NISC and Embedding Evidenced Based Programs in Senior ... · based program 55% reported offering EBPs for over five years, 30% for 3-4 years Most commonly offered EBPs % Number Chronic

NISC and Embedding Evidenced Based

Programs in Senior Center Activities

May 23, 2018

Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 2

About NCOA

Who We Are: NCOA is a respected national leader

and trusted partner to help people

aged 60+ meet the challenges of aging

Our Vision:A just and caring society in which each

of us, as we age, lives with dignity,

purpose, and security


Our Mission:Improve the lives of millions

of older adults, especially

those who are struggling

Our Social Impact Goal:Improve the health and

economic security of 10

million older adults by 2020


September is National Senior Center Month

Agenda

Why Senior Centers are important

NISC Overview – Involvement & Member

Benefits

Evidenced Based Programming – Survey

Evidence-Based Programs in Senior

Center Activities

- Reneé C. Cunningham, MSS,

Center in the Park


Growing – Learning – Giving - Connecting

Regardless of age, we all want the same things.

The Pro Deo Youth Center Values

We believe that there should be a safe, fun, empowering environment

for teens to grow and develop, and that the basic needs of teens need

to be met if we expect everyone to function in the community in a

healthy manner.

Duxbury Senior Center Values

Our seniors will have meaningful opportunities to enjoy life, interact

with the community and preserve their mental and physical well-being.


NISC is the only national organization solely focused on

the needs of senior center professionals.

Connect to a network of

over 3,000 senior center professionals

About NCOANational Institute of Senior Centers - NISC


NISC Teams

Seven Outcomes-Focused NISC Teams

Public Policy and Advocacy

Economic Security

Improving Health

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Engaging Senior Centers in

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Senior Centers


Voice

Web page

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Senior Center Crossroads Community

• Social Networking Platform

• Crossroads is directly integrated with the NISC membership database


Conference Opportunity

Senior Centers 2018

NANASP/NISC Joint

Conference

June 6-8, 2018

Charleston,

South Carolina

Marriott Charleston


Public Policy & Advocacy

Advocacy

Announcements

Advocacy Toolkit

Templates


NISC sets the National Senior Center Standard

Building Excellence

National Senior Center

Standards and Self-

Assessment workbook

are free with NISC

membership

$600 savings per

individual site

Accreditation


Relevant Tools

- MCOA Marketing

Guide

- Great

Conversations –

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Ageism


Cellular

Recycler

Fundraiser

Pay for your

first year of

NISC

membership

Discount on

MPLC License

Save Money


Programming

- Savvy Saving Seniors

- USDA – Food Safety 101 Pilot

Program


Led by the NISC Best

Practices Team

482 programming ideas in 6

years

Submit your best program

now!

Programs of Excellence


The Aging Mastery Program® (AMP)

First piloted nationally in five senior

centers, AMP incorporates evidence-

based materials, expert speakers,

group discussion, and peer support to

give participants the skills and tools

they need to achieve measurable

improvements in managing their health

and remaining economically secure.

Learn more at www.ncoa.org

Aging Mastery Program ®


NISC Improving Health Survey (2016)

199 respondents

83% reported

offering at least

one evidence-

based program

55% reported

offering EBPs for

over five years,

30% for 3-4 years

Most commonly offered EBPs % Number

Chronic Disease Self-

Management Program53.3% 64

A Matter of Balance 50.8% 61

Diabetes Self-Management

Program35.8% 43

Arthritis Foundation Exercise

Program32.5% 39

EnhanceFitness 20% 24

Walk with Ease 20% 24

Source: https://www.ncoa.org/resources/nisc-improving-health-survey-report-part-1/


NISC Senior Center Survey – Evidence-based (2018)

2018 Survey - EBP held in last 6 months 125

respondents#

Chronic Disease Self-Management Program49.60%

62

Diabetes Self-Management Program- (DSMP)41.60%

52

Walk With Ease (Group)26.40%

33

EnhanceFitness20.00%

25

Active Living Every Day18.40%

23

Walk With Ease (Self-directed)12.80%

16

Healthy Steps for Older Adults12.80%

16

Fit and Strong!12.80%

16

EnhanceWellness12.80%

16


Falls Prevention Evidence-based (2018)

Falls Program 135 respondents #

A Matter of Balance 60.74% 82

Tai Chi 54.07% 73

Stay Active and Independent

for Life (SAIL)8.89% 12

Stay Safe, Stay Active 8.15% 11

Stepping On 7.41% 10


Behavioral & Mental Health Evidence-based

Behavioral and Mental Health evidence-

based programs

27

respondents #

Healthy IDEAS 74.07% 20

Program to Encourage Active, Rewarding Lives

(PEARLS)33.33% 9

Improving Mood—Promoting Access to

Collaborative Treatment (IMPACT)18.52% 5

Screening, Brief Intervention and Referral to

Treatment (SBIRT)11.11% 3



Implementation challenges:

34% reported that they did not have any challenges

offering EBPs due to high participant interest

18% indicated that recruitment was the largest challenge

to coordinating EBPs

22% indicated that limited funding was a barrier to

implementation

Fewer respondents shared the following challenges:

recruiting leaders, low retention, locating space, limited

staff, lengthy documentation, maintaining training

qualifications, among others.




39%

61%

% of survey respondents partnering with health care organizations (n=56)

Do not have a partnership Have a partnership

47 partnered with

hospitals

9 partnered with

insurance providers

Source: https://www.ncoa.org/resources/nisc-improving-health-survey-repor/t-part-2



0

2

4

6

8

10

12

Bill Medicare Bill Medicaid Partner with health careorganization

Number of survey respondents that have received reimbursement for evidence-based

programs (n=19*)

*Respondents could choose multiple applicable answers.




0

5

10

15

20

25

30

35

40

45

50

Mental health Substance abuse Oral health Other

Number of respondents that have referral partnerships for various services (n=65*)

*Respondents could choose multiple applicable answers.



Funding Sources (2018)

Funding Sources

149

respondents #

Older Americans Act Title III-D 56.38% 84

Grant / private funds 29.53% 44

Local government funding 23.49% 35

Other Responses 19.46% 29

Medicare or Medicare Advantage plan 12.75% 19

Other state funding 12.75% 19

State general revenue 10.74% 16

Medicaid / Medicaid Waiver 6.71% 10

Other federal funding 6.04% 9

AAA 17.24%5

Donations 17.24%5

Foundation 10.34%3

Hospital 10.34%3

Community Health 6.90%2

ACL 3.45%1

City 3.45%1

Endowment 3.45%1

Grant 3.45%1

Local health professional 3.45%1

Program fees 3.45%1

University 3.45%1


Resources

Find delivery systems in your state

► Grantees funded by ACL to implement EBPs (currently or in the past)

► Evidence-Based Leadership Council map of licensed programs

Best Practices Toolkit: Resources from the Field (Over 180 resources!)

Roadmap to Community-Integrated Health Care: Tools and resources to make stronger linkages with the health care sector

NISC Membership visit www.ncoa.org/join or call 571-527-3983 to learn more

Stay in touch!

► E-mail us to join the CDSME or falls prevention listserve([email protected])

► Sign up for NCOA e-newsletters

https://www.ncoa.org/center-for-healthy-aging/cdsme-resource-center/meet-the-cdsme-grantees/

https://www.ncoa.org/map/ncoa-map/

http://www.eblcprograms.org/evidence-based/map-of-programs

https://www.ncoa.org/center-for-healthy-aging/cdsme-resource-center/sharing-best-practices/cdsme-best-practices-toolkit/strategic-partnerships-2/

https://www.ncoa.org/center-for-healthy-aging/roadmap/

http://www.ncoa.org/join

mailto:[email protected]

https://www.ncoa.org/get-involved/sign-up/

Reneé C. Cunningham, MSS

Center in the Park

[email protected]

www.centerinthepark.org


Our Mission

Center in the Park promotes

positive aging and fosters community

connections for older adults,

whose voices are critical

instruments in shaping its

activities and direction.

About Us Accredited by the

National Institute of Senior Centers (NISC) of the National Council on Aging (NCOA)

404 new members enrolled in FY17

Almost 1,800 unduplicated persons per year

Over 120 distinct programs

Housing Counseling

Ombudsman

In Home Support• Just over 70% from NW Philadelphia, with

balance residing throughout City & suburbs

CIP Strategic Areas of Focus – 2017-2020

Life-Long Learning

and Creative Self-

Expression

Social Services and

Housing

Health Promotion

and Evidence-

Based Programs

Advocacy and Long

Term Care

Community Connections

From A to Z – Aging Mastery to Zen. . .

Contributions & Grants 14%

United Way 6%

Service Contracts 11%

PCA 64%

Program Fees 2%

Memberships 1% Other 2%

Sources of Revenue

Contributions & Grants 14%

United Way 6%

Service Contracts 11%

PCA 64%

Program Fees 2%

Memberships 1%

Other 2%

Timeline of EBP Implementation2004:

Harvest Health CDSMP

2007: Healthy Steps for

Older Adults

2010:

Diabetes Self Management

Program

2013: Enhance Fitness

2013: Aging

Mastery Program*

(*evidence-informed)

2016: Pain Self

Management Program

Then & Now:Health Promotion and EBPs @ CIP

A Framework for AMP and EBPs

Recent Program Outcomes My participation helped me to…

A lot Some-what

Not at all

N/A

Meet new people 76% 17% 2% 5%

Know how to make healthy choices

76% 16% 2% 6%

Think differently 78% 18% 1% 3%

Know how to make positive changes

77% 17% 1% 5%

Learn new information

84% 14% 0% 2%

Have more energy 81% 15% 1% 3%

Embedding & Sustaining EBPs are integrated into CIP programming structure

Contracts with AAA

Build into grant proposals from community foundations

Engagement strategy targeting new members

Thinking about EBPs not as something additional, but a new way to do what senior centers already do.

Capacity: Delivery and Training Internal training

Peer Leaders

Staff; health promotion staff

Members

Participation in cross-training

External training

Developing master trainers/T-trainers to be able to train others

KEEP THEM ENGAGED

Recruitment: Naming and Framing Enlisting participants to help with naming and framing

Adapting recruitment materials

Engaging stakeholders

Testimonials

Get people talking

Partnerships: Past and Present

NCOA (AMP; DAMP)

PA Department of Aging (Healthy Steps)

Philadelphia Corporation for Aging (CDSMP;DMSP;PSMP)

State of Delaware (DSMP;CDSMP)

St. Mary’s Medical Center (CDSMP;DSMP)

Mazzoni Center (DSMP)

Health Promotion Council (CDSMP)

Academic partners (CDSMP; testing new programs such as BTB)

Community Foundations

Community Organizations (i.e. other senior centers; senior housing; churches)

Keep People Engaged!Celebrate Your Successes!

Reneé C. Cunningham, MSSCenter in the Park5818 Germantown AvenuePhiladelphia PA, [email protected] us on Facebook!


http://www.centerinthepark.org/


http://www.centerinthepark.org/


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Documents

NISC and Embedding Evidenced Based Programs in Senior ... · based program 55% reported offering EBPs for over five years, 30% for 3-4 years Most commonly offered EBPs % Number Chronic