National Association of Area Agencies on Aging Older Adult Health Efforts

Wisdom Tooth Project Webinar Series

National Association of Area Agencies on Aging: Older Adult Health Efforts

October 26, 2016

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Aging Services: Helping Older Adults Thrive at Home and in the Community for Oral Health America October 26, 2016

National Association of Area Agencies on Aging

Amy Gotwals

Chief, Public Policy & External Affairs agotwals@n4a.org

1730 Rhode Island Ave., NW Washington, DC 20036 202.872.0888 www.facebook.com/n4aACTION www.twitter.com/n4aACTION www.twitter.com/amygotwals National Association of Area Agencies on Aging

Agenda • The Aging Network • Consumers Seeking Services • Transportation • Livable and Dementia-Friendly Communities

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

Older Americans Act of 1965, P.L. 89-73, July 14, 1965

Lyndon Johnson signing the OAA, July 14, 1965.

National Association of Area Agencies on Aging

Older Americans Act (OAA) • Summer of 1965, alongside Medicare and Medicaid • Created the National Aging Network (AAAs designated in 1973)

• Remains the foundational core of the Network’s work today • Most of Act applies to those age 60 and older; also targets services to most frail and vulnerable, as well as special populations: veterans, minority, low-income, limited English proficiency National Association of Area Agencies on Aging

Timeline of Major Amendments 1972 – Nutrition program

1965 1973 – AAAs created; multipurpose senior centers and community service employment authorized

1978 – Home –delivered meals authorized and ombudsman services required

1992 – Elder rights recognized

2000 – National family caregiver support program

2006 – HCBS systems thru ADRCs; evidence-based health promotion services

2016 – Small changes to definitions, specific authorization levels

Present National Association of Area Agencies on Aging

Older Americans Act, Title I Declaration of Objectives, to assist older adults to secure: • • • • • • •

An adequate income Best possible physical and mental health Suitable housing Comprehensive long-term care services Employment opportunities Retirement in health, honor and dignity Opportunity for meaningful participation in community life • Continuum of care, especially for vulnerable elderly • Benefits from research • Freedom, independence and individual initiative in planning and managing one’s own life; protection from abuse.

National Association of Area Agencies on Aging

Older Americans Act • Seven titles in the Act, added over time, reauthorizations every 5 years • Title II established U.S. Administration on Aging • Title III (Grants for State and Community Programs) is largest section of OAA and funds the bulk of services, including….

– III B Supportive Services: catch-all, flexible, more than 26 purposes – III C Nutrition: most well-known, congregate meals (C1) and home-delivered (C2) – III D: Preventative Health & Wellness – III E: National Family Caregiver Support Program

National Association of Area Agencies on Aging

Older Americans Act • Title V Senior Community Service Employment Program is a low-income community service/employment program run by Dept. of Labor • Title VI Native American Aging provides competitive grants to tribes for supportive services and meals (Part A), caregiver program (Part C) • Title VII Elder Rights provides funding for LTC ombudsman, elder abuse prevention, some legal services

National Association of Area Agencies on Aging

The National Aging Network

National Association of Area Agencies on Aging

All AAAs Play A Key Role In…

National Association of Area Agencies on Aging

Core AAA Services

National Association of Area Agencies on Aging

Area Agencies on Aging (AAAs)

National Association of Area Agencies on Aging

Many Names, Many Partners: One Mission While only designated AAAs can use the Area Agency on Aging name, not all AAAs use “Area Agency on Aging� in their operating name.

National Association of Area Agencies on Aging

Nationwide Network With a Local Flavor

National Association of Area Agencies on Aging

Home and Community-Based Services • • • • • • • • •

Home-delivered or congregate meals In-home help with ADLs Chore services Home modification Transportation (rides to meal sites, doctor’s offices, etc.)

Legal services Adult Day Care Caregivers: respite, support groups, training Ombudsman programs

National Association of Area Agencies on Aging

Information, Referral & Assistance • • • • • •

Local hotlines to connect callers to HCBS and related services.

Case management for HCBS Benefits and eligibility counselors Health insurance benefits counselors Care Transitions coaches Medicaid managed care (varying roles—from eligibility to case management to service delivery) • Identification and prevention of elder abuse

National Association of Area Agencies on Aging

And More!

• Chronic Disease Self-Management classes • Falls Prevention programs • Other wellness and socialization programming at local senior/community centers • Senior Community Service Employment Program • Senior Medicare Patrol • VOLUNTEER opportunities

National Association of Area Agencies on Aging

Other Programs and Services • 72%  Aging and Disability Resource Centers (ADRCs) • 62%  State Health Insurance Assistance Programs (SHIPs) • 57%  Local LTC Ombudsman Programs

National Association of Area Agencies on Aging

Planning and Capacity Bdg.

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

Patrice Earnest

Director, Eldercare Locator pearnest@n4a.org

1730 Rhode Island Ave., NW Washington, DC 20036 202.872.0888 www.eldercare.gov www.facebook.com/eldercareloc www.twitter.com/eldercareloc National Association of Area Agencies on Aging

The Eldercare Locator National Call Center

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National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

Top Reasons People Contact Us

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

1-800-677-1116 www.eldercare.gov

National Association of Area Agencies on Aging

Partnering with Your AAA • • • •

Understand the landscape they are operating in Figure out the state/AAA specifics Find the right person! (Formal, informal, champion) Where’s the shared mission opportunity?

– Training opportunities? (staff, volunteers) – Consumer education events?

– Other shared resources?

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

Virginia Dize

Co-Director, National Aging and Disability Transportation Center

vdize@n4a.org

1730 Rhode Island Ave., NW Washington, DC 20036 202.872.0888 www.nadtc.org www.facebook.com/NADTC www.twitter.com/NADTCmobility National Association of Area Agencies on Aging

National Aging and Disability Transportation Center (NADTC) Mission: To improve access to transportation for older adults, people with disabilities, and caregivers Partnership: Easterseals and the National Association of Area Agencies on Aging Funding: Federal Transit Administration with guidance from the U.S. Administration on Aging

www.nadtc.org

NADTC Goals  Promote the use of accessible public transportation for employment, healthcare, education, recreation, and to support independent living.  Increase the effectiveness, efficiency, and quality of coordinated human service transportation.  Ensure transportation planning is done in conjunction with broader planning activities at all levels.  Highlight and assist in developing promising practices to solve transportation challenges, maximizing the effectiveness of federal investments in specialized transportation.

www.nadtc.org

NADTC & Eldercare Locator Partnership  NADTC is charged with providing information and technical assistance to aging, disability and transportation professionals and communities  Partnership with Eldercare Locator ensures that older adults, people with disabilities and caregivers seeking information and access to transportation in their communities are able to connect to local resources without delay  In the past year (October 2015-September 2016), NADTC handled more than 700 calls for information and assistance and referred more than 1,100 individuals to the Eldercare Locator  During the same time period, Eldercare Locator handled more than 31,000 transportation calls www.nadtc.org

The Family of Transportation Options  Driving  Public Transit: Fixed Route, Dial-aRide  Paratransit  Private Options: Taxi, Uber, Lyft  Volunteer Driver Programs  Walking/Biking  Information and Referral/Assistance ~ “Transportation Options Counseling”  One-Call/One-Click Transportation Resource Centers  Travel Training  Mobility Management

Transportation is both a personal and a community concern • Individuals need to know: • Who provides information about transportation?

• What transportation options are available?

• What is the cost? Are there programs available to pay some or all of the cost?

• Is help available to guide you through the choices and make the best decision to fit your needs?

• What if you have a bad experience?

Transportation is both a personal and a community concern • Organizations that work with older adults and people with disabilities need to know: • • • • • •

Why is transportation critical?

What transportation services are available?

Are there gaps in service?

Who has information about transportation?

Who provides transportation services?

What can you do to improve transportation for the clients you serve?

Finding Transportation in Your Community

www.nadtc.org

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Virginia Dize & Carol Wright Co-Directors, NADTC 202.872.0888 | vdize@n4a.org

202.403.8365 | cwright@easterseals.com contact@nadtc.org 866-983-3222

www.nadtc.org

Sandy Markwood Chief Executive Officer smarkwood@n4a.org 1730 Rhode Island Ave., NW Washington, DC 20036 202.872.0888 www.facebook.com/n4aACTION www.twitter.com/n4aACTION

National Association of Area Agencies on Aging

The Aging of the Population Is Something to be Celebrated!

But to Ensure that Individuals Can Age Successfully Will Require: • Individuals Need to Plan • Their Families Need to Plan • And Our Communities Need to Plan

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging

Community Engagement Health and Well-Being

Transportation

Social and Support Services

Safety and Preparedness

LIVABILITY

Housing

Planning and Zoning

National Association of Area Agencies on Aging

DFA Overview Presentation www.dfamerica.org

National Association of Area Agencies on Aging

The Growing Need

National Association of Area Agencies on Aging

Testing Ground: Minnesota Results • Awareness and education: Dementia Friends • Caregiver supports • New, meaningful community engagement opportunities (arts, music) • Cross-Sector Engagement and Training: business, government, law enforcement, youth, first responder and faith • Health system adoption of optimal dementia care practices

National Association of Area Agencies on Aging

DFA National Participants

ABA | Bank of America | CFPB |Eli Lily |The Global CEO Initiative |The IACP NACo | World Young Leaders Federal Liaisons: ACL, ASPE, CDC, HRSA, IHS, SSA

National Association of Area Agencies on Aging

Organizing to Meet the Goal: Web-Based Tools and Resources

Our website includes sector guides, provider tools, a community toolkit and other guidance for communities working towards becoming dementia friendly.

National Association of Area Agencies on Aging

The Action Team

National Association of Area Agencies on Aging

DFA Network in July 2014

National Association of Area Agencies on Aging

DFA Network The Growing DFA Network

National Association of Area Agencies on Aging

National Association of Area Agencies on Aging 1730 Rhode Island Ave., NW Washington, DC 20036 202.872.0888 www.n4a.org www.facebook.com/n4aACTION www.twitter.com/n4aACTION

National Association of Area Agencies on Aging

Contact Information Amy Gotwals Chief, Public Policy & External Affairs agotwals@n4a.org

Virginia Dize Co-Director, National Aging and Disability Transportation Center vdize@n4a.org

Patrice Earnest Director, Eldercare Locator pearnest@n4a.org

National Association of Area Agencies on Aging

Sandy Markwood Chief Executive Officer smarkwood@n4a.org

Contact Information Andie Kyros, RDH, MPH Older Adults Program Coordinator andie.kyros@oralhealthamerica.org

Today’s webinar recording and link to PPT will be uploaded in less than 2 weeks to:

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Save The Date • Next Wisdom Tooth Project Webinar: ďƒ˜Wednesday, November 9th at 1:00pm CST

Title: Intro to Soul2Soul Solutions: Leveraging Family Caregivers to Improve Quality of Life for Older Adults

Speaker: Debra Kelsey-Davis, CEO/Founder, S2S Solutions Ltd. Please email me wisdomtoothproject@oralhealthamerica.org if you have not received the registration link and would like to attend OR If you are interested in presenting a future webinar

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