1 / 20

Living Well in Wisconsin

Living Well in Wisconsin. Donna McDowell, Director Bureau of Aging & Disability Resources Department of Health Services. Burden of Falls. Madison – State health officials report…

zuri
Download Presentation

Living Well in Wisconsin

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Living Well in Wisconsin Donna McDowell, Director Bureau of Aging & Disability Resources Department of Health Services

  2. Burden of Falls Madison – State health officials report… Deaths from falls have surpassed motor vehicle crashes and suicide as the most common cause of injury-related deaths. (87% elders) Hospitalizations and emergency visits due to falls cost $800 million per year (70% elders) 70% of costs are Medicaid and Medicare

  3. Chronic Disease • Long-term Care costs drive Medicaid • Chronic disease leads to disability • Chronic disease and disability are the reason for long-term care for most elders and adults with disabilities • Reforming long-term care requires addressing chronic disease

  4. Intersection • Chronic disease is at the intersection of health care and long-term care • Health care prevents disease • Medical care treats disease • Long-term care supports the person’s independence and normal lifestyle • Self-management is a key to prevention, treatment and long-term living

  5. Self-Management Is Important

  6. Evidence • Focus limited resources of Older Americans Act, public health and general revenue. • Integrated evidence-based prevention into aging, public health, home and community care, primary health care • Document results • Bring to scale

  7. State Strategy • Bureau of Aging & Disability Resources • Bureau of Community Health /Family Health Programs • Chronic disease program coordinators for arthritis and diabetes • Injury and violence prevention coordinator • AAAging Health Promotion Team • 41 CDSMP Master Trainers

  8. Statewide CDSMP 262 Lay Leaders 16 Spanish Leaders 5 Spanish MT 41 Master Trainers 2 T-Trainer

  9. Stepping on Falls Prevention • Building Confidence, Reducing Falls • Empower older adults to carry out healthy behaviors that reduce risks of falls and improve self management • Community workshop 1x 7 weeks • Improves balance, strength, home and environmental safety, vision and medication management

  10. From Oz to Wisconsin • Dr.Jane Mahoney MD -UW School of Medicine and Public Health • Dr. Lindy Clemson – Australia • American version of Stepping On • Research in two urban counties led to statewide adoption. • Sure Step – in home

  11. Training/ Fidelity/Measures • University and health system partnerships • One statewide CDSMP license from Stanford • Community Health Educators • Reporting-common data across systems, locations, funding

  12. 1,717 participants 44% (748) responded 293 ED visits in previous 6 months Follow-up showed 231 ED visits post Decrease of 62 visits Net savings $60,202 151 hospital stays in prior 6 months Follow up showed 129 visits 6 month post Decrease of 22 stays Net savings $457,336 TOTAL savings if most had same outcomes $1,177,282 Living Well Data Sample

  13. Sustainability, Validity, Efficacy GRANT FUNDING • AARA • CDC: Arthritis, Injury Prevention, Stepping On Dissemination • AoA Sustainable Systems x 2 • NCOA • Blues/HMOs • State GPR for ADRCs • Contracts for training in other states (CA, NY, MT)

  14. Sustainability, Validity, Efficacy INFRASTRUCTURE • Aging network – 600 meal sites in WI • 35 ADRC prevention culture • Programs address person-specific issues; not drop in support • Trained peer leaders empower • Public health can provide T-Trainers • University partnerships for data collection, research and grants

  15. WIHA Wisconsin Institute for Health Aging • Non-profit institute affiliated with UW School of Medicine & Public Health • Board includes university, state, aging network, health care system and consumer reps • Funding from current and future grants • Dr. Mahoney 50% “in-kind” from UW

  16. WIHA Wisconsin Institute for Health Aging LEGISLATION • Authorizes DHS to contract with WIHA to administer EBPP • Gives WIHA authority to administer state prevention funds for AAA, public health and ADRCs • Gives UW authority to contract and partner with WIHA on grants and research • Recognize WIHA as the organization that coordinates Wisconsin Stepping On

  17. LEGISLATION (cont.) Recognizes WIHA coordinator of WI Chronic Disease Self-Management Program (CDSMP) WIHA is clearing house for evidence-based (EB) health promotion for healthy aging; Recognizes WIHA as licensing agency for Stepping On North America. WIHA to train and assist staff in county/tribal agencies, Area Agencies on Aging, and other aging and public health service providers.

  18. Testimonials and Resources • “I was tired. My pain was my boss. It was telling me what I could and couldn’t do. Living Well put me back in charge.” • “If you’re afraid to fall you won’t go out and you’ve lost your independence. • http://www.dhs.wisconsin.gov/health/InjuryPrevention/FallPreventionhttp://www.dhs.wisconsin.gov/aging • Email:Gail.Schwersenska@wi.gov • Email: Ann Hzvidak@wi.gov

More Related