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Medicare beneficiaries of all ages, older adults without Medicare coverage, and their caregivers
(SHIP) MIPPA/ACA Mandate
Collaboration with Maryland’s ADRCs & ADRC website
Promotion and Enrollment in Medicare Part D "Extra Help" Program and Medicare Savings Programs (QMB/SLMB/QI)
Medicare Benefits and Preventive Services
Maryland’s Senior Prescription Assistance Program
State partners: Maryland Departments of Disabilities and Insurance
Administration
Maryland Medical Assistance Buy-In Program
Social Security Administration
National Councils on Aging
Health and Mental Hygiene - Medicaid Agency
CMS Regional Office
Maryland SPDAP
Local partners: Area Agencies on Aging
Centers for Independent Living
Local Health and Social Services Departments
Services provided through Area Agencies on Aging Understand and utilize their health insurance benefits
Access to governmental benefit programs
Resolve problems with billing and coverage
150 volunteers Statewide
Services are confidential and free of charge
Free community presentations
TRAINING & COMMUNICATION NETWORKS
What We Have In Common
Volunteers
Agency staff
Paid Staff
Partners
Outreach Demographics
Seniors
Providers & Advocates
Caregivers
Public & Private Agencies
People with Disabilities
Younger Population
Cross-training at state and local levels
Example: State staff present about CDSMP at SHIP Coordinators Meeting Local CDSMP Coordinators present about CDSMP at volunteer meetings
Joint Outreach and Marketing
Example: MDoA Statewide Marketing Effort: 3P’s (Planning, Prevention and Preparedness)
Establish cross-referral networks
Example: MAP counseling, information and assistance and short term case management will include Living Well as a service option
Options Counseling standards for MAPs and related programs
Example: Standards and manuals will include CDSMP and recommendations for making referrals Appropriate for people seeking information on long term supports and services
Action Plan for Sustainability
Judy Simon , MS, RD, LDN Nutrition and Health Promotion Programs Manager
• Dr. Mahoney receives NIH grant to create Community Academic Aging Research Network (CAARN).
• CAARN is the “research arm” of WIHA
• UW School of Medicine & PH Grant academic side located there – community side located at WIHA
• Partnership with university researchers and aging network
• Develop & test new prevention strategies and bring research to practice
Partnerships - current
Researchers Geriatrics and gerontology
Injury Prevention
Policy makers Office on Aging, Division
Of Public Health, AAA
Community providers Local aging services providers:
Public health, Senior Centers,
ADRCs, nutrition sites, local health
care providers, retirement centers,
fitness centers
Next Steps for WIHA
• Deputy Director starts January 3
• Strategic Plan Retreat with Board and Key
Staff Early 2011
• Advocacy for Statutory Language
• Outreach to Aging Network for CAARN
Projects
• Expand Partnerships
What will the Future Bring?
Serve as Locus
For
EB-Prevention
Programs
Monitor &
Maintain
Quality & Fidelity
Engage
Private
Partners
Expand
University
Partnerships
Participate
in research
Manage
EB grants
Support
Aging &
Public Health
Networks
WIHA
Some of the roles for WIHA
• Coordinate evidence-based prevention programs
• Maintain multi-site license for both Living Well and Stepping On
• Maintain leader list
• Serve as the licensee agency for Stepping On – North America
• Serve as Community link for CAARN
• Serve as clearing house for information regarding other evidence-based prevention programs
Proposed Statutory Language
for 2011-13 Budget
Add language to s. 46.85 that defines the Wisconsin Institute for Healthy Aging, including the following components:
• Give the Department the authority to contract with WIHA for the administration of evidence-based prevention programs;
• Give WIHA the authority to administer state prevention funds for Area Agencies on Aging, public health agencies, and Aging and Disability Resource Centers (ADRCs);
• Give the University of Wisconsin the authority to contract and partner with WIHA on grants and research efforts;
• Recognize WIHA as the licensee agency for Stepping On North America, the evidence-based falls prevention program available in a significant number of Wisconsin counties;
• Recognize WIHA as the organization that coordinates Wisconsin Stepping On falls prevention program;
• Recognize WIHA as the organization that coordinates the Wisconsin Chronic Disease Self-Management Program;
• Recognize WIHA as clearing house for evidence-based health promotion information for healthy aging;
• Authorize the WIHA to provide training and technical assistance to staff in county/tribal agencies, Area Agencies on Aging, and other aging and public health service providers.
Partnerships - projected
Researchers Geriatrics and gerontology
Injury Prevention
Policy makers ADRC, Public Health,
nutrition services,
Substance abuse programs
Community providers Area Agencies on Aging, Public health,
Senior Centers, ADRCs, nutrition sites,
retirement centers, fitness centers
Family care
Medicaid managed care
Insurance, HMO’s
Medicare
Dissemination research
Univ, federal funding
Other
Local health care
organizations
Ed Psych
Population Health
Business
Living Well
(Chronic Disease Self Management Program)
November 2010
Counties with Trained Trainers/Leaders
'
$
Washburn
Burnett
Douglas
Bayfield
Sawyer
AshlandIron
Vilas
Oneida
1 MT 2 LL
Price
Polk Barron Rusk
Chippewa
1 MT
1 LL
St. Croix Dunn
Taylor
LincolnLanglade
1 LL
Forest Florence
Marinette
OcontoClarkMarathon
Shawano
WoodPortage Waupaca
Menominee
Door
Kewaunee
1 MT
6 LL
Brown
Pierce
Pepin
Buffalo Tremp-
ealeau
Eau Claire
2 MT 5 LL
La Crosse
MonroeJuneau
Adams
Waushara
Outagamie
Manitowoc
Sheboygan
1 LL
Sauk
Vernon
Crawford
Richland
Grant
Iowa
LafayetteGreen Rock Walworth
Kenosha
Racine 11 LL
Washington
5 LL
OzaukeeColumbia
Dane
Jefferson
Dodge
Milwaukee
Fond du Lac
5 LL
Marquette
Winnebago
Jackson
T-Trainer (TT), Master Trainer, Lay Leader
Master Trainer (MT)
Lay Leader (LL)
Master Trainer & Lay Leader
1 MT
2 LL
2 MT
16 LL
3 SLL1 LL
2 LL
1 MT
1 TT
10 LL
12 SLL
1 LL
1 TT
1 MT
17 LL
2 LL
1 MT
2 LL
1 MT
3 LL
8 MT 58 LL
5 SLL MT 13 SLL
2 LL
1 MT
1 MT
2 LL
3 LL
1 LL
2 LL
2 LL
12LL
1 MT
4 LL
4 LL
2 MT
4 LL
1 MT 6 LLStatewide
278 Lay Leaders
30 Spanish Leaders
5 Spanish MT
41 Master Trainers
2 T-Trainer
Waukesha
2 MT 4 LL
1 LL
Calumet
1 LL
2 LL
1MT
1 MT
1MT
2 LL
3 MT
3 LL
1 MT
7 LL
2 MT
25 LL
2SLL
2 LL
2 LL
9 LL
8 LL
2 L
1 LL
2 LL
1LL
5 LL
Oneida
Nation
2 MT
5 LL
Green
Lake
1 MT 4 LL
Living Well with Chronic
Conditions • 360 leaders
– Core El Centro partnering to ensure Tomando Control
de su Salud workshops and Leader trainings
– Oneida Nation partnering to ensure 5/11 tribes by
March 2012 participate in Living Well
• 341 workshops- 2515 participants
– ADRC’s; Senior Center; Churches; Health Care and
Insurance Agencies; Worksite; Hospitals; Clinics;
Senior Housing; Community centers; Recreation
Centers; YMCA’s
How grant funds support
leaders • WIHA
• Statewide Infrastructure
• Statewide License
• Stipends for volunteer leaders
• Leader Training
• ARRA Mini-grant for Living Well volunteers-
marketing and recruitment activities
• Supplies for workshops
Quality Monitoring and Fidelity
• Self-Evaluation tool created based on other states’ tools
and work done at Stanford University
• Bi-monthly conference calls with program leaders
• Program leader listserve
– post announcements and documents
• Fidelity checks conducted during 3rd class by master
trainers for all new leaders
• Annual Prevention Summits
• Refresher training focuses on key elements of program
– Delivered with skits, brainstorming, true/false questions and
workgroup activities
– Program currently being evaluated and critiqued by curriculum
developer
Resources and Workshops
• WI DHS Evidence Based Prevention Program Website, Living Well with Chronic Conditions
http://dhs.wisconsin.gov/aging/CDSMP
• GWAAR website marketing materials are available at