11

New York StateNew York StateProject 2015Project 2015

National Governors Association Center for Best

PracticesInstitute for Health Policy Advisors

September 5, 2003

George E. Pataki, Governor

Neal Lane Acting DirectorNew York State Office for the Aging

22

New York StateNew York StatePROJECT 2015PROJECT 2015

PREPARING FOR THE IMPACT PREPARING FOR THE IMPACT OF OF

MAJOR DEMOGRAPHIC CHANGESMAJOR DEMOGRAPHIC CHANGES

33

TODAY –TODAY –

The LandscapeThe Landscape

The Issue – Major demographic The Issue – Major demographic changeschanges

New York’s Planning ProcessNew York’s Planning Process( & Some ( & Some Results)Results)

Next StepsNext Steps

44

The LandscapeThe Landscape

55

The Issue: The Issue: Major Demographic Major Demographic ChangesChanges AgingAging

Greater Numbers of Greater Numbers of EldersElders

Age 85+ -- Significant Age 85+ -- Significant GrowthGrowth

66

Population PyramidNew York State 2015

-6.0 -4.0 -2.0 0.0 2.0 4.0 6.0

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Male

Female

U. S. Bur e a u of the Ce ns us

Changing Age Changing Age Structure-Structure- New YorkNew York

[Source: Project 2015 – New York’s Changing Demographics” Robert Scardamalia, Chief Demographer, Empire State Development. Derived from Cornell Institute for Social & Economic Research.]

Population PyramidNew York State, 1990

-6.0 -4.0 -2.0 0.0 2.0 4.0 6.0

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ma le

Fema le

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Population Growth in New York State 65+, 75+ & 85+

0%5%

10%15%20%25%30%

2000 2005 2010 2015

Aged 65+

Aged 75+

Aged 85+

88

DiversityDiversity People on the Move- People on the Move-

ImmigrationImmigration MigrationMigration

Ethnicity and LanguageEthnicity and Language Family StructureFamily Structure

The Issue: The Issue: Major Demographic Major Demographic ChangesChanges

99

Diversity – People on the Diversity – People on the MoveMoveIMMIGRATIONIMMIGRATION

Immigration – major factor in Immigration – major factor in stable/slightly increasing stable/slightly increasing population size in New York.population size in New York.

About 100,000 immigrants arrive About 100,000 immigrants arrive in New York every yearin New York every year

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Age-Specific Net MigrationNew York State, 1990-2000

-20

-15

-10

-5

0

5

10

0-4 25-29 50-54 75-79

Age (5-year increments)

Perc

ent

[Source: Robert Scardamalia, Chief Demographer, Empire State Development, 2002]

Diversity – People on the Diversity – People on the MoveMoveMIGRATIONMIGRATION

1111

+37.6%

+22.8%

+49.2%

Upstate NY

New York City

5 counties - Suburban NYC

DIVERSITY –DIVERSITY – ETHNICITY AND RACEETHNICITY AND RACE

New York State: 1990-2000 Population Change (all ages)

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Diversity -Diversity - LANGUAGELANGUAGE

TodayToday - - 2.3 million New Yorkers are not 2.3 million New Yorkers are not

proficient in speaking Englishproficient in speaking English

The 2.3 million:The 2.3 million:• 51% speak Spanish.51% speak Spanish.• 29% speak Indo-European 29% speak Indo-European

languages.languages.• 17% speak Asian languages.17% speak Asian languages.

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Married Couple Families –Married Couple Families –

Married couple families with Married couple families with children – children –

Single person households – Single person households –

Non-Traditional Households Non-Traditional Households ––

Diversity -Diversity -FAMILY STRUCTURE (2000)FAMILY STRUCTURE (2000)

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New Yorkbecoming older, more diverse

United Statesbecoming older, more diverse

Demographic Demographic SummarySummary

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NEW YORK STATENEW YORK STATE

PROJECT 2015PROJECT 2015A Planning ProcessA Planning Process

Using Existing ResourcesUsing Existing Resources

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THE STORY STARTSTHE STORY STARTS19981998

Focus on:Focus on: The Baby Boomers The Baby Boomers

First Effort --First Effort --NYS Office for the AgingNYS Office for the AgingState Society on Aging of NYSState Society on Aging of NYS

Publication –Publication –2015: The Future of Aging in New York State: 2015: The Future of Aging in New York State: Articles and Briefs for DiscussionArticles and Briefs for Discussion

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THE STORY CONTINUESTHE STORY CONTINUES20022002

Governor PatakiGovernor Pataki

Broadened the Scope --Broadened the Scope --

Government-Wide Planning EffortGovernment-Wide Planning Effort

Major Demographic TrendsMajor Demographic Trends

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PROJECT 2015 PROJECT 2015 36 CABINET-LEVEL AGENCIES36 CABINET-LEVEL AGENCIES

Advocate’s Office for Persons with Advocate’s Office for Persons with DisabilitiesDisabilities

AgingAging Agriculture and MarketsAgriculture and Markets Alcohol and Alcohol and

Substance Abuse ServicesSubstance Abuse Services Banking DepartmentBanking Department BudgetBudget Council on Children and FamiliesCouncil on Children and Families Office of Children and Family Office of Children and Family

ServicesServices Civil ServiceCivil Service Consumer Protection BoardConsumer Protection Board Correctional ServicesCorrectional Services Education Education Empire State DevelopmentEmpire State Development Employee RelationsEmployee Relations Environmental ConservationEnvironmental Conservation General ServicesGeneral Services HealthHealth Housing and Community RenewalHousing and Community Renewal

Insurance Insurance Labor Labor Mental HealthMental Health Mental Retardation and Mental Retardation and

Developmental DisabilitiesDevelopmental Disabilities Motor VehiclesMotor Vehicles Parks, Recreation and Historic Parks, Recreation and Historic

PreservationPreservation Public Service CommissionPublic Service Commission Quality of Care for the Mentally Quality of Care for the Mentally

Disabled CommissionDisabled Commission Real Property ServicesReal Property Services State Emergency Management State Emergency Management

OfficeOffice State PoliceState Police State University of New York State University of New York Department of StateDepartment of State Taxation and FinanceTaxation and Finance TechnologyTechnology Temporary and Disability AssistanceTemporary and Disability Assistance TransportationTransportation Veterans’ AffairsVeterans’ Affairs

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Project 2015 -- OrganizationProject 2015 -- Organization

Governor’s OfficeGovernor’s Office Director of State Operations Director of State Operations Program AssociateProgram Associate

NYSOFANYSOFA DirectorDirector Management TeamManagement Team

36 Agencies36 Agencies CommissionersCommissioners DesigneesDesignees

2020

Project 2015: 9 – Month Project 2015: 9 – Month ProcessProcess

Kick-Off Meeting . . . . . . . . Agency CommissionersKick-Off Meeting . . . . . . . . Agency Commissioners

Monthly Group Meetings . . . Agency Project DesigneesMonthly Group Meetings . . . Agency Project Designees

3 – Part Written Brief . . . . . . Each Agency3 – Part Written Brief . . . . . . Each Agency

Briefs Compiled . . . . . . . . . . White PaperBriefs Compiled . . . . . . . . . . White Paper

Governor’s Symposium . . . . CommissionersGovernor’s Symposium . . . . Commissioners

DesigneesDesignees

Project StaffProject Staff

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PROJECT 2015PROJECT 2015

Primary Planning Activity:Primary Planning Activity:

3-Part Written Brief3-Part Written Brief

by each agencyby each agency

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THE BRIEFSTHE BRIEFSPrimary Planning TasksPrimary Planning Tasks

1.1. INTERNAL SCAN –INTERNAL SCAN –

Each agency:Each agency:

Assess the impact of New York’s Assess the impact of New York’s changing changing demographics on your agency’s:demographics on your agency’s:

MissionMission

Products / ServicesProducts / Services

Constituency Make-UpConstituency Make-Up

OperationsOperations

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2.2. PRIORITIZATION –PRIORITIZATION –

Each Agency:Each Agency:

Select the three top issue areasSelect the three top issue areas

identified from its identified from its internal scaninternal scan

THE BRIEFSTHE BRIEFSPrimary Planning TasksPrimary Planning Tasks

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3.3. ACTION STEPS –ACTION STEPS –

Each Agency:Each Agency:

Define action steps for next 5 – 7 Define action steps for next 5 – 7 yearsyears

to address priority to address priority issue areasissue areas

Specify anticipated outcomesSpecify anticipated outcomes

THE BRIEFSTHE BRIEFSPrimary Planning TasksPrimary Planning Tasks

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THE BRIEFSTHE BRIEFS

Each Brief --

• Reflects its agency's own mission and function.• Stands alone as basis for action.

The 36 Briefs Together --

• One unified policy document.• A practical framework for NY to prepare for the future.

26

Product – Policy White Paper

PROJECT 2015:State Agencies Prepare

for the Impact of an Aging New YorkWhite Paper for Discussion

2727

Should You ConsiderShould You ConsiderNew York’sNew York’s

Planning Process?Planning Process?

2828

RESULTS (Qualitative)RESULTS (Qualitative)

State Workforce• Focus• Motivation• Creativity• Sense of their part in the “corporation”

Public• Refreshing – positive & engaging

2929

RESULTS -- 36 BriefsRESULTS -- 36 Briefs

ACTION STEPS -- 2 Overarching Themes:

• QUALITY of LIFE Affecting the INDIVIDUAL resident

• STATEWIDE VITALITY Affecting the STATE as a WHOLE

3030

RESULTS -- 36 BriefsRESULTS -- 36 Briefs

Four COMMON THREADS –

1. Optimal Fit:Assure that government’s

goods & services match citizens’ diverse needs and

traits

2. Collaboration:How to better plan and work together

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RESULTS – 36 BriefsRESULTS – 36 Briefs

Four Four COMMON THREADS –COMMON THREADS –

3.3. Technology:Technology:Recognition of growing use,Recognition of growing use,benefits, and limitationsbenefits, and limitations

4.4. The Workforce:The Workforce:Many growing issuesMany growing issues

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RESULTSRESULTS

Very successful:

36 Agencies --

• Intentionally working in tandem

• Toward a common goal

• Identifying New York's direction for the coming years

3333

RESULTSRESULTS

Common bond, common goalCommon bond, common goal

Engagement Engagement ––Move from skepticism to enthusiasmMove from skepticism to enthusiasm

Awareness Awareness ––Inter-connections among agenciesInter-connections among agenciesOverlap of policies and issue areasOverlap of policies and issue areas

Understanding --Understanding --Value of involving other agencies Value of involving other agencies

3434

OUTCOMEOUTCOME

STATE AGENCIES --

Action Steps: Implemented by individual agencies

Collaborations: Traditional and Non-traditional

3535

OUTCOMEOUTCOME

COMMUNITY LEVEL --

• Training & resource materials -- AAA’s

• Community planning activities

3636

OUTCOME – Aging OUTCOME – Aging SpecificSpecific

•LTC Reform•Aging & Family Policy•Retain•Support & Partner

•Early Identification & Intervention•Build Community/Neighborhood Capacity & Responsibility•Emphasis on Independence, not Dependence

•Affect Rates of Disability•Build and Strengthen Caregiver Services•Retain/Attract Young Elders•Capitalize on Elders as a Resource•A Systems Approach on Housing•Reform & Strengthen Adult Protective Services

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NEXT STEPSNEXT STEPS

Continue to make Project Continue to make Project 2015 a living process2015 a living process

1.1. 2003 – ID & Formalize State Agency 2003 – ID & Formalize State Agency CollaborationsCollaborations

2.2. 2003-4 – Support Community Planning2003-4 – Support Community Planninga)a) Receive and incorporate community inputReceive and incorporate community input

3.3. Results from 2 & 3 to be incorporated in policy Results from 2 & 3 to be incorporated in policy and program shiftsand program shifts

4.4. And…….Stay tunedAnd…….Stay tuned

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• Interest from other states• Interest from national organizations

Resource Materials:For consultationFor replication

Publication: Project 2015: A Guide to New York State Government’s Planning Process

We’ve Heard From…We’ve Heard From…

3939

THANK YOUTHANK YOU

4040

Consultation AvailableConsultation Available

New York State Government’sNew York State Government’sPlanning InitiativePlanning Initiative

Project Principals Project Principals Vera Prosper, Ph.D. Jennifer RosenbaumVera Prosper, Ph.D. Jennifer Rosenbaum (518) 474-4382 (518) 473-4936(518) 474-4382 (518) 473-4936

Jennifer.rosenbaum@ofa.state.ny.usJennifer.rosenbaum@ofa.state.ny.usVera.prosper@ofa.state.ny.usVera.prosper@ofa.state.ny.us

Project 2015Project 2015

4141

Project 2015: Project 2015:

Web address: Web address: http://aging.ny.us/index.htmhttp://aging.ny.us/index.htm

At the Web site, At the Web site, Click on “Explore Aging on the left Click on “Explore Aging on the left toolbar. toolbar. Click on “Project 2015” on the Click on “Project 2015” on the

right right toolbar.toolbar.

Web infoWeb info

4242

Web infoWeb info

Project 2015: State Agencies Prepare fProject 2015: State Agencies Prepare for the Impact of an Aging New York - or the Impact of an Aging New York - White Paper for DiscussionWhite Paper for Discussion

Project 2015: The Future of Aging In NProject 2015: The Future of Aging In New York State - Articles and Briefs for ew York State - Articles and Briefs for DiscussionDiscussion

Project 2015: New York State PopulatioProject 2015: New York State Population Characteristics by Countyn Characteristics by County

Demographic Projections to 2025Demographic Projections to 2025

43

Work Group MeetingFebruary 20, 2002

ESP, ConcourseMeeting Room 6

*Project Overview*Questions: Address

Deliverables/Time Line*Materials and Preparation for Agency

Work Planand Brief Part I.

Agency Work PlanDue 3-1-02

*Use FormatProvided

Brief Part I Status ReportDue 3-20-02

Work Group MeetingMarch 27, 2002

ESP, ConcourseMeeting Room 6

*Review Progress*Share Preliminary Results of Brief

Part I

Brief Part I:Internal ScanDue 4-16-02

*Use Format Provided

Work Group MeetingApril 26, 2002

ESP, ConcourseMeeting Room 6

*Review Findings*Discuss Prioritization

Methods

Governor’s Office

Review ofCompleted 3-

Part Briefs6/25 – 7/20

Brief Part II:Prioritization Results

Due 5-15-02

*Use Format Provided

Work Group MeetingMay 22, 2002

ESP, ConcourseMeeting Room 6*Share Prioritization

Results*Discuss Response Plans & Outcome

Indicators

Brief Part III: Response Plans & Outcome

Indicators Due 6-18-02

*Use Format Provided

Work Group MeetingJuly 24, 2002

ESP, ConcourseMeeting Room 6

*Review Feedbackfrom Governor’s

Office*Continue Symposium Preparation

Finalized Briefs Ready

for ProductionDue 8-9-02

NYSOFA and GOER

Sept., 2002*SymposiumPreparation

PROJECT 2015 Governor’sSymposiumOct., 2002

*Participating State Agencies Present White Paper to the

Governor’s Office *Plan Next Steps

Work Group MeetingJune 25, 2002

ESP, ConcourseMeeting Room 6*Share Response Plans& Outcomes Indicators

*Discuss SymposiumPreparation

Governor’s Office Review of

Brief Parts I & II5/15 – 5/22

Project 2015 – State Agency Briefing Paper Preparation Process (Project 2015 Work Plan)