1. PUBLIC TRANSIT AND WASHOE COUNTY SENIORS SUPPORTING INDEPENDENCE, DIGNITY, AND CHOICE Grady Tarbutton, Director Washoe County Senior Services

2. Population growth 2010 60+ = 76,000 2020 60+ = 100,000 2030 60+ = 130,000 By 2020, seniors 60+ years= 22% of Washoe County population A permanent change 2

3. 2013 State of “Senior” Washoe County  Good news*  Lower rates obesity  Increased income since 2006  Self-reported physical activity  Hospitalization re- admission rates  Fewer falls  Lower cost of care (Adult Day, in-home, Assisted Living, Nursing Home)  Nursing Home admissions  Not so good*  Lower life expectancy; higher mortality rates  Poverty; near poverty  Poor Nutrition  Medically underserved  Immunization rates; physician access, utilization  High rate of growth in health care expenditures  # Nursing Homes opened  Increasing demand on Caregivers  Limited Home and Community Based Services options 3 * “EldersCount 2013” University of Nevada- Reno Sanford Center for Aging; February 2013

4. “2014 Master Plan for Aging Services” Engage Community Leaders and Policy Makers Analysis of 2006-16 Strategic Plan Random Survey/Community Needs Assessment Data Analysis of Survey; focus groups Enumerate Current Service Levels and Gap in Needs Develop Strategies to Address Gaps; Publish 4

5. Early Results from 2014 “Master Plan for Aging Services” Status of High Risk Groups in 2013: Income less than $30,000 a year 32,800 seniors (41%) Socially Isolated 20,000 seniors (25%) Frail 22,400 seniors (28%) Over 80 years of age 13,000 seniors(16%) 5

6. Senior High Risk Groups will grow Projections for 2020 Income less than $30,000 a year to 43,940 seniors Socially Isolated to 26,792 seniors Frail to 30,007 seniors Over 80 years of age to 19,085 seniors 6

7. Senior Poverty 7 (EldersCount Nevada 2013; American Community Survey, 5-Year PUMS: Nevada, 2006-2010)

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10. But, High Risk Seniors not aware of Services They are more likely to need them Only 10% use them, today And, are less likely to be aware of them than other seniors Conclusion: the gaps in services for High Risk seniors is high today, and is growing 10

11. Focus Groups: Greatest Gaps Basic Needs Transportation, housing, food Information Awareness Advocacy Home and Community-based Services In-home care Support for Caregivers 11

12. Seniors and Public Transportation 67% of all seniors are aware of public transit such as ACCESS 7% use High risk groups are more likely to use 48% over 80 years are not aware 12

13. Seniors and Driving Only 14% over 60 no longer drive 33% over 80 no longer drive 98% who were able to drive left home in the past week; 56% seven or more times 83% who were not able to drive left home in the past week; 20% seven or more times 13

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15. “Next Steps” Plan together Comprehensive, coordinated services Anticipate an impact on every agency, every business, every family Create sponsors Create a “Lifelong” Community Support for families 15

16. If we do this well... Seniors living longer, healthier, more independent lives Seniors prefer living at home and will have a higher quality of life Support for families to provide care, longer Delay High Risk clients’ entry into Medicaid 16

17. CONTACT INFO Grady Tarbutton, Director Washoe County Senior Services gtarbutton@washoecounty.us 775-328-6141 Washoe County Master Plan for Aging Services website: www.washoecounty.us/seniorsrv/MP/MasterPlan.htm 17