Upload
ada-mcdaniel
View
214
Download
1
Tags:
Embed Size (px)
Citation preview
Positioning the Aging Network for the
Future of Long Term Care
John Wren4th 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
0
20
40
60
80
100
120
140
Medicaid Medicare LTCI Other Public Family
2030
0
20
40
60
80
100
120
140
Medicaid Medicare LTCI Other Public Family
20052005 2030
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
Goals
Advocacy
Consumer Informationand Public Education
Knowledge Development,Research Translation and Community Implementation
Grants to States,Territories and Tribes
Technical Assistance
Effective and ResponsiveManagement
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.”
Better nutrition and increased physical activity is well within reach.
http://www.aoa.gov/youcan
•A partnership approach
•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 GrantsAlzheimer’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 Program Evaluation and TA Resource Center ContractContract– 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-GrantsMini-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 AmongMinority 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 AmongMinority 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 ActTitle 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
Making and Overseeing the Grants/Contracts
Providing IT Service and Support
Keeping AoA Staff Healthy and Safe
CCCS
OE
CPPD
CWCBS
ASA
OCBS
OAIN
OCCP
ES
RSC
CM