrak is considering returning the Pioneer Train service between Denver and Seattle – with possibly a stop somewhere in Larimer County• Major study on the feasibility of High Speed Rail in Colorado is being completed• U.S. Congress considering revisions to the Federal Transportation bill
that will increase support and funding for transit and rail• Mason Corridor Bus Rapid Transit line is funded - design underway
“I will. I will survive” – Scarlett O’Hara
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Gary Thomas / SAINT
Larimer County Summit on Aging
Health Care Issues for Seniors:Current Problems
Prospective Solutions
Roger P Bermingham MDFamily Practice Residency
Poudre Valley Hospital
Foundation on Aging for Larimer County January 22, 2009
Shortage of Primary Care Providers• General Internists
– 2% of graduating medical school seniors plan to go into general internal medicine: 2007 data
• Family Physicians– Currently are 12% of the work physician work force– Only provide a percentage of senior care– Declining number of US graduates going into FP residencies
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Roger Birmingham, MD
What about Geriatrics
• In 2007, 91 graduates from US medical schools entered Geriatric Fellowships– Most are destined for academic medicine– Added training with a decreased reimbursement
• Number of practicing geriatricians declined 5.5% from 2000 to 2007
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Roger Birmingham, MD
If you get into see the doctor…• Will you have enough time to bring up the issues you need to?
– Average primary care office visit time is shrinking– Longer appointment times less available
• With shorter appointment times– Patients do not bring up all the issues that are bothering them– Providers do not verbally screen for other illnesses (see next slide)
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Roger Birmingham, MD
If you get into see the doctor…• Will you have enough time to bring up the issues you need to?
– Average primary care office visit time is shrinking– Longer appointment times less available
• With shorter appointment times– Patients do not bring up all the issues that are bothering them– Providers do not verbally screen for other illnesses (see next slide)
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Roger Birmingham, MD
Are there solutions for the impending Senior Health Care crisis?• There is likely not a single solution• Each potential solution has significant hurdles and drawbacks• Many of the solutions take time to develop• We are definitely in a “brainstorming permitted” mode
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Roger Birmingham
Some existing solutions
• Medicare plus Choice plans– Offer benefits above Medicare basics often including drugs– Often regionally limited (Kaiser, Rocky Mtn HMO)– May have cut backs in arenas that aren’t evident
• Program for All-inclusive Care of the Elderly (PACE)– Basically is Day Care plus medical services– Primarily for frail elderly with Medicaid– Has to be regionally approved
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Roger Birmingham, MD
Some options under discussion
• The Patient Centered Medical Home– Having access to multiple modalities of care through or at
your primary care physician’s office– Works only for larger medical groups– No current extra funding—but hoped for
• Nurse Practitioners clinics targeted for Seniors– Typically work better in larger cities with higher number of
Medicare HMO plans– Still often need physician oversight
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Roger Birmingham, MD
Brainstorming/Other options
• Retraining physicians in geriatric care– Donald Reynolds Foundation grants– Great education but reimbursement/access issues remain
• Using trained lay persons to act as case finders
• Increased loan forgiveness for physicians working in clinics with a higher percentage of senior patients
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2009
Roger Birmingham, MD
Larimer County Summit on Aging
Findings from the Larimer County Summit on Aging
Kelly Blanchard and Brittany Silvers
Hartford Partnership Program for Aging EducationFellows in Gerontological Social Work
Colorado State UniversitySchool of Social Work
Foundation on Aging for Larimer County March 3, 2010
PURPOSE OF BREAKOUT SESSIONS
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
HEALTH CARE
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
What are the key needs or the main problems around health care for current and future seniors in Larimer County?
Education About Services and Resources
Need More Services and Providers
Communication
HEALTH CARE
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
What are community assets that are being mobilized already to address health care?
Connecting with Services and Resources
HEALTH CARE
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
What are the opportunities for improvement around health care in Larimer County?
Education- Provide and Obtain
Collaborative Health Care
HEALTH CAREVision Statement
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
In a Larimer County that has achieved aging readiness, and is livable and healthy for our seniors…
All seniors are aware and understand the resources available to them; livable and healthy; receive adequate financial resources to meet their needs; through a coordinated environment are receiving the health care they need; preplan and move to more self-responsibility.
SUPPORT SERVICES
What are the key needs or the main problems around support services for current and future seniors in Larimer County?
Affordability and availability of community services
Education and awareness
Quality of Life
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
SUPPORT SERVICES
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
What are community assets that are being mobilized already to address support services?
Community Based Resources
National Resources
Government Resources
SUPPORT SERVICES
What are the opportunities for improvement around support services in Larimer County?
Financial
Education and outreach
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
SUPPORT SERVICESVision Statement
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
In a Larimer County that has achieved aging readiness, and is livable and healthy for our seniors…
Is a model of innovation that demonstrates high quality and respectful elder friendly communities.
TRANSPORTATION
What are the key needs or the main problems around transportation for current and future seniors in Larimer County?
Public transportation logistics
Education and awareness
Alternative options
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
TRANSPORTATION
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
What are community assets that are being mobilized already to address transportation?
Community Based Resources
Government Resources
TRANSPORTATION
What are the opportunities for improvement around transportation in Larimer County?
Structural Improvements
Education and awareness
Untapped resources
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
TRANSPORTATIONVision Statement
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
In a Larimer County that has achieved aging readiness, and is livable and healthy for our seniors…
Will know how and can easily access a safe, affordable, enjoyable and reliable transportation system service that keeps them connected to our community.
HOUSING
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
What are the key needs or the main problems around housing for current and future seniors in Larimer County?
Central Resource for Housing Needs
Resources for low income, special needs seniors
Intentional Communities
HOUSING
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
What are community assets that are being mobilized already to address housing?
Community Based Resources
National Resources
Government Resources
HOUSING
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
What are the opportunities for improvement around housing in Larimer County?
Versatile Housing
Collaboration of established organizations for knowledge, creativity and growth
HOUSINGVision Statement
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
In a Larimer County that has achieved aging readiness, and is livable and healthy for our seniors…
All seniors have options for housing that are accessible, integrated with the greater community, allow for intentional interdependence, and provide a meaningful quality of life.
THEMES FROM THE SUMMIT BREAKOUT SESSIONS
Education and Awareness
Advocacy
Volunteers Available
Single Reference Source/Point of Entry
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
CONCLUSION
Underlying all of the findings from the Larimer County Summit on Aging is the reality that we, as a community, need
to rally together to show our commitment to value, respect and provide for our seniors.
Larimer County Summit on Aging
Foundation On Aging for Larimer County March 3, 2010
Blanchard and Silvers/CSU
Larimer County Summit on Aging
Foundation on Aging for Larimer County January 22, 2010
Following the Larimer County Summit on Aging, the Foundation on Aging will form collaborative groups that will turn this vision into concrete objectives. Everyone is invited to be part of this collaborative process.
Please indicate your willingness to be involved in these activities. Name/Title ________________________________________________________________________ Affiliation _________________________________________________________________________ Phone ____________________________________ Email_____________________________________ FOA website: www.foundationonagingforlarimer.org
Larimer County Summit on Aging
Vision Statement
Foundation on Aging for Larimer County January 22, 2010
“IN A LARIMER COUNTY THAT HAS ACHIEVED AGING READINESS, AND IS LIVABLE AND HEALTHY FOR OUR SENIORS ALL INDIVIDUALS ARE PREPARED FOR THE CHALLENGES AND OPPORTUNITIES ASSOCIATED WITH AGING IN OUR COMMUNITY.”