STATE PLANNING GRANTS

1. STATE PLANNING GRANTS Deborah Burns Aging Services Program Specialist Office of Community Based ServicesUS Administration on Aging James WhaleyDirector National Association of State Units on Aging 4th State Units on Aging Nutritionists & Administrators Conference August 2006

2. Project Outcomes • Aging network move toward a coordinated, systematic and consistent planning process • OAA State/AAA compliance plans reflective of comprehensive planning efforts of SUAs & AAAs • Purpose to demonstrate clear and purposeful methods of comprehensive State and area planning methodologies

3. Comprehensive Plans Include • All programs & funding streams administered by the SUA and AAAs • Programs & services for older individuals administered by other state government agencies

4. Comprehensive Plans Include 2 • AoA Strategic Action Plan goals • AoA Initiatives • ADRCs • POMP • Evidence-Based Prevention Programs • Integration of long-term care services/planning within the State • Incorporation of internet technology (IT) systems management into planning

5. Project Conceived • A cooperative effort among eight State grantees, AoA, and the technical consultant, NASUA • A three year effort beginning, September 2005, with development, testing and implementation stages

6. Arizona Florida Indiana Kentucky Minnesota North Carolina New Jersey Pennsylvania State Planning Grantees

7. Arizona • Arizona 2020 • Improve coordination & consistency of the State & AAA plans • Use plans as strategic documents to strengthen organizational capacity • Involve other state government agencies • ADRC & Pomp

8. Florida • Comprehensive planning model • Uniform data collection, needs assessment & outcome-measurement methodologies • Development of web-accessible national planning database • Involve other state agencies in the planning workgroups

9. Indiana • Test the AdvantAge Initiative as a state-level planning model • Design & create comprehensive demographic database • Statewide randomized telephone survey • 16 PSA Aging Summits

10. Kentucky • New State & Area plan formats • Develop statewide outcomes • Improve coordination of area & state plans • Incorporate new client tracking system into the planning model

11. Minnesota • Develop a system-change/service-development planning model • Establish web-based application & reporting system • Develop evidenced-based health promotion programs at the state & local levels

12. New Jersey • Develop 3 nutrition program planning models: • Cost effective & efficient program operations • Integration of nutrition plans into the ADRC initiatives • Service delivery for diverse populations

13. North Carolina • Coordinated “Logic Model” planning model for state and area plans • Focus on client outcomes • Integrate POMP into the planning model • Link goals and features of AoA Strategic Action Plan to state & AAA planning

14. Pennsylvania • Produce standard measurement model for each State Plan objective • Develop local outcome measures • Statewide adoption of Culturally and Linguistically Appropriate Standards (CLAS) • “How to” guide on State Plan outcome measures

15. First Year Activities of State Grantees • The State PGP grantees have: • Brought together all stakeholders (including other State government agencies) and provided thorough orientation; • Developed/implemented various assessment/survey tools; • Reviewed best practices in areas relevant to each state;

16. 1st Year State Grantee Activities 2 • Developed planning formats and upcoming plan updates; • Developed communication tools to enhance project discussions and information dissemination; and • Developed performance measurement strategies

17. 1st Year National Model Activities The Project Resource Center at NASUA has • Developed and disseminated planning research briefs • Convened expert panels • Drafted elements of a national planning model • Provided individual TA to grantee states

18. New Jersey’s Nutrition Project Three teams, each has developed its own logic planning model • Program Operations • Integration into ADRCs • Service to Diverse Populations

19. New Jersey Nutrition Project Program Operations • Development of cost model(s) that allows for standardized budgets & reporting • Evaluation of the cost effectiveness of various cost options including purchasing methods, group buying, and volumepurchasing.

20. New Jersey Nutrition ProjectIntegration Into ADRCs • Current nutrition program assessment/ intake tools were collected and analyzed • NJ’s ADRC I&A/intake/assessment process tools also analyzed • Gaps identified in the areas of race/ ethnicity, language spoken, and specialdiet needs.

21. New Jersey Nutrition ProjectIntegration Into ADRCs 2 • Recommendations developed and forwarded to the ADRC Management Team  • ADRC team identified 3 questions to be added to ADRC intake tool to assess need for a nutrition referral • ADRC team developed position paper to support addition of Nutrition Risk Assessment tool to ADRC assessment tool

22. New Jersey Nutrition ProjectService to Diverse Populations • Assessing current program utilization and local demographics • Assessing provision of cultural competency training to nutrition program staff • Implementing initiatives to improve/expand service delivery to diverse populations.

23. New Jersey Nutrition Planning Grant Contact Gerry McKenzie Geraldine.mackenzie@doh.state.nj.us 609-943-3499 NJ Department of Health and Senior Services 240 West State Street P.O. Box 807 Trenton, NJ 08512

24. Minnesota Evidence Based Health Promotion Program • A Cross-System Evidence-Based Partnership • Falls prevention initiative with public and private partners • Older Minnesotans: fewer falls and fall-related injuries maximizing independence and quality of life

25. MN Evidence Based Health Promotion ProgramObjectives • Increase awareness of the prevalence of and risk factors for falls • Increase availability of evidence-based falls prevention programs that help older adults gain lower body strength and balance • Increase access to these programs through frequent falls risk assessments and referrals • Increase quality assurance efforts related to falls prevention activities

26. MN Evidence Based Health Promotion ProgramEnhanced "YouCan!" Model • Developed by the Southeast Minnesota Area Agency on Aging • Conducted at seven congregate dining sites (five in senior housing, one in a community center, and one in a senior center) • Original model: walking program and nutrition education • Additional components: chronic disease self-management education/exercises focused on lower body strength and balance (prevent falls)

27. MN Evidence Based Health Promotion ProgramEnhanced "YouCan!" Model2 • Classes taught by teams including certified fitness trainers, physical therapy assistants and health care professionals • Participants: Average age 80-85 years (oldest: 96), 77% live alone, 20% live with spouse, 3% live with other family members • Outcome measures: eating habits, level of physical activity, self-reported health status/ appetite status, personal nutrition/physical activity goals, blood pressure, BMI, Timed Up and Go test, Timed Stands

28. MN Evidence Based Health Promotion ProgramEnhanced “YouCan!” Evaluation • Individual screening information and group survey results shared with participants • Participants/partners provide group and individual feedback on program structure, content, process • Participants experienced significant improvement in physical activity levels, health status measures and self-reported health

29. MN Evidence Based Health Promotion Program“You Can!” Lessons Learned • Worth the time and effort to track their health status throughout the program - Very motivating (Participants) • Not difficult to ensure confidentiality of individual health information in order to comply with HIPAA requirements

30. MN Evidence Based Health Promotion Program“You Can!” Next Steps • Share evidence with local health care purchasers and clinics • Generate additional funding for the program • Recruit more participants • Expand to additional locations

31. MN Evidence Based Health Promotion Program“You Can!” Programs Contact Kari Benson Kari.benson@state.mn.us 651-431-2566 MN Board on Aging P.O. Box 64976 St. Paul, MN  55164-0976

32. Plans for Year 2 and 3 • The second and third years of the project will involve field-testing and refining of the State and national models. • The state grantees will be providing ongoing input for the national model from their individual projects, and will be tapped for review and refinement of the model beginning the fall of 2006.

33. National Planning Grants Program Contacts Deborah Burns US Administration on Aging 202/357-3581 Deborah.burns@aoa.hhs.gov James Whaley Technical Assistance Support Center 202/898-2578 ext 140 jwhaley@nasua.orgwww.nasua.org/tasc