2014 WRAAA LECTURE & LUNCHEON Addressing Care Needs Through Strategic Partnerships in a Holistic Community Care Environment Panel Presentation

TODAY’S PANELISTS Overview: Ronald Hill, CEO, WRAAA Self Care: Stephanie FallCreek, President & CEO, Fairhill Partners Informal Care: Nancy B. Udelson, President & CEO, Alzheimer’s Association, Cleveland Area Chapter Formal Care: Julie Jarvis, Director of Planning and Community Resources, WRAAA

OVERVIEW RONALD HILL WESTERN RESERVE AREA AGENCY ON AGING CHIEF EXECUTIVE OFFICER

ORGANIZATIONS THAT ADVOCATE ON BEHALF OF OLDER AND DISABLED ADULTS National Organizations: AARP National Association of Area Agencies on Aging National Council on Aging

ORGANIZATIONS THAT ADVOCATE ON BEHALF OF OLDER AND DISABLED ADULTS Statewide Organizations: Ohio Association of Area Agencies on Aging Advocates for Ohio’s Future AARP Ohio Ohio Coalition for Adult Protective Services (OCAPS) Ohio Assisted Living Association Ohio Association of Senior Center Ohio Council for Home Care Service Provider Networks

ORGANIZATIONS THAT ADVOCATE ON BEHALF OF OLDER AND DISABLED ADULTS Local Organizations: Services for Independent Living Coalition Alzheimer’s Association- Cleveland Area Chapter Consortium Against Adult Abuse North East Ohio MyCare Ohio Coalition North East Ohio Consumer Voice for Integrated Care Council of Older Persons Senior Voice PASSPORT, Assisted Living, and OAA Service Providers

SELF CARE STEPHANIE FALLCREEK, D.S.W. FAIRHILL PARTNERS IN CLEVELAND PRESIDENT AND CEO

Personal Assets Knowledge INDIVIDUAL Time Physical Capability S ELF C ARE Skill Healthy Behaviors Disease Self-Management

Strengthen Tangible Assets  Increase knowledge  Improve skills  Improve physical function  Access benefits Strengthen Intangible Assets  Increase confidence  Decrease fear  Increase or enhance relationships SUPPORTING SELF-CARE AND SELF MANAGEMENT Asset building at the individual level generates returns throughout the care environment

Core Skills Action Planning Problem Solving Decision-Making Assumptions Peer facilitation and modeling is powerful Changing negative thinking to positive thinking is possible (beliefs are changeable) Communication is key Volunteers can be very effective facilitators SELF-CARE CONFIDENCE BUILDING

Matter of Balance Enhance Wellness Enhance Fitness Fit and Strong Home Meds PEARLS Healthy Ideas Healthy Moves Tai Chi for Arthritis Stanford Suite: CDSM DSM Pain Management HIV/AIDS Spanish Versions Online Versions ILLUSTRATIVE EVIDENCE-BASED/SELF-MANAGEMENT PROGRAMS THAT STRENGTHEN SELF-CARE

Contact Information: Stephanie FallCreek, President/CEO (216) x 111 Website:

INFORMAL CARE NANCY B. UDELSON ALZHEIMER'S ASSOCIATION, GREATER CLEVELAND PRESIDENT AND CEO

FORMAL SUPPORTS LONG TERM SERVICES AND SUPPORTS (LTSS) JULIE A. JARVIS WESTERN RESERVE AREA AGENCY ON AGING DIRECTOR OF PLANNING&COMMUNITY RESOURCES

GROWING NEED FOR LTSS 12 million Americans, of all ages, are assisted through a system of long term services and supports (LTSS) – this is expected to double by 2050 The 65 and older population is growing dramatically, 70% will need LTSS for an average of three (3) years Nearly two-thirds of the cost of LTSS today is financed by federal and state governments through the Medicaid program Older Americans Act funded programs provide a range of community based services which enhance quality of life and independence

LTSS DEFINITION Assistance with activities of daily living Distinct from health care services Includes both paid & unpaid caregivers Long Term Services and Supports (LTSS)

RE-BALANCING National Spending for Long Term Services and Supports (LTSS), National Health Policy Forum

CARE INTEGRATION Health Care LTSS

Physicians wish they could write prescriptions to help patients with social needs Nutrition 64% Transportation 47% Employment Assistance 52% Housing Assistance 43% SOCIAL DETERMINATES Health Care’s Blind Side, 2011 – Robert Wood Johnson Foundation Survey

PERSON CENTERED & DIRECTED CARE Triple Aim… better care of individuals, better health for populations and lower costs Person Centered… personal values guide all clinical decisions

LTSS PROVIDER NETWORK 4,800 adult day services centers 12,200 home health agencies 3,700 hospices 15,700 nursing care facilities 22,200 assisted living and similar residential care communities National Study of Long Term Care Providers (NSLTCP)

LTSS PROVIDER NETWORK Evidence suggests that receipt of multiple OAA services may lessen the likelihood of nursing home placement and increase time living in the community AoA’s Performance Outcomes Measures Project (POMP)

BRIDGING SILOS Strengthen partnerships across settings Adopt person centered, interdisciplinary approaches to care Increase knowledge about community services and supports

QUESTIONS AND ANSWERS

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