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

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

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

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

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

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

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

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

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

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

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

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

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

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

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;

1 st 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

1 st 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

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

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 volume purchasing.

New Jersey Nutrition Project Integration 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 special diet needs.

New Jersey Nutrition Project Integration 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

New Jersey Nutrition Project Service 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.

New Jersey Nutrition Planning Grant Contact Gerry McKenzie NJ Department of Health and Senior Services 240 West State Street P.O. Box 807 Trenton, NJ 08512

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

MN Evidence Based Health Promotion Program Objectives 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

MN Evidence Based Health Promotion Program Enhanced "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)

MN Evidence Based Health Promotion Program Enhanced "YouCan!" Model 2 Classes taught by teams including certified fitness trainers, physical therapy assistants and health care professionals Participants: Average age 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

MN Evidence Based Health Promotion Program Enhanced “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

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

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

MN Evidence Based Health Promotion Program “You Can!” Programs Contact Kari Benson MN Board on Aging P.O. Box St. Paul, MN

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.

National Planning Grants Program Contacts Deborah Burns US Administration on Aging 202/ James Whaley Technical Assistance Support Center 202/ ext 140