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Positioning the Aging Network for the Future of Long Term Care John Wren 4th 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

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Choices for Independence

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Choices for independence

Positioning the Aging Network for the Future of Long Term CareJohn Wren4th State Units on Aging Nutritionists & Administrators Conference August 2006


Choices for independence

Choices for Independence

A Strategy for:

  • Giving Seniors More Choices, Control

    and Independence in the Community

  • Positioning the Aging Network


Policy environment

Policy Environment

  • Growing Elderly Population

  • Increasing Numbers of Impaired Elderly

  • Growing Cost of LTC

  • Dissatisfaction with Current System


Challenges with current system

Challenges with Current System

  • Not Responsive to Consumers

  • Institutional Bias

  • Fragmented and Inefficient

  • Very Expensive


Growth in ltc expenditures

Growth in LTC Expenditures

2005

2030


Aging network s unique assets

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

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

Key Program Components

  • Aging & Disability Resource Centers

  • Evidence-Based Prevention Programs

  • Community Living Incentives


Aging network s unique assets1

Aging Network’s Unique Assets

  • Consumer Focus

  • Advocacy / System Development Role

  • Nation-wide Infrastructure for HCBS

  • Capacity to Reach People Early


Choices for independence1

Choices for Independence

  • Current Status

    • Reauthorization

    • FY 2007 Budget


Strategies we re using to achieve our strategic goals

Strategies We’re Using to Achieve our Strategic Goals

Grants to States,

Territories and Tribes

Advocacy

Consumer Information

and Public Education

Goals

Technical Assistance

Knowledge Development,

Research Translation and

Community Implementation

Effective and Responsive

Management


Aoa s overall strategy

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.”


Choices for independence

  • A partnership approach

  • Outreach and mobilization to community organizations

  • Partners encourage older Americans to eat better and move more

Better nutrition and increased physical activity is well within reach.

http://www.aoa.gov/youcan


Strengthening national programs

Strengthening National Programs

Alzheimer’s Disease

  • Alzheimer’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 Contract

    • 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 programs1

Strengthening National Programs

Return Focus of Nutrition Programs as Wellness Programs

  • “You Can! Steps to Healthier Aging” Mini-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

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 among minority elder individuals

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 among minority elder individuals1

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

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 act title iii d evaluation

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

Making It Happen: The CM Enablers

Getting the Resources

ASA

Making and Overseeing the Grants/Contracts

OCCP

OCBS

OE

Providing IT Service and Support

CCCS

CWCBS

OAIN

ES

Keeping AoA Staff Healthy and Safe

RSC

CM

CPPD


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