Helping older people live healthier lives through evidence-based prevention programs. 1

Biggest concerns for people as they get older: Health Finances Relationships Why? Maintaining good health, financial security, and strong relationships are key to staying independent. 2

The Wisconsin Institute for Healthy Aging (WIHA) helps older people stay well through evidence-based programs. WIHA is a partnership of public and private organizations that promotes evidence-based programs to prevent disease and promote healthy living among older adults. 3

Why Evidence-Based Programs? Evidence-based programs have been researched, tested, and scientifically-proven to work. All of the programs WIHA offers are shown to help older people prevent the onset or progression of a disease, chronic condition, or other health problem. 4

What we do Develop, promote, and monitor the quality of products, programs, and services to support healthy aging Serve as a clearinghouse for evidence-based prevention program education and training Facilitate relationships between researchers and the community to promote aging research Monitor legislation and funding opportunities and advocate for good public policy initiatives that promote healthy aging 5

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WIHA’s Evidence-Based Prevention Programs Living Well: A self-management workshop for people with one or more chronic (on-going) health problems Stepping On: A falls prevention self-management workshop for people at risk of falls Sure Step: A one-on-one falls prevention assessment in the home for people with cognitive impairments who are at risk of falling 7

Why Chronic Conditions? More than 1.7 million Americans die of a chronic disease each year 80% of older people have at least one; 50% have two or more 95% of health care spending is due to chronic conditions Two-thirds of all deaths are caused by four conditions: heart disease, cancer, stroke, and diabetes 8

Why Falls Prevention? One in three adults age 65 and older falls each year; 20% - 30% suffer moderate to severe injuries that make it hard for them to get around or live independently Falls among older adults were projected to cost the health care system nationwide over $28 billion in

Aging Research CAARN: Community-Academic Aging Research Network creates a bridge between university and community groups to do research in healthy aging CAARN provides training programs, networking opportunities, and resources to facilitate aging research 10

Since October 2011 Non-Profit Organizational items Seated Permanent Board Launched website Revised protocols for SO and LW Held Stepping On New Manual Trainings Held Leader Trainings galore Strengthened Fidelity Coaching 11

More since Oct 2011 Assigned Leader Coaches Held focus groups Simplified data collection Developing relational database Spruced up promotional materials Completed an SO Implementation Guide Expanded SO to 14 states Begun Quarterly Leader Newsletter 12

Still more since October 2011… Consolidated work groups into one statewide EBPP Coordinating Committee Begun new research projects, including AARC Expanded Tomando de Control de Su Salud. Translating SO – to Spanish. Hired two AHEC student interns 13

WORKSHOPS! 2010: 102 SO, 105 LW, 9 Tomando 2011: 101 SO, 107 LW, 18 Tomando To date in 2012: 65 SO, 63 LW, 7 Tomando Total Workshops - Since beginning: 325 SO, 435 LW, 32 Tomando = almost 800 Total participants – Since beginning: 3,814 SO, 4,288 LW, 361 Tomando = ˃ 8,000 14

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LEADERS! Living Well: 311 Leaders Tomando: 43 Leaders Stepping On: 213 Leaders 16

What’s Next? 17

Imagine that It’s 2017 So Much has Changed! Wisconsin Will Still be the Leader in Aging Programs & Services. Prevention Will Be Where It’s At! 18

Healthy Aging by 2017 Every county has Prevention Coordinator ADRCs are Prevention Hubs Prevention in aging akin to dental, annual physicals, Lamaze. Aging readiness. Every county has SO, LW, suite of CDSMP programs Ended the waiting lists for them County I&A specialists have extensive databases of EBPPs in myriad areas. 19

Research as of 2017 All research begun in 2011 is through RCT – and is now implemented statewide CAARN can barely keep up with requests for community research partnerships New disciplines – health sciences nutrition, pharmacy, social work, law, engineering, etc. Goal of Wisconsin’s researchers is to partner with WIHA’s CAARN. 20

Thanks to Wisconsin’s Prevention Network by 2017 Health: UP & Costs: DOWN ↓ Complications from chronic conditions ↓ Falls ↓ Rx use and Adverse drug effects ↓ Obesity ↓ Mental Health Problems ↓ Dementia ↓ Driving accidents 21

More Results ↓ Need for LTC ↓ Health and LTC Costs – Fewer hospitalizations – Fewer ED visits – Fewer doctor visits – Decrease in use of medications ↑ Community Engagement ↑ Savings – all invested back in prevention 22

Adults age 65+ sign up for prevention programs with Social Security and Medicare Docs recommending; using Electronic Health Records Loving their EBPP apps, and Electronic reminders Prevention Budget ˃ LTC Budget Health care providers offer WIHA programs and crave earning the logo EBPPs are covered benefits under Medicare, Medicaid, Medigap and private insurance. 23

THANK YOU Wisconsin Prevention Network! 24

To contact WIHA: Call: (608) Website: 25 Presented by: Betsy Abramson Deputy Director