Living Longer Better at Spanish Cove Don Blose, CEO/Executive Administrator Debbie Miller, Director of Wellness

Large Scale Impact of LLB $17 trillion debt Medicare population will double Unsustainable cost if not addressed

Wellness: Mission Critical Leads to longer, healthier & happier lives – Live long but die peacefully & quickly Helps maintain higher occupancy Reduces preventable hospitalizations Can improve recovery time if hospitalized For CCRC’s, can reduce duration of more expensive AL or nursing care stays Improves financial bottom line

Wellness is Everyone’s Responsibility Can help make an older body feel younger Provides a healthy focus for community members Emphasizes an ounce of prevention is worth a pound of cure – Vaccinations (influenza, pneumococcal, shingles) – Stronger hearts, bodies & better endurance – Better balance – Increases social interaction Promotes ‘Finishing Well’ Reminds community members 1) they are important, 2) you love them and 3) want them around for a long time!

Wellness Director Challenge Increase by one year, the average age for which a community member loses their independence.

Responding to the Challenge (What do you do when you are a department of 1 or 2?) Seek Partners (nursing departments, public health, health systems, staff from other departments) Form a Living Longer Better Committee (include residents and staff) Assess your community Provide feedback to residents on assessment results Identify at least one area for improvement & develop an intervention for improved results Perform follow up assessment to measure success Celebrate accomplishments

Spanish Cove Assessment Simple test to measure strength, endurance, balance, flexibility & cognitive functioning – Also collects individual demographic and anthropometric measures like weight/height, blood pressure, etc.. Allows you to do age-group comparisons against national norms Incorporates 10 stations (takes approx 1 hour for each resident) Requires outside assistance (nursing department or other volunteer help)

Assessment Overview 1.30 Sec Arm Curl Test 2.30 Sec Chair Stand Test 3.2-Minute Step Test 4.Chair Sit&Reach Test 5.Back Scratch Test 6.8-Ft up-and-go Test 7.Hand Grip Strength 8.6-Minute Walk Test 9.Cognitive Test

Assessment Day

Cove Fitness Test Comparisons Spanish Cove Test – Avg. Score 8-foot up & go – Measures agility/dynamic balance Men seconds Men seconds Men seconds Men seconds Men seconds Men seconds Nationwide – Normal range 8-foot up & go – Measures agility/dynamic balance Men sec Men – sec Men – sec Men – sec Men – sec Men sec

Cove Fitness Test Comparisons Spanish Cove Test – Avg. Score 2 Minute Step – Measures Aerobic endurance Women steps Women steps Women steps Women steps Women steps Women steps Women steps Nationwide – Norman Range Avg. Steps 2 Minute Step – Measures Aerobic Endurance Women Women Women Women Women Women Women Low # 25%, High #75%

Cove Fitness Test Comparisons Spanish Cove Test – Avg. Score Arm Curl – Measures upper body strength Women Women Women Women Women Women Women Nationwide - Normal Range Arm Curl – Measures upper body strength Women Women Women Women Women Women Women

Senior Fitness Test Comparisons Spanish Cove Test- Avg.Score Chair Stand –Measures Lower body strength Women Women Women Women Women Women Women National Average – Normal Range Chair Stand - Measures Lower body strength Women Women Women Women Women Women Women

Cove Fitness Test Comparisons Spanish Cove –Test Avg. Score Chair Stand – # Stands Measures lower body strength Men Men Men Men Men Men Nationwide – Normal Range Chair Stand – # of Stands – Measures lower body strength Men Men Men Men Men Men

Intervention Review results with your Living Longer Better Committee Choose a focus area & goals – Spanish Cove focused on improving your BMI – Better than average for most other areas tested Develop a plan of action & startup date – Education – first step for kickoff – Organize/reorganize current activities to help meet goals (we added a special boot camp for seniors) Conduct follow up assessment to identify improvement

Boot Camp

My Plate Valentine & Boot Camp

Next Steps for Spanish Cove Conduct annual/biannual assessment Work with UCO Nursing/Kinesiology and others to track effectiveness of intervention and milestones of success – increasing average age when someone loses independence – Reducing chronic health conditions & their impact – Reducing preventable hospitalizations/re-hospitalizations – Impact on costs Broaden scope to include people from outside our community (city of Yukon)

We Challenge You! To assess your community To compare yourself to other communities To help your community members ‘finish well’ and live longer better To celebrate your success!

Contact Information Don Blose Debbie Miller