To promote the well-being and dignity of older adults Area Plan Overview May, 2018 Carol Stamatakis, Executive Director with members of the Senior Solutions Advisory Council
AREA PLAN OVERVIEW • One of five Area Agencies on Aging (AAAs) in Vermont • Established in 1973 through the Older Americans Act • Non-Profit 501(c)(3) 2
What We Do • Plan and develop a comprehensive and coordinated system of services and supports for older adults (age 60 and over) and family caregivers in our region • Target resources to those in greatest economic and social need (low income, rural or socially isolated, Ethnic & Cultural minorities, limited English proficiency) • Serve as the advocate and focal point for older people in the planning and service area • Older Americans Act services include case management; nutrition services and programs; health promotion and disease prevention; information, referral and assistance; legal assistance; and family caregiver support. 3
AREA PLAN OVERVIEW THE “AAA”: A UNIQUE AND IMPORTANT ROLE • Develops an “Area Plan” with input from consumers, service providers and other stakeholders, reflecting local needs and values. • Identifies gaps in services and works to address unmet needs in the region (thus, no 2 AAAs are alike). • Expected to be advocates for older adults , including on local Area Agencies on Aging (“AAAs”) were formally established in the and state issues beyond the 1973 Older Americans Act (OAA) programs and services they fund amendments. or deliver. 4
OUR MISSION To promote the well-being and dignity of older adults 5
OUR VISION Every person will age in the place of their choice, with the support they need and the opportunity for meaningful relationships and active engagement in their community. 6
OUR VALUES We honor and respect the life experience and autonomy of Vermont’s older adults. We recognize the essential role of families, caregivers and communities in the lives of older adults. We foster a work environment where creativity, open-mindedness and resourcefulness are expected; our employees are compassionate, respectful and responsive to the needs and wishes of our clients. We are committed to maintaining strong community partnerships to assure our clients’ varied needs are met and to collectively strengthen the infrastructure of support for older adults. We embrace our role as advocates for older adults, including speaking out about current issues, identifying unmet needs, proposing solutions and believing that our collective voices can bring about change. 7
Local Aging Network • Senior Solutions provides some services directly. • Senior Solutions contracts with local organizations to deliver some services. Home-delivered meals are an example of a contracted service. Area Agency on Aging Local Service Providers 8
AAA Services Senior Solutions may leverage other state or local dollars to offer additional programs 16 9
Senior Solutions Revenue Sources FY 18 Local and Other State 6% 33% Federal Funding 55% - Older Americans Act 22.4% - Medicaid 22.6% - Other Federal 61% 10
Senior Solutions People Served at a Glance • 7,416 (unduplicated) people received services in 2017 • 3,568 elders attended Congregate Meals • 1004 received home-delivered meals • 3,869 individuals receiving information, referrals and assistance from our Senior Helpline and State Health Insurance specialists • 727 received case management services From 2017 Annual NAPIS Report 11
Older Americans Act Services Provided Directly by Senior Solutions Staff •Information, Referral and • Case Management and Assistance Outreach - SENIOR HELPLINE (In-home assistance (1-800-642-5119) accessing services, coordinating care and solving - Options Counseling problems) - Medicare Assistance • Self-Neglect Investigation (SHIP) and Assistance • Family caregiver support 12
Older Americans Act Services Provided through Agreements with Community Agencies Transportation Home-Delivered Meals (“Meals on Wheels”) Health, Wellness and Fall Prevention Programs Congregate Meals Legal Assistance (through Nutrition Counseling Vermont Legal Aid) 13
Some Services are provided through Funding Sources other than Older Americans Act Choices for Care and Dementia Respite Grants Moderate Needs OneCare Accountable Care Case Management Org. (ACO) Care Coordination (Long-Term Care Medicaid) Elder Abuse Training and 3SquaresVT (Food Stamp), Community Coordination Fuel Assistance and Other (Dept. of Justice Grant) Benefits Outreach/ Assistance Special / Flexible Funds, Home-Based Mental Health Services. Other Community Outreach 14
Aging Network Partners In addition to contracted providers, AAAs build informal and formal partnerships with other entities. Emergency response Adult Housing Protective Authorities Services Area Emergency Agencies Preparedness Agencies on Aging Consumer Community Medicaid Agencies Centers Accountable Hospitals Care Organization (ACO) 15
TRENDS AND ISSUES IMPACTING OLDER ADULTS IN VERMONT 16
17 17
An Aging Vermont Vermont in 2000 Median Source: U.S. Census Bureau age = 37.7 65+ = 12.7% Vermont 2 nd oldest state in 2009 Vermont projected to 2030 Median Age: 41.2 Median age = 43.9 65+ = (Maine: 42.2) 24.4% (US: 36.8) uvm.edu/crs 18 18
Windsor and Windham Counties 2017 Population Estimates Compared to Vermont and US From US Census Bureau QuickFacts 19
Vermont Ranked 7 th Healthiest State for Older Adults in 2017 United Health Foundation 2017 Senior Report* Strengths: • Low percentage of ICU use • High SNAP enrollment (also known as 3SquaresVT or Food Stamps) • Low percentage of seniors living in poverty * Comprehensive analysis of senior population health on a national and state-by-state basis across 34 measures of senior health. www.americanhealthrankings.org 20
Vermont Ranked 7 th Healthiest State for Older Adults in 2017 United Health Foundation 2017 Senior Report* Challenges: • Low percentage of healthcare -associated infection reporting policies • High prevalence of excessive drinking • Low percentage of hospice care use * Comprehensive analysis of senior population health on a national and state-by-state basis across 34 measures of senior health. www.americanhealthrankings.org 21
State Plan on Aging Assessment Kelly Melekis, MSW, PhD (Dec. 2017) 433 older adult and 223 provider survey respondents Key Stakeholder Interviews Area Agency on Aging areas were proportionally distributed. Consistency across the state of needs, resource challenges and recommendations. 22
State Plan on Aging Assessment Kelly Melekis, MSW, PhD (Dec. 2017) The Good News! Overall, both providers and community members perceive Vermont, and their community in particular, as “aging- friendly,” providing services that promote health aging and independent living, and a “good” quality of life for older adults. 23
TOP CONCERNS OF OLDER ADULTS IN VERMONT OLDER ADULTS Financial security (57%) Health care (57%) Maintaining independence and dignity (55%) From State Plan on Aging Assessment 2017, Kelly Melekis, MSW, PhD (Dec. 2017) 24
OLDER ADULTS SURVEYED HELP NEEDED AND RECEIVED Home Maintenance & Home Modifications • • Yardwork Living Expenses • Housekeeping • From State Plan on Aging Assessment 2017, Kelly Melekis, MSW, PhD (Dec. 2017) 25
TOP CONCERNS OF SERVICE PROVIDERS IN VERMONT OLDER ADULTS Top concern for Vermonters over 60, next 5 years. Financial security (14%) Health care (14%) Housing (15%) 26 From State Plan on Aging Assessment 2017, Kelly Melekis, MSW, PhD (Dec. 2017)
MOST COMM ONLY IDENTIFIED CONCERNS REPORTED BY SERVICE PROVIDERS IN VERMONT OLDER ADULTS From State Plan on Aging Assessment 2017, Kelly Melekis, MSW, PhD (Dec. 2017) 27
28
Older Americans Act Programs: Vision, Goals & Strategies Title III: Community Planning & Systems Development • Title III-B: Information & Assistance, Case • Management Services, Legal Assistance, Access to Transportation, Outreach, Other Title III-C: Home Delivered Meals, Congregate Meals, • Nutrition Education & Nutrition Counseling Title III-D: Health Promotion and Disease Prevention • Title III-E: National Family Caregiver Support Program • Title VII: Prevention of Elder Abuse, Neglect and • Exploitation 29
TITLE III-B CASE MANAGEMENT GOAL : Support older adults to have their needs met and live in the settings they prefer through high quality case management, including person-centered planning. Measured by: • The number and percentage of case management clients who are living in the setting of their choice • The number and percentage of case management clients who report that their unmet needs were addressed 30
TITLE III-C HOME-DELIVERED MEALS GOAL : Reduce Food Insecurity and Improve the Nutritional and Health Status of Older Adults through Home-Delivered meals. Measured by: • The number and percentage of home delivered meals clients who report they have enough to eat • The number and percentage of home delivered meals clients who report that meals help manage or improve their medical condition 31
Recommend
More recommend
