Long Term Care . Nancy L. Wilson-Baylor College of Medicine Huffington Center on Aging-Department of Medicine Presentation to Citizen’s Health Care Working Group Houston Hearing July 26, 2005.
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Nancy L. Wilson-Baylor College of Medicine
Huffington Center on Aging-Department of Medicine
Presentation to Citizen’s Health Care Working Group
July 26, 2005
Mission Statement: To improve long-term care and supportive services provided to vulnerable older adults and family caregivers in Harris County through collaborative problem solving and strategic planning that involves consumers, providers, funding organizations, and other major stakeholders of the long-term care system.
RWJ Community Partnership Program for Older Adults
complications during birth and has been diagnosed with autism. Her family would like her to live at home indefinitely , but they need help with her care, particularly with a program of supervised daily activities.
Long-term care also encompasses social and environmental needs and is therefore broader than the medical model that dominates acute care.
Long-term care is primarily low-tech, although it has become more complicated as elderly persons with complex medical needs are discharged to, or remain in, traditional long-term care settings, including their own homes.
Services and housing are both essential to the development of long-term care policy and systems.
R. Stone (2000) Milbank Memorial Fund
A range of services to address functional needs and support independence
National expenditures in long term care expected to triple to $346 billion/year by 2040
"free" is estimated to be $257 billion a year.
BILLIONS OF DOLLARS
Source: Expenditure data from HCFA, Office of the Actuary, Levit K. et all,
Health Affairs 2002;21.
Optimizing Qualityof Life
Increasing age and frailty
(Ed Wagner, Seattle 2005)
Behavior% of deaths, 2000
*Mokdad et al., Actual causes of death in the United States, 2000, JAMA, March 10, 2004.
Care for Elders/Sheltering Arms
Neighborhood Centers, Inc.& St. Joseph’s
Physical activity intervention
San Antonio and Other Projects Nationally
Chronic disease self management
Nutrition and diet
Nancy L. Wilson
Huffington Center on Aging
Baylor College of Medicine
One Baylor Plaza M-320
Houston, TX. 77030-3498