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Answers on Aging


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Answers on Aging

  1. 1. Answers on Aging<br />
  2. 2. What you’ll learn<br />Overview: Council on Aging and the Aging Network<br />Long-term care: what is it and why does it matter?<br />How we can help you<br />How you can be involved in <br /> Fair Care Ohio<br />
  3. 3. I. Overview: <br />Council on Aging and <br />the Aging Network<br />
  4. 4. Our mission & vision<br />Mission: Enhance the lives of adults by assisting them to remain independent at home through a range of quality services<br />Vision: Every senior adult in our region shall have a choice and range of services that will assist them to remain independent in their chosen environment<br />
  5. 5. About Council on Aging<br />“I told them at the nursing home, ‘I love you guys, but I gotta go home.’” - Stepheny<br />
  6. 6. Experts on Aging<br />40 years serving older adults, families and caregivers<br />State-designated Area Agency on Aging since 1974<br />Butler, Clermont, Clinton, Hamilton and Warren<br />One of largest non-profits in our region – not a government agency<br />High standards: results, ethics and quality <br />
  7. 7. Area Agencies on Aging<br />Your connection to info and services for older adults and caregivers<br />Ohio has 12 regional “Planning and Service Areas”, each with its own Area Agency on Aging (AAA)<br />More than 600 AAAs nationwide<br />SW Ohio AAA = Council on Aging<br />It’s easy to find your AAA:<br /><br />1-800-677-1116<br />
  8. 8. The AAA difference<br />Area Agencies on Aging: <br />Create choices in how and where people receive long-term care.<br />Advocate for systemic changes that improve the lives of older adults.<br />Are central, unbiased resource for older adults, caregivers, community<br />
  9. 9. U.S. Administration on Aging<br />Regional Office on Aging (10 in U.S.)<br />State Unit on Aging – Ohio Dept of Aging (ODA)<br />Area Agencies on Aging (AAA)COA and 11 others in Ohio<br />Local Service Providers<br />Ohio’s Older Adults<br />The Aging Network<br />
  10. 10. What we do<br />"We are really happy to get the help...there's more than we can do ourselves."<br />
  11. 11. What we do…<br />Assistance: Help older adults stay in their homes and communities<br />Advocacy: reform Ohio’s long-term care system<br />Answers on Aging: Aging and Disability Resource Connections<br />Outreach, education: including help with planning for long-term care<br />
  12. 12. Programs and Initiatives<br />Housing support services<br />Long-term Care Consultations<br />Nursing home diversion and transition from hospitals to home (care transitions)<br />Nursing home pre-admission review<br />Older Americans Act services (nutrition, wellness, transportation, legal help and more)<br />Advocacy<br />ADRC Call Center<br />Caregiver support<br />Educational events and outreach<br />Home and community-based services<br />Assisted Living Waiver<br />Elderly Services Program<br />PASSPORT<br />
  13. 13. COA by the numbers - 2010<br />20,145 clients receiving in-home services <br />Nearly 2 million home-delivered meals (to 11,371 homebound older adults)<br />1.9 million hours of in-home care<br />253, 167 trips to doctors, senior centers<br />21,580 requests for information about help for seniors<br />321 education and support sessions with caregivers<br />46 advocacy meetings with clients and elected officials<br />From 2010 annual report<br />
  14. 14. II. Long-term care: <br />what is it and why does it matter?<br />
  15. 15. What is long-term care?<br />
  16. 16. What islong-term care?<br />It’s help with basic activities of daily living for an extended period of time.<br />Activities of Daily Living (ADL) <br />Instrumental Activities of Daily Living (IADL)<br />
  17. 17. In the past…<br />Long-term care <br />took place in a <br />nursing home.<br />
  18. 18. Today…<br />People age 65+: <br />Only 5% live in group quarters, like nursing homes<br />Source: AARP/U.S. Census Bureau<br />Credit: Alyson Hurt/NPR<br />
  19. 19. Settings for long-term care<br />In own home or caregiver’s home<br />Group homes or informal congregate arrangements<br />Subsidized housing for seniors<br />Adult day center<br />Continuing Care Retirement Community<br />Assisted Living – stand-alone or part of CCRC or nursing home<br />Nursing home<br />
  20. 20. Why the change?<br />Better health and longevity<br />Medical advances<br />Universal design and assistive technologies <br />Long-term care insurance <br />Caregiving/cultural shift<br />Quality of life expectations, desire for independence and privacy<br />Continuing-care retirement communities<br />
  21. 21. Long-term care matters<br />Reason #1: <br />You’ll probably need it.<br />Source: survey by Age Wave and Harris Interactive for Genworth Financial<br />
  22. 22. Even if you think you won’t<br />Only 37% of seniors think they will need LTC. In fact, about 70% actually will need care for some period of time. <br />90+% of seniors have not discussed w/ spouse or children how they will pay for care, or what care options they prefer.<br />
  23. 23. Long-term care matters<br />Reason #2: if you’re a taxpayer, you’re already paying for long-term care.<br />
  24. 24. Who pays for LTC?<br />
  25. 25. Private pay nursing home residents going broke<br />% who go on Medicaid after periods of time in NH; source: Scripps Gerontology Center, 2007<br />
  26. 26. Every taxpayer should know: Let’s compare costs…<br />Average monthly costs per person<br />Home care<br />
  27. 27. III. How can Council on Aging help you?<br />
  28. 28. COA Programs and Services<br />“I love being able to stay in my own home. It means something to my heart.” - Ruth<br />
  29. 29. Typical home care client<br />Single woman in her 70s or 80s<br />Needs help with bathing, cooking, cleaning, dressing, shopping<br />Lives on a fixed income<br />Family and friends pitch in to help out, but it’s not enough<br />Family is concerned it’s not safe for her to live at home by herself<br />
  30. 30. COA home care: PASSPORT and Elderly Services Program<br />Care management<br />Adult day services<br />Caregiver respite<br />Companion service<br />Emergency response device<br />Homemaking<br />Home-delivered meals<br />Home modifications<br />Independent living assistance <br />Personal care<br />Major housecleaning/pest control<br />Medical equipment and supplies <br />Transportation<br />
  31. 31. PASSPORT<br />Prevents unnecessary nursing home placement<br />Must be at least 60 years old<br />Low income and assets (Medicaid-eligible)<br />Frail : Need hands-on help with dressing, bathing, toileting, grooming, eating or mobility (2 or more of these) <br />Able to remain safely at home with doctor’s consent <br />Ineligible for services from another source: Medicare, private pay, insurance or hospice<br />Free of charge or set at affordable level depending on financial situation<br />Served 3,851 in 2010 (5 counties)<br />
  32. 32. PASSPORT client<br />“Without the program, I’d be in a nursing home somewhere. I cannot do for myself…but I do have people who love me.”<br /> Katie, PASSPORT client with her COA care manager<br />
  33. 33. Elderly Services Program (ESP)<br />County-based in-home care for those who do not qualify for PASSPORT <br />Allows wider range of disabilities than PASSPORT<br />Income is not an eligibility factor<br />Available in Butler, Clinton, Hamilton and Warren counties (Clermont- separate program)<br />Supported by local tax levies – you pay for this service, you should use it!<br />Served 14,283 in 2010 (4 counties)<br />
  34. 34. ESP continued…<br />65 or older (60 in Warren Co.)<br />Impaired in everyday activities such as bathing and preparing food<br />Free of charge or set at affordable level depending on income<br />Flexible, individual care plan + care management<br />Caregiver support<br />Ineligible for services through another source/payer<br />
  35. 35. Elderly Services Program client<br />“I thought I could do without help but I found out I couldn’t. I would tell people, ‘Don’t wait as long as I did to get help.’ I don’t know what I did without Pat (home health aide).”<br />Nellie and Noble, Hamilton County ESP clients, with aide Pat<br />
  36. 36. Assisted Living Waiver<br />Private, apartment living with supportive services.<br />Provides care for Medicaid-eligible adults in approved assisted living facilities. <br />An alternative for people who need more care than PASSPORT or Elderly Services Program, but not a nursing home.<br />Marian and daughter Carol<br />“I love it here. I don’t think you could ask for something much better than this.” Marion, Assisted Living Waiver client<br />
  37. 37. Assisted Living Waiver<br />Services:<br />Private rooms w/bath and kitchen<br />24-hr on-site response<br />Meals<br />Care Management<br />Homemaking<br />Personal Care<br />Social Activities<br />Community Transition Service<br />
  38. 38. Assisted Living Waiver<br />Eligibility:<br />age 21 or older<br />Need same level of care as PASSPORT (frail)<br />And currently:<br />A nursing facility resident, or<br />receiving care through another Medicaid waiver program (PASSPORT), or<br />an assisted living resident who has paid privately for at least six months<br />
  39. 39. Home-delivered Meals<br />Based on nutritional, not financial need<br />Age 60 or older<br />Unable to prepare a meal or get to a congregate meal site<br />Spouses eligible<br />Donations welcome<br />
  40. 40. Caregivers are the foundation of our long-term care system<br />“When you’re taking care of a loved one, you feel you are not adequate, that you should be doing better.” - Maria, caregiver for her husband Julius<br />
  41. 41. Help for caregivers<br />Council on Aging Caregiver Support Program<br />Homevisit from RN for teaching about medications, diabetic care, bathing, stress and more<br />Must provide care for someone 60+ OR be a caregiver over the age of 60<br />Instruction manual and resource guide<br />All offered as a public service<br />
  42. 42. HOME: Repairs/Modifications<br />Free home repairs and safety modifications for low-income homeowners and renters age 60+<br />Funded by Ohio HousingTrust Fund<br />Money available!<br />
  43. 43. Own Your Future<br />Long-term care planning is a gift for you and your family<br />Planning ahead means peace of mind, awareness of options, better decisions.<br />Help from COA:<br />Free Long-term Care Consultations (any age)<br />Information, planning guide, and important links at<br />Educational workshops/seminars<br />
  44. 44. Next upcoming…<br />Own Your Future Workshop SeriesStop worrying and start planning <br />Get the facts and hear from experts on estate planning, legal issues, financial planning and long-term care choices Attend one or more sessions: Next session – spring 2012 Details and registration later at: or (513) 345-3367<br />
  45. 45. IV. Fair Care Ohio:<br />Getting involved <br />
  46. 46. Advocacy<br />
  47. 47. Focusing on the issues<br />We work with elected officials and leaders on issues of importance to older adults and caregivers. <br />Balancing Ohio’s long-term care system<br />Promoting choice<br />Saving tax dollars<br />Improving quality of life for older adults<br />Housing<br />Bed bugs<br />
  48. 48. Advocacy Victory<br />Rebalancing Long-term Care in Ohio<br />Fair Care Ohio: Nearly 50,000 Ohioans spoke up so older adults could have choices for long-term care<br />Ohio’s 2012-13 budget increases PASSPORT and Assisted Living spending by $55.6 million over the next 2 yrs and allows 4,800 more seniors to access these programs<br />Ohio’s long-term care spending balance will soon be 58% to 42% (institutional vs. home/community care)<br />
  49. 49. Still more to be done…<br />Ohio still exceeds the national average in nursing home admissions<br />Ohio’s 60+ population will grow 25% by 2020 and will nearly double by 2040 <br />The new budget puts us closer to the national average, but we can do better<br />Ohio’s Area Agencies on Aging want a 50/50 balance of spending on nursing homes and home/community-based care = more care options for Ohioans and $$ savings for taxpayers<br />
  50. 50. Take action! Get involved!<br />
  51. 51. Fair Care Ohio<br />We think Ohio's long term care system should be fair to the taxpayer and fair to the elderly. Help us get the message to Ohio's legislators.<br />Write, call, send e-mails, stay up-to-date, all through Fair Care Ohio<br /><br />
  52. 52. Need help? <br />“I tried to take care of my own problems, but sometimes you just make it worse so you have <br />to get help.” - Patrick<br />
  53. 53. Don’t go it alone<br />Call us for Answers on Aging<br />513-721-1025<br />513-651-0691 TTY <br />800-252-0155<br /><br />Tell others about COA<br />
  54. 54. Visit us online and sign up for newsletter and updates<br />
  55. 55. Stay in touch with COA!<br />
  56. 56. Thank you!<br />Paula Smith<br />Communications Specialist<br />513-345-3315<br /><br />Laurie Petrie<br />Communications Director<br />513-345-3393<br /><br />