Choices for Independence

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

2. Choices for Independence A Strategy for: • Giving Seniors More Choices, Control and Independence in the Community • Positioning the Aging Network

3. Policy Environment • Growing Elderly Population • Increasing Numbers of Impaired Elderly • Growing Cost of LTC • Dissatisfaction with Current System

4. Challenges with Current System • Not Responsive to Consumers • Institutional Bias • Fragmented and Inefficient • Very Expensive

5. Growth in LTC Expenditures 2005 2030

6. 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

7. 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

8. Key Program Components • Aging & Disability Resource Centers • Evidence-Based Prevention Programs • Community Living Incentives

9. Aging Network’s Unique Assets • Consumer Focus • Advocacy / System Development Role • Nation-wide Infrastructure for HCBS • Capacity to Reach People Early

10. Choices for Independence • Current Status • Reauthorization • FY 2007 Budget

11. 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

12. 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.”

13. 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

14. 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

15. 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

16. Health Promotion in Native American Communities • National Resource Center on Native American Aging • Reducing LTC Needs through HP/DP • Counseling Healthy Behavior

17. 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

18. 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

19. 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

20. 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

21. 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