Sustaining Evidence-Based Health Promotion Programs Lora Connolly, California Department of Aging June Simmons, Partners in Care Foundation Terri Whirrett,

Sustaining Evidence-Based Sustaining Evidence-Based Health Promotion ProgramsHealth Promotion Programs

Lora Connolly, California Department of AgingLora Connolly, California Department of Aging

June Simmons, Partners in Care FoundationJune Simmons, Partners in Care Foundation

Terri Whirrett, South Carolina Lt. Governor’s Terri Whirrett, South Carolina Lt. Governor’s Office on AgingOffice on Aging

Cora Plass, South Carolina Department of HealthCora Plass, South Carolina Department of Health

Compelling StatisticsCompelling Statistics

12 million older adults have 12 million older adults have chronic conditions like arthritis, chronic conditions like arthritis, diabetes and heart diseasediabetes and heart disease

More than 13,700 people over age More than 13,700 people over age 65 die each year from fall related 65 die each year from fall related injuries (30%-40% of which could injuries (30%-40% of which could have been prevented)have been prevented)

Compelling StatisticsCompelling Statistics

Older adults are disproportionately Older adults are disproportionately affected by chronic diseasesaffected by chronic diseases

These conditions account for 7 out of 10 These conditions account for 7 out of 10 deathsdeaths

These conditions account for ¾ of all These conditions account for ¾ of all health care expenditureshealth care expenditures

They negatively impact quality of life & They negatively impact quality of life & older adults’ ability to live independentlyolder adults’ ability to live independently

Research to Develop StrategiesResearch to Develop Strategies

National Center for Disease Control National Center for Disease Control (CDC) investment in research aimed at (CDC) investment in research aimed at identifying best practices in treating identifying best practices in treating chronic health conditionschronic health conditions

Found that these conditions are not Found that these conditions are not “curable,” but can be effectively dealt “curable,” but can be effectively dealt with through self management & with through self management & behavioral changesbehavioral changes

Quantified the associated fiscal & Quantified the associated fiscal & quality of life costsquality of life costs

Evidence Based ModelEvidence Based Model

““Evidence-Based Disease Prevention” program refers to a Evidence-Based Disease Prevention” program refers to a program that closely replicates a specific intervention that program that closely replicates a specific intervention that has been tested through randomly controlled experiments has been tested through randomly controlled experiments with results published in peer-reviewed journals.with results published in peer-reviewed journals.

Sources of evidence include HHS sponsored research Sources of evidence include HHS sponsored research funded by the National Institutes of Health (including funded by the National Institutes of Health (including National Institute on Aging), the Centers for Disease National Institute on Aging), the Centers for Disease Control and Prevention (including work in the Healthy Control and Prevention (including work in the Healthy Aging Research Network), Agency for Health Care Aging Research Network), Agency for Health Care Research and Quality (AHRQ), the Centers for Medicaid Research and Quality (AHRQ), the Centers for Medicaid and Medicare Services (CMS) and the Substance Abuse and Medicare Services (CMS) and the Substance Abuse Mental Health Services Administration (SAMHSA).Mental Health Services Administration (SAMHSA).

“Promising Practice”

“Best Practice”

Evidence Based Model

First Round of Community First Round of Community Evidence Based GrantsEvidence Based Grants

National Council on Aging coordinated the National Council on Aging coordinated the development of 4 evidence based health development of 4 evidence based health promotion programs:promotion programs:– Healthy Moves (physical activity)Healthy Moves (physical activity)– Healthy IDEAS (depression)Healthy IDEAS (depression)– Healthy Changes (diabetes)Healthy Changes (diabetes)– Healthy Eating (nutrition)Healthy Eating (nutrition)

Findings evaluated, further replication & Findings evaluated, further replication & second round of grants second round of grants

2006 AoA Request for Proposal2006 AoA Request for Proposal

Funding opportunity for states to implement Funding opportunity for states to implement evidence based health promotion programs evidence based health promotion programs targeting older adultstargeting older adults

Required partnership between state Required partnership between state departments of health and aging servicesdepartments of health and aging services

Required Chronic Disease Self-Management Required Chronic Disease Self-Management Program (CDSMP) & could include other Program (CDSMP) & could include other evidence based programsevidence based programs

2006 AoA Request for Proposal 2006 AoA Request for Proposal (continued)(continued)

Requires a community based partner that Requires a community based partner that received OAA fundingreceived OAA funding

Requires involvement of Area Agencies Requires involvement of Area Agencies on Agingon Aging

Grants = $250,000/year for three years to Grants = $250,000/year for three years to 16 states (now 24 states have grants)16 states (now 24 states have grants)

AoA Approved Evidence-based ProgramsAoA Approved Evidence-based Programs Chronic Disease Self-Management ProgramChronic Disease Self-Management Program Matter of BalanceMatter of Balance Enhance WellnesEnhance Wellness s Active ChoicesActive Choices Enhance Fitness Enhance Fitness Strong for LifeStrong for Life Healthy IDEAS or PEARLS Healthy IDEAS or PEARLS Prevention & Management of Alcohol Problems in Prevention & Management of Alcohol Problems in

Older AdultsOlder Adults

Visit Visit www.healthyagingprograms.orgwww.healthyagingprograms.org to view to view additional evidence-based programs additional evidence-based programs

that meet AoA criteriathat meet AoA criteria

Chronic Disease Self-ManagementChronic Disease Self-Management

Designed to help people manage chronic Designed to help people manage chronic illnessesillnesses

Consists of six 2½ hour sessions led by 2 leadersConsists of six 2½ hour sessions led by 2 leaders Groups are small (10-20 people)Groups are small (10-20 people) Topics include:Topics include:

1.1. How to deal with frustration, fatigue, pain and How to deal with frustration, fatigue, pain and isolationisolation

2.2. ExerciseExercise3.3. Medication useageMedication useage4.4. Communicating with family, friends, and Communicating with family, friends, and

health professionals health professionals 5.5. Nutrition Nutrition 6.6. Evaluating new treatmentsEvaluating new treatments

Matter of Balance: Matter of Balance: Managing Concerns About FallsManaging Concerns About Falls

Based upon research conducted by Based upon research conducted by the Roybal the Roybal Center for Enhancement of Late-Life Function at Center for Enhancement of Late-Life Function at Boston UniversityBoston University

Consists of 8 two-hour coursesConsists of 8 two-hour courses Designed to reduce the fear of falling and increase Designed to reduce the fear of falling and increase

the activity levels of older adults with fall concernsthe activity levels of older adults with fall concerns Participants learn:Participants learn:

– To view falls and fear of falling as controllableTo view falls and fear of falling as controllable– To set realistic goals for increasing activityTo set realistic goals for increasing activity– To change your environment to reduce fall risk factorsTo change your environment to reduce fall risk factors– To promote exercise to increase strength and balanceTo promote exercise to increase strength and balance

California’s Evidence BasedCalifornia’s Evidence BasedHealth Promotion GrantHealth Promotion Grant

Brief OverviewBrief Overview

California’s Size Shapes Implementation California’s Size Shapes Implementation Strategy and Potential ImpactStrategy and Potential Impact

State of CaliforniaOverlay onto the East

Coast

M E

V T

N H

M A

N YCT RI

PA

N J

D EM D

WV

V A

N C

Participating California CountiesParticipating California Counties

Original Original CountyCountyNew County

California ProjectCalifornia Project CA Department of Aging is lead agency in CA Department of Aging is lead agency in

partnership with CA Department of Public Healthpartnership with CA Department of Public Health 5 initial counties & respective Area Agencies on 5 initial counties & respective Area Agencies on

Aging participating (Fresno, Los Angeles, Madera, Aging participating (Fresno, Los Angeles, Madera, San Diego & Sonoma)San Diego & Sonoma)

Partners in Care Foundation, already implementing Partners in Care Foundation, already implementing two AoA evidence based programs serving frail two AoA evidence based programs serving frail seniors, acting as project officeseniors, acting as project office

Statewide steering committee comprised of two Statewide steering committee comprised of two departments, Partners, participating counties, departments, Partners, participating counties, major local partnersmajor local partners

California Department of Aging California Department of Aging ProgramsPrograms

Older Americans Act & Older Californians Older Americans Act & Older Californians Act –33 Area Agencies on AgingAct –33 Area Agencies on Aging

Multipurpose Senior Services Program –Multipurpose Senior Services Program –home & community based waiver for frail home & community based waiver for frail elderlyelderly

300+ Adult Day Health Care Centers300+ Adult Day Health Care Centers

California Project California Project

Participating counties were asked to mentor Participating counties were asked to mentor other interested counties in Years II & III.other interested counties in Years II & III.

Programs are offered in English & SpanishPrograms are offered in English & Spanish MSSP programs (HCBS wavier for seniors) MSSP programs (HCBS wavier for seniors)

will introduce two evidence based programs:will introduce two evidence based programs:– Medication Management Improvement SystemMedication Management Improvement System– Healthy Moves for Aging WellHealthy Moves for Aging Well

California Grant OverviewCalifornia Grant Overview

CA Department of Health ServicesCalifornia Arthritis Partnership Program California Center for Physical Activity

CA Fall Prevention Center of Excellence

CA Department of Aging

Partners in Care Foundation

Los Angeles· City & County

AAAs· Kaiser Permanente· Community Clinic

Association· Providence Health

Systems· Jewish Family

Services· Good Samaritan

Hospital· Angeles Plaza· Arthritis Foundation· Multipurpose Senior

Services Program

Fresno/Madera· AAA· Kaiser Permanente· Retired Senior

Volunteer Program· Multipurpose Senior

Services Program· Senior Community

Service Employment Program

San Diego County· AAA/Aging &

Independent Services Health Promotion Unit

· Aging & Disability Resource Center ADRC

· Silver Age Yoga· Kaiser· Community Clinic

Association

Sonoma County· AAA· Aegis Rehabilitation

Therapies· Kaiser Permanente· Life STEPS· No. California

Center for Well Being

· Santa Rosa Junior College

· Dept. of Health Services

· Sonoma State University

· St. Joseph Health Systems

· Sutter Medical Center

Arthritis Foundation

Kaiser Permanente

Community Clinic Association

Advisory members of Steering Committee

Overview of Statewide Steering Committee and Geographic Partnerships

Coordinating for Successful Coordinating for Successful ImplementationImplementation

Successful implementation requires:Successful implementation requires:– Effective OutreachEffective Outreach– Coordinated Training Strategies Coordinated Training Strategies – Involvement of AAA I&A and health Involvement of AAA I&A and health

promotion activities (& many others!)promotion activities (& many others!)– Coordination with California Dept. of Coordination with California Dept. of

Public Health network addressing Public Health network addressing chronic diseaseschronic diseases

– Sustainable infrastructure & long Sustainable infrastructure & long term committed partnersterm committed partners

“ “Being strategic means we have to be clear Being strategic means we have to be clear about the types of changes we want to advance about the types of changes we want to advance over the next 10 years, and the role we want to over the next 10 years, and the role we want to play as a network in implementing those play as a network in implementing those changes.changes.

It means playing to our strengths, and It means playing to our strengths, and capitalizing on our unique assets and capitalizing on our unique assets and capabilities. It means modernizing our business capabilities. It means modernizing our business practices and honing our skills so we can practices and honing our skills so we can remain competitive in the changing market remain competitive in the changing market place and able to keep pace with innovation place and able to keep pace with innovation and the changing needs and demands of our and the changing needs and demands of our consumers. “ consumers. “

----AoA Assistant Secretary Josefina G. CarbonellAoA Assistant Secretary Josefina G. Carbonell

Choices for Independence: National Leadership Summit Choices for Independence: National Leadership Summit

December 5, 2006December 5, 2006    

Sustaining Evidence-Based Sustaining Evidence-Based Health Promotion ProgramsHealth Promotion Programs

The California PerspectiveThe California Perspective

June Simmons, CEOJune Simmons, CEO

Changing American CultureChanging American Culture

We are in the service of a We are in the service of a great visiongreat vision– Mainstreaming access to tools for healthMainstreaming access to tools for health– Building a platform for health and quality Building a platform for health and quality

of lifeof life– This is a This is a MISSIONMISSION, not a , not a PROJECTPROJECT

Launching Lasting ChangeLaunching Lasting Change Current projects are “seed money” to Current projects are “seed money” to

launch a new movementlaunch a new movement Need to identify and involve many Need to identify and involve many

“investors” in order to take this to scale“investors” in order to take this to scale Scale = creating a new norm for healthy Scale = creating a new norm for healthy

living living Scale = new norms for widespread ready Scale = new norms for widespread ready

access to proven programs and servicesaccess to proven programs and services

Major AssumptionsMajor Assumptions

Lasting ChangeLasting Change Converting Aging Network to a Platform for Converting Aging Network to a Platform for

HealthHealth Aging Network Leading Conversion of Aging Network Leading Conversion of

Other Systems to Platforms for HealthOther Systems to Platforms for Health Moving From Projects to Tipping PointsMoving From Projects to Tipping Points Cannot Work Alone!!! – Partners EssentialCannot Work Alone!!! – Partners Essential 80/20 Rule80/20 Rule

Building a “Franchise” For HealthBuilding a “Franchise” For Health

Essential Forms of Capital to InvestEssential Forms of Capital to Invest– Mission/VisionMission/Vision– LeadershipLeadership– Organizational CommitmentOrganizational Commitment– A Community of Peers – a MovementA Community of Peers – a Movement– Mandates, competitive forces, glory, Mandates, competitive forces, glory,

accountabilityaccountability– Capital – Money & Other ResourcesCapital – Money & Other Resources

Sources of Shared Leadership:Sources of Shared Leadership:Bringing Vision & ExpectationsBringing Vision & Expectations AoA and NCOAAoA and NCOA State Departments of Aging and Public State Departments of Aging and Public

HealthHealth 4 A’s and AAA’s4 A’s and AAA’s Aging NetworkAging Network FundersFunders Associations Associations Other Partners with Aligned IncentivesOther Partners with Aligned Incentives

– 80/20 Rule80/20 Rule

Parks and Rec.

Senior Centers

Mental Health Sector

Faith-Based Orgs

Community

Colleges

Physician Groups

Health Plans

Hospitals

Senior

Housing

Sites

Public Health Sector

Evidence-Based ProjectOffice

Target Sectors For Target Sectors For ADOPTION/ENGAGEMENTADOPTION/ENGAGEMENT

Selection CriteriaSelection Criteria

Organizations with Aligned Mission Who:Organizations with Aligned Mission Who:– Have a heart for itHave a heart for it– Care about this movementCare about this movement– Will Benefit From Engagement Over TimeWill Benefit From Engagement Over Time

ObligationsObligationsNeedsNeedsOutcomesOutcomes

Selection CriteriaSelection Criteria

Potential for Scale/ImpactPotential for Scale/Impact– Directly/IndirectlyDirectly/Indirectly

Mutual Benefit/Alignable IncentivesMutual Benefit/Alignable Incentives Aligned Mission/VisionAligned Mission/Vision Product ChampionProduct Champion Has Relevant ResourcesHas Relevant Resources

Relevant Resources VaryRelevant Resources Vary

Funding for Training, Materials, StaffFunding for Training, Materials, Staff Staff Motivated to LeadStaff Motivated to Lead Space for ProgramsSpace for Programs Access to Target PopulationsAccess to Target Populations Ability to Outreach/MarketAbility to Outreach/Market Opinion Leader/Standard Setting Opinion Leader/Standard Setting

AgencyAgency

California ExamplesCalifornia Examples

Statewide Steering CommitteeStatewide Steering Committee Expansion & Sustainability Think TankExpansion & Sustainability Think Tank

– Identify Strategic Sectors for PartnershipIdentify Strategic Sectors for Partnership– Identify Funding to go to Scale and Extend Identify Funding to go to Scale and Extend

Timeframe for Funded LeadershipTimeframe for Funded Leadership– Identify Lasting Infrastructure to SustainIdentify Lasting Infrastructure to Sustain

Expansion & Sustainability Expansion & Sustainability WorkgroupWorkgroup

Purpose:Purpose: Guidance to the CA Depts. of Aging and Public Guidance to the CA Depts. of Aging and Public Health to craft a comprehensive expansion and Health to craft a comprehensive expansion and sustainability plansustainability plan

Members:Members:– Health Plans: Health Plans: Catholic Health Care West; Kaiser Catholic Health Care West; Kaiser

Permanente; St. Joseph Health System; Daughters of Permanente; St. Joseph Health System; Daughters of CharityCharity

– Foundations: Foundations: Archstone Foundation; UniHealth Archstone Foundation; UniHealth Foundation; The CA Endowment; CA HealthCare Foundation; The CA Endowment; CA HealthCare Foundation; Kaiser Permanente Community BenefitFoundation; Kaiser Permanente Community Benefit

– Education: Education: Older Adult Community College EducatorsOlder Adult Community College Educators– Non-Profit: Non-Profit: Partners in Care FoundationPartners in Care Foundation– Government: Government: Los Angeles County Public Health Dept.Los Angeles County Public Health Dept.– Business: Business: Pacific Business Group on HealthPacific Business Group on Health

Sustainability Work Group MembersSustainability Work Group Members Eileen L. BarsiEileen L. Barsi

Catholic Healthcare WestCatholic Healthcare West Diana BontaDiana Bonta

Kaiser PermanenteKaiser Permanente Lora ConnollyLora Connolly

CA Department of AgingCA Department of Aging Lynn DaucherLynn Daucher

CA Department of AgingCA Department of Aging Ronald DiLuigiRonald DiLuigi

St. Joseph Health SystemSt. Joseph Health System Pam Ford-KeachPam Ford-Keach

CA Department of Health CA Department of Health Services Services

Jerry KozaiJerry KozaiSt. Francis Medical CenterSt. Francis Medical Center

Mary Ellen KullmanMary Ellen KullmanArchstone FoundationArchstone Foundation

Mary OdellMary OdellUniHealth FoundationUniHealth Foundation

Kate O’MalleyKate O’MalleyCA HealthCare Foundation CA HealthCare Foundation

James PhilippJames PhilippPacific Business Group on HealthPacific Business Group on HealthBarry RossBarry RossSt. Jude Medical CenterSt. Jude Medical Center

June SimmonsJune SimmonsPartners in Care FoundationPartners in Care Foundation

Rita SpeckRita SpeckKaiser PermanenteKaiser Permanente

Janet TedescoJanet TedescoCA Department of Aging CA Department of Aging

Lorraine WicksLorraine WicksCA Community College Educators CA Community College Educators of Older Adultsof Older Adults

Dianne Yamashiro-Omi Dianne Yamashiro-Omi The CA EndowmentThe CA Endowment

M. Lynn YonekuraM. Lynn YonekuraCA Hospital Medical CenterCA Hospital Medical Center

California Sustainability Example California Sustainability Example for for CDSMPCDSMP

Merge CDSMP expansion efforts into the Merge CDSMP expansion efforts into the following 3 networks to produce the following 3 networks to produce the greatest impact and reach major greatest impact and reach major populated areas:populated areas:

1.1. Leading Physician GroupsLeading Physician Groups

2.2. Community College Older Adult ProgramsCommunity College Older Adult Programs

3.3. County Public Health DepartmentsCounty Public Health Departments

Physician GroupPhysician GroupPartnering StrategyPartnering Strategy

Surround physician groups with CDSMP Surround physician groups with CDSMP workshops hosted by Community Colleges, workshops hosted by Community Colleges, Public Health and other community Public Health and other community agenciesagencies

Local community colleges are partnered Local community colleges are partnered with each practice to assure close with each practice to assure close collaboration and effective referral processcollaboration and effective referral process

California Association of California Association of Physician Groups (CAPG)Physician Groups (CAPG)

Nation’s largest state physician Nation’s largest state physician association - 150 leading physician association - 150 leading physician groupsgroups

Physicians under CAPG provide care to Physicians under CAPG provide care to over 15 million Californians – more than over 15 million Californians – more than 50% of California’s health care50% of California’s health care

Physician GroupPhysician GroupSustainability FactorsSustainability Factors

Have significant numbers of patients Have significant numbers of patients under capitation = Financial under capitation = Financial motivation to promote CDSMPmotivation to promote CDSMP

Once managed care patients Once managed care patients routinely referred to CDSMP, will routinely referred to CDSMP, will become the standard of practice to become the standard of practice to benefit fee-for-service Medicare benefit fee-for-service Medicare patients as wellpatients as well

California has California has 109 Community 109 Community

CollegesColleges(62 have older (62 have older

adult programs)adult programs)

The 62 colleges The 62 colleges serve 125,000 serve 125,000

Californians ages Californians ages 50+ per week50+ per week

Community CollegeCommunity CollegeSustainability FactorsSustainability Factors

Instructors are paid as faculty for leading Instructors are paid as faculty for leading CDSMPCDSMP

Have relationships with community Have relationships with community organizations serving older adultsorganizations serving older adults

Have strong marketing capacity Have strong marketing capacity Familiar resource for aging BoomersFamiliar resource for aging Boomers Eager for new, evidence-based curricula Eager for new, evidence-based curricula

and have protocols in place to approve itand have protocols in place to approve it

Long-Term SustainabilityLong-Term Sustainability

State leadership committed to sustaining State leadership committed to sustaining this initiative over the long term.this initiative over the long term.

Once outreach and medical referrals are Once outreach and medical referrals are made through county networks of made through county networks of developed CDSMP providers and sponsors, developed CDSMP providers and sponsors, will be largely self-sustainingwill be largely self-sustaining

Sustaining Evidence-Based Sustaining Evidence-Based

Health Promotion ProgramsHealth Promotion Programs

South Carolina PerspectiveSouth Carolina Perspective

Terri Whirrett, Deputy DirectorTerri Whirrett, Deputy DirectorLt. Governor’s Office on Aging Lt. Governor’s Office on Aging

Cora Plass, Director of Healthy AgingCora Plass, Director of Healthy Aging South Carolina Department of HealthSouth Carolina Department of Health

and Environmental Controland Environmental Control

National Climate Ripe for National Climate Ripe for Evidence-Based PreventionEvidence-Based Prevention

AoA’s reauthorization of Older American’s Act AoA’s reauthorization of Older American’s Act places new emphasis on prevention by places new emphasis on prevention by promoting EBPP’s through aging service promoting EBPP’s through aging service organizationsorganizations

Healthy People 2010 Goals Healthy People 2010 Goals Increased coverage of prevention and disease Increased coverage of prevention and disease

management by Medicaremanagement by Medicare CDC, NACDD, NCOA, and AHRQ focus on CDC, NACDD, NCOA, and AHRQ focus on

evidence-based preventionevidence-based prevention

Building the FoundationBuilding the Foundation

Working relationship between State Unit on Working relationship between State Unit on Aging and State Health Department stems back Aging and State Health Department stems back to 1980’s to 1980’s

2005 - present, relationship strengthened 2005 - present, relationship strengthened through collaboration on EBPP’s and formation through collaboration on EBPP’s and formation of statewide Healthy Aging Partnershipof statewide Healthy Aging Partnership

Common focus on prevention Common focus on prevention Common goal - Common goal - increase the years and quality of increase the years and quality of

life for older adults in SC (Healthy People 2010)life for older adults in SC (Healthy People 2010)

EBP History in South CarolinaEBP History in South Carolina

Lowcountry Senior Center - CDSMP and Lowcountry Senior Center - CDSMP and Enhance Fitness prior to grantEnhance Fitness prior to grant

3 Master Trainers for CDSMP prior to AoA 3 Master Trainers for CDSMP prior to AoA grantgrant

SENIOR grant through NACDD for SENIOR grant through NACDD for implementation of A Matter of Balance in implementation of A Matter of Balance in Lee CountyLee County

Arthritis Foundation EBP’s through State Arthritis Foundation EBP’s through State Health Dept, funded by CDCHealth Dept, funded by CDC

Strategies for SustainabilityStrategies for Sustainability PartnershipsPartnerships

Financial ResourcesFinancial Resources

Policy ChangesPolicy Changes

A Quality ProductA Quality Product

Change in Priorities/Culture ChangeChange in Priorities/Culture Change

PartnershipsPartnerships

State - statewide coalition, delivery system State - statewide coalition, delivery system partners, support partners partners, support partners

Regional/Local - advisory councils;Regional/Local - advisory councils;

local health, community and faith-based local health, community and faith-based organizations; volunteersorganizations; volunteers

SC Partnership for Healthy AgingSC Partnership for Healthy Aging

Convened April 2007 Co-Led by SUA and SHD

Serves as Advisory Council for grant

initiative

Provides infrastructure to support and sustain

EBP’s

SC Partnership for Healthy Aging

2007, Wide net cast to form SC Partnership for Healthy Aging with more than 40 organizations:

Universities SC Hospital Association SC Primary Care Association SC Budget and Control Board Faith-based Organizations Coalitions Silver-Haired Legislature SC Rural Health Association State Medicaid Agency SC Academy of Family Physicians SC Nurses Assoc.

State Health Dept Chronic Disease Programs

And more…

Partnerships Partnerships

SC Hospital AssociationSC Hospital Association Health Care Plans - Special Needs Health Care Plans - Special Needs

Medicare Plan, BC/BS Medicare Plan, BC/BS Osher Lifelong Learning adult education Osher Lifelong Learning adult education

programprogram Institute for Engaged Aging - training Institute for Engaged Aging - training

center for community health workerscenter for community health workers SC Dept of Vocational RehabilitationSC Dept of Vocational Rehabilitation

Partnerships - Contd.Partnerships - Contd.

Conferences/Districts of AME and AME Conferences/Districts of AME and AME Zion Churches, Progressive Church Zion Churches, Progressive Church

SC Primary Care Association and SC Primary Care Association and federally funded health care centersfederally funded health care centers

State Diabetes Program and CoalitionsState Diabetes Program and Coalitions State Employees AssociationState Employees Association

Financial ResourcesFinancial Resources

Insurance ReimbursementInsurance Reimbursement

Grants - CDC Arthritis Grant, state Grants - CDC Arthritis Grant, state prevention grant, prevention grant,

Healthcare organizations - Special Needs Healthcare organizations - Special Needs Plan (CIP), Health Centers, VAPlan (CIP), Health Centers, VA

Financial ResourcesFinancial Resources

Senior Housing - HUDSenior Housing - HUD

Employers - EAPs, retired federal and Employers - EAPs, retired federal and state employeesstate employees

Charging for ProgramsCharging for Programs

Shared Ownership of Financial Shared Ownership of Financial SustainabilitySustainability

Provide mini-grants to Provide mini-grants to Aging NetworkAging Network

Promote programsPromote programs

and provide trainingand provide training

Promote and deliver Promote and deliver Arthritis Foundation Arthritis Foundation and other EBP’sand other EBP’s

Pay for state license Pay for state license

DHEC LGOA

Joint Support of CDSMP Master Training

Reallocating State FundingReallocating State Funding Incentive Package Incentive Package

4 pilot programs in 4 new regions4 pilot programs in 4 new regions LGOA pay for training costs/Master LGOA pay for training costs/Master

TrainersTrainers LGOA purchase state level licenseLGOA purchase state level license LGOA reimburse 4 pilot sites, $70 per LGOA reimburse 4 pilot sites, $70 per

completer (4 classes minimum) using state completer (4 classes minimum) using state appropriated funds for home and appropriated funds for home and community-based servicescommunity-based services

Use of OAA IIID FundsUse of OAA IIID Funds

As of July 1, 2008...As of July 1, 2008...

Must use IIID funds only for EB programsMust use IIID funds only for EB programs

Must use new Scope of Work for IIID Must use new Scope of Work for IIID programsprograms

Strict waiver requirementsStrict waiver requirements

IIID Scope of WorkIIID Scope of Work

Measurable OutcomesMeasurable Outcomes

SpecializedSpecialized qualifications of leaders qualifications of leaders

Maintenance the Maintenance the fidelityfidelity of the evidence- of the evidence-based programs based programs

IIID Scope of WorkIIID Scope of Work

Evaluation required: Self report of Evaluation required: Self report of change; pre and post test; otherchange; pre and post test; other

Can charge a fee if funds used to expand Can charge a fee if funds used to expand the program vs. voluntary contributionsthe program vs. voluntary contributions

Documentation requiredDocumentation required Monitoring conducted by LGOAMonitoring conducted by LGOA

Ensuring A Quality ProductEnsuring A Quality Product

Partners will not buy in if the program is Partners will not buy in if the program is not a high quality productnot a high quality product

Must assure the lay leaders and Master Must assure the lay leaders and Master Trainers are of high qualityTrainers are of high quality

Must monitor fidelity to the program – who Must monitor fidelity to the program – who will do this?will do this?

Culture ChangeCulture Change

Change is a processChange is a process Getting buy-in takes time, planning, patience, Getting buy-in takes time, planning, patience,

and hard work and hard work Find your champions to help youFind your champions to help you Build upon small successesBuild upon small successes Educate, support, and provide technical Educate, support, and provide technical

assistance assistance Use motivational strategies to boost morale and Use motivational strategies to boost morale and

maintain momentummaintain momentum

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