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Innovations of virginias aaa bay aging 2016 governors conference on aging

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Innovations of virginias aaa bay aging 2016 governors conference on aging

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Innovations of virginias aaa bay aging 2016 governors conference on aging

  1. 1. Designing Our Future Improving Health Outcomes: Innovations of Virginia’s Area Agencies on Aging May 2, 2016 Governor’s Conference on Aging Kathy Vesley- Massey President/CEO William Massey CEO
  2. 2. Aging Facts – Around the World• Between 2000 and 2050: • the proportion of the world’s population over 60 years will double from about 11% to 22% • the absolute increase – 605 million to 2 billion • the world will have more people who live to see their 80s or 90s than ever before • the number of people aged 80 and older will have almost quadrupled to 395 million
  3. 3. World vs United States Proportion estimates of people aged 65 and older for 2010 and 2050 65+ by 2050 WORLD: 65+ in 2010 15.6% 7.7% 65+ by 2050 UNITED STATES: 65+ in 2010 21.4% 13.1% 2050 2010 • Countries with the largest growth: Japan, S. Korea, Spain, Italy and France • Countries with the least growth: Nigeria, Kenya, Pakistan, S. Africa, Egypt • United States ranks 11th highest growth in the world
  4. 4. The Changing Age Structure • Overall age structure is projected to change greatly from 2010 – 2050 • Boomers are driving the change • Who are these Boomers? Baby Boomers were born between the years 1946 and 1964 Today, 
 40 million people in the U. S. are 65 and older which will more than double to 89 million by 2050 The “oldest old” – those people ages 85 and older will number 19 million by 2050 In other words, by 2050 
 1in every 5 Americans will be 65 and older
  5. 5. • Seniors have a new definition of aging, attitude toward aging and interest in aging • People are living longer thanks to changes in lifestyle and technology • A man reaching age 65 today can expect to live, 
 on average, until age 84.3 • A woman turning age 65 today can expect to 
 live, on average, until age 86.6 • One out of every four 65-year-olds today will 
 live past age 90, and one out of 10 will live past age 95 • More older adults will be living with disabilities • Disease in old age is less likely to mean death or loss of 
 physical and mental function Seniors are Redefining Aging
  6. 6. Life Expectancy at Age 65 Sex and calendar year, based on period life tables. Example: Life expectancy at age 65 for males increased from 11.3 years in 1900 to 15.72 years in 2001
  7. 7. ANNUAL COST OF CHRONIC DISEASES Data Source: CDC Cost Calculator for Virginia 2015. Includes costs only for diseases that are selected and have cost values available. The projections: 1) are medical costs only, including nursing home costs but excluding absenteeism costs; 2) are based on default inputs; 3) are reported in 2010 $ and do not project inflation; and 4) assume no changes in policy or technology and exclude changes due to the Affordable Care Act. Virginia Department of Health.
  8. 8. Impact of the Aging Population: Area Agencies on Aging (AAAs) Expertise • 90% of people ages 65 and older want to stay in their home for as long as possible • 80% believe their current residence is where they will always live • Physical and service environments 
 must be accommodating for older 
 adults to age in place • Village communities • Alternative housing AARP, National Conference of State Legislatures, 
 In Brief 190, December 2011
  9. 9. Eastern Virginia Care Transitions Partnership Centers for Medicare and Medicaid Services (CMS) demonstration for Care Transitions Intervention (CTI) – • to lower healthcare costs by lowering unnecessary Medicare readmissions • to improve the care experience • to improve health outcomes What is CTI? • Hospital to home social / coaching model • Empowers patient to take charge of their 
 health care
  10. 10. • Successful coalition of 11 hospitals and 5 AAAs • Proven collaboration for CTI and other pre & post acute “prevention” interventions • Measureable outcomes • Foundation for additional contracts and partnerships • Launching point for statewide initiatives Eastern Virginia Care Transitions Partnership
  11. 11. Innovations on Steroids Virginia Center for Health Innovation Partnership • EVCTP recognized as statewide model for care transitions • Funding in State Innovation Model (SIM) grant for Virginia to develop statewide AAA collaborative – 
 a one-stop shop • AAA state model for better care and lower cost 
 for Medicare, Medicaid, emergency department diversion and more
  12. 12. Senator Warner Roundtable Discussion
  13. 13. Public Policy Framework for Improving Population Health From: the healthy living 
 Center of
  14. 14. AAA Solution: Address Social Determinants • AAAs, already in the home, are equipped to address the social needs that directly contribute to poor health and unnecessary health care utilization • AAAs = Aging & Disability Resource Centers and No Wrong Door • Arrange long-term care supports and services • Meals on Wheels • Transportation • Home and Personal Care • Medication Management • Respite/Caregiver Support • Housing • Falls/Home Risk Assessments • Options Counseling, Information and Assistance • Senior Medicare Patrol to prevent fraud, waste and abuse
  15. 15. Other AAA Evidence-Based Innovations Value Proposition: Bring Evidence-Based Innovations into the Home - • Healthy IDEAS (Behavioral Health) • Chronic Disease Self-Management • Advance Care Planning • Matter of Balance: Fall Prevention • Patient Activation Measure (PAM) • Telehealth Pilots • Chronic Pain Management • HomeMeds and more
  16. 16. AAAs Promote Informed and Active Lifestyle vs Passive and Sedentary Lifestyle
  17. 17. Summarizing the Value Proposition Virginia AAAs have a very strong plan and portfolio – • Diverse menu of traditional services (meals, transportation …)
 blended with a repertoire of innovative evidence-based 
 solutions Key takeaways – • Right care, at the right time, in the 
 right place • Appropriate and timely prevention 
 and post-acute interventions • Home-based care delivery • Social determinants of health assessment and intervention
  18. 18. Virginia AAAs ● Unique! 25 AAAs consolidated goals and capacity ● Each has specialized capabilities, but there is a core set 
 of competencies that can be delivered statewide ● There is a one-stop shop mechanism for statewide contracting and performance monitoring
  19. 19. "We have come to “medicalize” aging, chronic illness, frailty and death, treating them as if they were just one more clinical problem to overcome.  However, it is not only medicine that is needed... but life, a life with meaning, a life as rich and full as possible under the circumstances."                                                           Quote from Dr. Oliver Sacks Being Mortal, Medicine and What Matters in the End Atul Gawande, MD, MPH
  20. 20. • The Next Four Decades. The Older Population in the United States: 2010 to 2050. U.S. Census Bureau. • Pew Research. Global Attitudes Project. 2014. • Projections of the Size and Composition of the U.S. Population. Population Estimates and Projections. U.S. Department of Commerce, Economics and Statistics Organization, U.S. Census Bureau. • Aging in Place: A State Survey of Livability Policies and Practices. AARP. National Conference of State Legislatures • America’s Aging Population. Population Reference Bureau. • Institute of Gerontology. A Growing Demand for Careers in Aging • Virginia State Police: Report on the Impact of the Aging Population. • Department of Homeland Security. Impact of an Aging Population on Fire and Emergency Medical Services. 2013 Report to Congress. • National Association of Area Agencies on Aging. Trends and New Directions: Area Agencies on Aging Survey 2014. • Virginia Employment Commission. Demographic Profiles. • Center for Housing Policy. Housing an Aging Population. Are we Prepared? • World Wide Learn. Five Biggest Trends Impacting the Job Market • The Healthy Living Center of Excellence. Public Policy Framework for Improving Population Health • The Social Determinants of Health. Healthy People 2020 Approach. Department of Health. • Aging and Life-Course. World Health Organization. • Life Tables for the United States. Social Security.1900-2100. Actuarial Study No. 120. Resources

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