slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
November 12, 2008 PowerPoint Presentation
Download Presentation
November 12, 2008

Loading in 2 Seconds...

play fullscreen
1 / 24

November 12, 2008 - PowerPoint PPT Presentation


  • 195 Views
  • Uploaded on

NORC Health Indicators: Shifting from Reactive to Strategic Practice by Using Data to Improve the Health Status of Seniors. November 12, 2008. Presenters. Fredda Vladeck, Director, Aging In Place Initiative, United Hospital Fund fvladeck@uhfnyc.org Rebecca Segel, Program Manager,

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'November 12, 2008' - guinevere-castro


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

NORC Health Indicators: Shifting from Reactive to Strategic Practice by Using Data to Improve the Health Status of Seniors

November 12, 2008

slide2

Presenters

Fredda Vladeck, Director, Aging In Place Initiative,

United Hospital Fund

fvladeck@uhfnyc.org

Rebecca Segel, Program Manager,

United Hospital Fund

rsegel@uhfnyc.org

Stephanie Pinder, Executive Director

Lincoln Square Neighborhood Center, Inc.

stpinder_lcsn@yahoo.com

Mia Oberlink, Senior Research Associate

Center for Home Care Policy & Research

mia.oberlink@vnsny.org

united hospital fund
United Hospital Fund
  • New York City public charity, policy, and research center
  • Long history of fostering models and strategies to integrate health care and community-based social services
  • Established the Aging in Place Initiative in 1999
  • Works with multiple partners
    • Programs
    • Funders: public and private
    • Researchers
to advance aging in place
To Advance Aging in Place
  • Maximize the health and well-being of all older adults
  • Foster connections within the community
  • Empower older adults to assume new roles in the community
shifting from reactive to systematic practice
Shifting from Reactive to Systematic Practice
  • Identify the issues
  • Quantify the problem
  • Set goals
  • Utilize “believable”, valid interventions
  • Measure the results
norcs and norc programs
NORCs and NORC Programs
  • NORC = Naturally Occurring Retirement Community:

A multi-age community with a large concentration of older adults

  • NORC Supportive Service Programs
    • Community change model
    • Public-private partnerships of:
    • Housing/neighborhood organizations
    • Senior residents
    • Health and social service providers
    • Community stakeholders
    • Government agencies
community health chronic care model
Community Health Chronic Care Model
  • Environment
  • Resources
  • Support

Community Care

Self Care

NORC PROGRAM

  • Empowerment
  • Self-Advocacy
  • Lifestyle Choices

Medical Care

  • Diagnosis
  • Treatment
  • Disease Management

United Hospital Fund 2008

health indicators initiative
Health Indicators Initiative

Goal:

To help NORC programs use evidence-based practice to maximize the health and well-being of seniors.

  • Three domains:
    • Access to Care
    • Prevention, Promotion, and Wellness
    • Management of Chronic Conditions
health indicators initiative1
Health Indicators Initiative

Three Steps:

  • Baseline data collection to identify key health issues in the community
  • Implementation and measurement of targeted interventions
  • Resurvey and assessment of progress towards improving health status
new york state funded norc programs
New York State-funded NORC Programs
  • 20 State-funded NORC Programs
  • Located in three regions
    • NYC- 9; Long Island- 4; Upstate- 7
  • Administered 1,264 surveys
slide11

Demographic Characteristics of the 20 State-funded NORC programs

Note: Percentages may not add up to 100% due to rounding and/or missing information.

Source: UHF-NYS Health Indicators in NORC Programs Project, 2007

Prepared by:

fair poor health status indicators data compared to city state national data
Fair/Poor Health Status(Indicators Data compared to City, State, & National Data)

Indicators

New York City*

New York State*

USA*

* Percentages are rounded to the nearest whole number. Source: NYC www.nyc.gov; NYS http://www.cdc.gov; US http://www.cdc.gov

Source: UHF Health Indicators in NORC Programs Initiative, 2007-2008

health status by region
Health Status* by Region

Aggregate

(N=1,264)

Long Island Programs

(N=282)

New York City Programs

(N=695)

Upstate Programs

(N=287)

Note: Percentages may not add up to 100% due to rounding and/or missing information.

* People aged 60+ in 20 NYS NORC-SSPs were asked, “Would you say that in general your health is excellent, very good, good, fair, or poor?” Responses of “excellent,” “very good,” and “good” were combined into one category. Responses of “fair” and “poor” were combined into another category.

Source: UHF-NYS Health Indicators in NORC Programs Project, 2007

Prepared by:

slide14

Chronic Conditions* In NORC Programs, by Region

%

* People aged 60+ in 20 NYS NORC-SSPs were asked: “Has a doctor ever told you that you … “have diabetes?” “are overweight or obese?” “have heart disease?” ”have high blood pressure?” The percentages of people who said “yes” to each question are shown for the Group 2 Aggregate, and for three geographic groupings.

Source: UHF-NYS Health Indicators in NORC Programs Project, 2007

10 or more medications by region
10 or More Medications,* by Region

Aggregate

(N=1,264)

Long Island Programs

(N=282)

New York City Programs

(N=695)

Upstate Programs

(N=287)

* People aged 60+ in 20 NORC-SSPs were asked, “How many prescription and non-prescription medications are you currently taking?”

Source: UHF-NYS Health Indicators in NORC Programs Project, 2007

Prepared by:

physical activity by region
Physical Activity* by Region

Aggregate

(N=1,264)

Long Island Programs

(N=282)

New York City Programs

(N=695)

Upstate Programs

(N=287)

Note: Percentages may not add up to 100% due to rounding and/or missing information.

* People aged 60+ in 20 NORC-SSPs were asked two questions in order to estimate their level of physical activity. Level of physical activity: “Recommended level of activity” is defined as 1) light or moderate activity that causes light sweating or a light to moderate increase in breathing or heart rate and occurs five or more times per week for at least 30 minutes each time, and/or 2) vigorous activity that causes heavy sweating or large increases in breathing or heart rate and occurs three or more times per week for at least 20 minutes each time. People who engage in other combinations of the two types of physical activities described above are included in the category “some activity.” Those who do not engage in physical activity are included in the category “no activity.”

Source: UHF-NYS Health Indicators in NORC Programs Project, 2007

Prepared by:

flu shot and pneumonia shot
Flu Shot and Pneumonia Shot

* Percentages are rounded to the nearest whole number. Source: State of Aging and Health in America(2002) http://www.cdc.gov/aging/pdf/State_of_Aging_and_Health_in_America_2004.pdf

Source: UHF Health Indicators in NORC Programs Initiative, 2007-2008

falls
Falls

Note: Percentages may not add up to 100% due to rounding and/or missing information.

Source: UHF-NYS Health Indicators in NORC Programs Project, 2007

Prepared by:

lincoln square neighborhood norc
Lincoln Square Neighborhood NORC
  • Home to 804 seniors
  • 500 seniors connected to the program
  • 253 seniors completed the survey
      • 20% White non-Hispanic
      • 33% Black non-Hispanic
      • 43% Hispanic
      • 51% rate their health fair/poor
diabetes prevalence and control n 253
Diabetes: Prevalence and ControlN=253

Source: UHF Health Indicators Initiative 2008

health indicators diabetes selected indicators
Health IndicatorsDiabetes: Selected Indicators

Source: UHF Health Indicators Initiative 2008

health indicators diabetes selected indicators1
Health IndicatorsDiabetes: Selected Indicators

Source: UHF Health Indicators Initiative 2008

using data to inform practice
Using Data to Inform Practice
  • Understand community health risks
  • Introduce “standards of practice” to advance more strategic and targeted practice
  • Share findings with community to develop new partnerships and strengthen existing ones
design considerations
Design Considerations
  • Utility of the information
  • Easy to administer and enter data
  • Confidentiality maintained at the program
  • Quality assurance built in
  • Technical assistance provided in real time
  • Analysis and reports accessible and understandable