Webinar Instructions Thank you for joining today, please wait while others sign in.     Phone Dial in: 1-866-740-1260 Access code: 4796665# Due to the large number of participants, all lines will be muted during the call. If you want to ask a question, please type in your question into the box. A non-profit service and advocacy organization © 2010. National Council on Aging Improving the lives of older Americans ARRA CDSMP Update - State Grantee Progress in Building Sustainable Distribution and Delivery Systems AoA Resource Center Webinar August 17, 2011 Sustainable Infrastructure & Delivery System Self-Assessment: Key Findings Michele Boutaugh BSN, MPH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ADMINISTRATION ON AGING, WASHINGTON DC 20201 PHONE 202.619.0724 | FAX 202.357.3523 | EMAIL [email protected] | WEB www.aoa.gov Sustainable Infrastructure and Delivery System Self-Assessment Covers 6 key elements: Leadership Delivery infrastructure Partnerships Centralized and coordinated logistical processes – Business planning and financial sustainability – Quality assurance and fidelity to interventions – – – – Leadership 39 Number of states 34 32 31 21 Meet at least quarterly Target underserved areas Have shared vision for EBPs Strategies to support EBPs Management structure for EBPs Leadership and project management team with PH and aging will continue to lead CDSMP efforts after March 2012? 6 2 1 20 To a large extent To a moderate extent To a small extent 25 To a very small extent Not at all Delivery Infrastructure Which of the following elements are currently part of your delivery system for evidence-based prevention programs? 43 35 35 26 26 Enough Enough lay Tracking master leaders system trainers Stanford licensing Delivery structure Delivery Infrastructure: Key findings • 28 grantees reported they currently have enough sites and leaders to provide workshops at least twice a year in more than 50% of their counties • 33 grantees reported at least 50% of their population is included in the counties where they are able to offer workshops at least twice a year Partnerships At least two major partners/ host organizations (outside of AAAs/ADRCs) that have embedded CDSMP To a very small extent 4 To a small extent 7 Not at all 3 To a large extent 17 To a moderate extent 15 Partnerships: Referral Sources 37 33 36 29 12 14 19 Partnerships: Other Key Findings • At least 75% AAAs involved (23 grantees) • Signed agreements (22) • Sample collaborations/ partnerships: – Chronic care management demos (27) – FQHCs (32) – VA (26) – Quality Improvement Organizations (16) Centralized & Coordinated Processes To what extent do you have a coordinated, state-wide process for program marketing, referral, and recruitment, including a plan for using multiple, ongoing, promotional activities? 20 11 8 5 2 To a large extent To a moderate extent To a small extent To a very small extent Not at all Centralized & Coordinated Processes Which of the following are currently in place in your state? 42 33 29 20 16 Sustainability: Medicaid Role • Provide referrals (19 grantees) • On management team (19) • Trained about evidence-based programs (16) • Partner on Affordable Care Act initiatives (17) • Provide reimbursement for program participation (2) Business Planning & Financial Sustainability: Key Findings • Calculated operating costs (11 grantees) • Business plan (8) • Established rate for programs using costs and local market information (5) • Agreed to a large extent that they have a business plan and processes in place to fund CDSMP after the grant period (2) Financial Sustainability: Funding Sources 32 32 21 9 8 12 14 Quality Assurance & Fidelity to Interventions: Key Findings • Implemented a fidelity monitoring plan (31) • Leadership regularly reviews fidelity monitoring and performance indicators (33) • Feedback provided to involved personnel and stakeholders (28) • Designated roles, responsibilities and timelines (27) • Written QA plan includes CQI and fidelity (20) • Agreed to a large extent: have a QA plan and ongoing CQI and fidelity monitoring mechanisms (8) CDSMP Data Report A non-profit service and advocacy organization © 2009. National Council on Aging Program Reach – All Evidence-Based Programs  15 programs reaching more than 136,000 older adults in 46 states, DC, and Puerto Rico Evidence-Based Program Participants 60,000 50,000 40,000 30,000 54,185 20,000 10,000 27,774 28,435 PY 3 (8/2008 7/2009) PY 4 (8/2009 7/2010) 19,000 6,822 0 PY 1 (8/2006 7/2007) PY 2 (8/2007 7/2008) PY 5 (8/2010 7/2011) *For CDSMP, MOB, and EF, data is available in real-time and therefore current as of July 2011. All other data current as of May 2011. A non-profit service and advocacy organization © 2009. National Council on Aging Program Reach – CDSMP Only  Chronic Disease Self-Management Programs reaching more than 85,000 older adults over five years CDSMP Participants 50,000 45,000 40,000 35,000 30,000 25,000 44,591 20,000 15,000 10,000 5,000 0 9,723 16,372 3,636 PY 1 (8/2006 7/2007)  12,192 PY 2 (8/2007 7/2008) PY 3 (8/2008 7/2009) PY 4 (8/2009 7/2010) PY 5 (8/2010 7/2011) Recovery Act CDSMP – 54,901 participants (40,957 completers) A non-profit service and advocacy organization © 2009. National Council on Aging (3/31/10 – 5/31/11) Workshop Characteristics  Grantees are collaborating with 619 host organizations  Nearly 5,000 workshops held at over 3,400 unduplicated implementation sites  Average workshop size is 11 participants  Participant retention is holding steady at 75% (range of 65% to 92%) A non-profit service and advocacy organization © 2009. National Council on Aging CDSMP Implementation Site Types CDSMP Implementation Site Types Faith-Based Organization 8% 29% Residential Facility 15% Health Care Organization Senior Center Other 23% 25% A non-profit service and advocacy organization © 2009. National Council on Aging CDSMP Participant Characteristics Characteristic Percent of Total Age 60+ 73% Gender Female 78% Living Alone 47% Racial/Ethnic Minority Group 33% Multiple Chronic Conditions 59% A non-profit service and advocacy organization © 2009. National Council on Aging Keep Up the GREAT Work! A non-profit service and advocacy organization © 2009. National Council on Aging U.S. Administration on Aging Health and Dementia Grantee Meeting June 2011 CDSMP/EBDDP Grantee Evaluation Meeting Purpose: • Support AoA vision for modernization and integration of the aging network where older adults, people with disabilities and caregivers can access person-centered services. • Opportunity for increased coordination and cross-fertilization of programs at the state and local levels. A year has gone by and you’ve been disciplined and made great progress Meeting Objectives: • Empower individuals to maintain health and independence • Understand and can implement key components of a sustainable distribution and delivery system for evidencebased health and dementia programs: • Strengthen partnerships among the Aging and Public Health Networks and Health Care and Community-Based Services to build an integrated and person-centered system; and • Obtain resources and learn from one another about building and sustaining an integrated and person-centered system. You’ve found friends… And formed partnerships • 380 Attendees • 185 participants represented 47 CDSMP grants and 24 EBDDP grants • 157 completed evaluation (response rate = 85%) – – – – – – – State Unit on Aging (49) State Public Health Department (33) Area Agency on Aging (27) State Medicaid Office (19) Other (15) Community Services Provider Organization (7) Evaluation/Research Institution (5) “I enjoyed and learned so much from AoA; NCOA [and] CDC but I really am thrilled I got to hear directly from our sister states in all their roles – The networking was incredible also.” -2011 Grantee Meeting Attendee • Attendees rated their overall satisfaction with the conference as ‘Mostly Satisfied” (4.1). • The meeting met objectives (4.2) and was instrumental for learning new ideas and strategies around program implementation and sustainability. • Highlights were sharing between state grantees, learning about the “big picture,” the breakout sessions, and the chance to network with other grantees. • The TA sessions were excellent/helpful, but needed more time and knowing session objectives in advance would have been useful. • 41 attendees said they had a greater sense of partnerships they could build • many indicated they would develop or finalize a business plan or continue efforts to work with their state Medicaid agency Stay focused and disciplined Topics at future meetings • • • • • Diversity/meeting the needs of the underserved Marketing strategies/techniques Funding Sustainability Working with Medicaid What should be included or omitted • Omit “excessive” plenary sessions and include more breakout sessions. • More time for networking • Separate CDSMP and ADSSP meetings. • Shorten Day One - too much information to digest • Send out agenda earlier, post presentations on website in advance Now you’re in step with your colleagues and are poised to meet your goals Visit www.healthyaging programs.org for grantee meeting resources Older Adult Falls, Falls Related Injuries and Deaths   Common Predictable largely  Preventable Everyone has a role to play and can make a difference within their own sphere of influence A non-profit service and advocacy organization © 2009. National Council on Aging How Will We Make a Real Difference? Local, state and national collaboration that brings:  Broad awareness to the issue – falls are not an inevitable part of aging  Training and education to providers  Evidence-based programs, services and resources to older adults targeting prevention through risk reduction – must be accessible to those at most risk  Provide seamless transitions to community programs from health care and vice versa A non-profit service and advocacy organization © 2009. National Council on Aging 4th Annual Fall Prevention Awareness Day Join the 40+ states observing Falls Prevention Awareness Day! For more information, please visit: www.healthyagingprograms.org/content.asp?sectionid=149 To learn more about falls prevention, please visit: www.cdc.gov/ncipc/duip/preventadultfalls.htm A non-profit service and advocacy organization © 2009. National Council on Aging Learn about your state efforts to prevent falls and how you can become part of the community solution www.healthyagingprograms.org/content.asp?sectionid=98&ElementID=746 A non-profit service and advocacy organization © 2009. National Council on Aging Community-Based Programs (and services) US Administration on Aging: funding to implement evidence-based health promotion programs/OAA Title IIID funds 2009 CDC’s National Center for Injury Prevention and Control piloted Stepping On and Tai Chi in four states; 3 states in 2011 adding Otago. • • • • • Tai Chi: Moving for Better Balance Stepping On Step by Step Otago Matter of Balance SINCE 2003: >27,000 participants A non-profit service and advocacy organization © 2009. National Council on Aging A non-profit service and advocacy organization © 2009. National Council on Aging