1 / 10

NGA Policy Academy on Long-Term Care, Mental Health and Health Promotion

NGA Policy Academy on Long-Term Care, Mental Health and Health Promotion. Larry Polivka, Ph.D. Administration on Aging Washington, DC August 4, 2004. Academy Themes. Long-term care rebalancing

carrie
Télécharger la présentation

NGA Policy Academy on Long-Term Care, Mental Health and Health Promotion

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. NGA Policy Academy on Long-Term Care, Mental Health and Health Promotion Larry Polivka, Ph.D. Administration on Aging Washington, DC August 4, 2004

  2. Academy Themes • Long-term care rebalancing • Integration of mental health care for aging and disabled adults into the broader home- and community-based LTC system • Healthy aging as a way to keep people in the community (i.e., a strategy for rebalancing)

  3. Demographic trends and implications for LTC—needs and services gap

  4. AOA Policy Priorities—Creating a balanced LTC system through integrated services and funding (resource centers, managed long-term care strategies, the Policy Academy, partnerships and consumer-direction)

  5. Balancing Long-Term Care • What do we do in LTC for the elderly (slow, uneven progress with only 15 states spending 20%+ of LTC funds on home- and community-based services and six over 40% [compare to developmentally disabled])

  6. Balancing LTC (cont’d) • What we know about LTC • The aging network—an organizational framework for balancing LTC • The relative cost-effectiveness of home- and community-based services (research) • State systems • Program evaluation research • From channeling to the present

  7. Balancing LTC (cont’d) • The emerging role of assistive technology (NGA focus) • Escalating costs of nursing home care • Preferences of the elderly and baby boomers • Extensive informal caregiver network/less in the future but still critical to main/support (National Family Caregiver Support Program—AOA)

  8. Balancing LTC (cont’d) Strategies to close the gap • Home- and community-based services expansion (in-home, community-residential and consumer-direction) • Expanding and integrating mental health and health promotion services into long-term care (Evidence-Based Disease Prevention Programs—AOA) • Organizational/administrative integration (front-end services and funding/service delivery—the AOA initiative)

  9. Integrated Funding and Services—Organizational Framework for Rebalancing • State models—Oregon, Washington, Arizona • Sub-state programs—Wisconsin Family Care, Florida Diversion Program, Texas Star-Plus • Integrated acute- and long-term care services—PACE, MSHO—Medical care is increasingly important, but LTC integration should be first priority • AOA integration initiatives and the role of the aging network—resource centers and managed LTC program • RTI case studies

  10. Advantages of Integrated LTC Systems and Managed LTC Strategies • Overcoming fragmentation • Containing costs • Expanding HCBS • Ensuring quality

More Related