Embed Size (px)
Citation preview
2010 AIRS Conference
Administration on Aging
Update
Presented by Sherri Clark
Aging Services Program Specialist
2010 AIRS Conference
Outline
Assistant Secretary PrioritiesReauthorizationCaregiving EffortsADRC UpdatePartnership with VAHUD/HHS Community Living CollaborativeResource Center UpdatesOther Stuff
2010 AIRS Conference
ASA Priorities
Investing in Core HCBS
Health and Wellness
Nursing Homes and Culture Change
2010 AIRS Conference
Reauthorization of the OAA
Current legislation set to expire 9/30/2011Timely opportunity to update legislationListening SessionsLegislative process has not begun.To provide input visithttp://www.aoa.gov/AoARoot/AoA_Programs/OAA/Reauthorization/Index.aspxMore on Tuesday
2010 AIRS Conference
Caregiving Efforts
2010 AIRS Conference
10th Anniversary of the NFCSPCreated in the 2000 Reauthorization of the Older Americans Act
Focus on Caregiver vs. Care Recipient
Celebration ideas being explored
2010 AIRS Conference
NFCSP Impact
Who Do We Serve?675,000 caregivers1/3 work full timePrimarily Women (73%)Elderly themselves
54% age 60+22% age 75+
17% live in rural areasGrandparents
81% female84% age 60-74
What They Tell Us?84% receive respite45% said respite was most helpful75% reported less stress85% reported caregiving was easier95% reported service quality as good to excellent
2010 AIRS Conference8
Lifespan Respite Care Act of 2006
Signed on December 21, 2006
First appropriation in 2009 ($2.5 million)
Based on Model State Programs
Establishes Respite as a National Priority
2010 AIRS Conference9
Lifespan Respite Care Act
Provides for Mandatory Activities:Development or Enhancement of State and Local Lifespan Respite SystemsProvision of Planned or Emergency Respite for All AgesVolunteer/Provider Recruitment & TrainingInformation to CaregiversAccess Assistance
2010 AIRS Conference10
Who is Eligible for Lifespan Respite?
Family members of any age, foster parents or other adults (18+) providing unpaid care to:
Adults and children of all ages with all disabling and chronic conditions
2010 AIRS Conference11
Program Implementation
Eligible EntitiesState Units on AgingState Medicaid AgenciesOther State Agencies
In concert with…Aging and Disability Resource CentersState Lifespan Respite Coalition
2010 AIRS Conference
Lifespan Respite Care Program
12 States funded in 2009PA for new FY 2010 GranteesMore information about the Lifespan Respite Care Program and grantees:
http://www.aoa.gov/AoARoot/AoA_Programs/HCLTC/LRCP/index.aspx
2010 AIRS Conference
FY 2009 Lifespan Respite Care Program State Grantees
AlabamaArizonaConnecticutDistrict of ColumbiaIllinoisNevada
New HampshireNorth CarolinaRhode IslandSouth CarolinaTennesseeTexas
2010 AIRS Conference
VP’s Middle Class Task ForceCaregiver Initiative
Focuses on specific needs of caregiversIntegrates Caregiver Support with other HCBS$102.5 Million for FY 2011
$48 million for III B$48 million for III E$4 million for Native American programs$2.5 million for Lifespan Respite Care Program
2010 AIRS Conference
Aging and Disability Resource Center Update
2010 AIRS Conference
Aging and Disability Resource Centers
Collaborative AoA/CMS effort since 2003Goal - Easier access to health and long-term care options ADRCs provide
“one-stop shop” sources of information,one-on-one counseling, and streamlined access to programs and services
2010 AIRS Conference
Aging and Disability Resource Centers
54 states and territories have been funded
14 states ADRC system statewide
300 ADRC systems
Numbers served continue to grow
http://www.adrc-tae.org/tiki-index.php?page=HomePage
2010 AIRS Conference
Funding Opportunity New Funding Opportunity Coming Soon
Affordable Care Act
Funding for ADRCs 2010-2014 $10 million a year for five years (FY 2010-2014)
Funding for SHIPs, AAAs, ADRCs, and National Center for Benefits Part D and prevention outreachTotal $45 million between 2010 and 2012:
$15 m for AAAs, $10 m for ADRCs, $5 m for the Center $15 m for SHIPs
Funding for Care Transitions
2010 AIRS Conference
Partnership With VA
2010 AIRS Conference
Partnership with VA
• VA/AoA partnership since 2008
• Create opportunities for Aging Network to serve veterans of all ages at risk of nursing home placement.
• VA has invested approximately $20 million to date
2010 AIRS Conference
How Program Works
Target Population: All Veterans enrolled in VA health care system are eligible to participate in the VDHCBS program when the Veteran is “in need of nursing home care” and interested in consumer directed care.
Referral Process: The VAMC will identify Veterans that are eligible for the VDHCBS program and refer the veterans to the Aging Network Agency.
2010 AIRS Conference
VDHCBS Program ComponentsVDHCBS programs include the following:
Home and Community-Based Services - examples include, but not limited to:
Personal Care (e.g. physical or verbal assistance with eating, bathing, dressing, grooming, transferring)Homemaker (e.g. cleaning, laundry, meal planning & preparation, shopping)Adult Day CareAssistive Technology (e.g. emergency response system, electronic pill minder)Home-Delivered Meals Caregiver Support (e.g. counseling, training)Respite CareEnvironmental Support (e.g. yard care, snow removal, extensive cleaning)Other goods and services needed to remain safely in the community (e.g. small appliances, grab bars, ramp, lift chair, etc.)
AssessmentOptions Counseling/Support Services including care managementFiscal Management Services Performance Measurement & Evaluation
2010 AIRS Conference
HUD HHS Community Living Collaborative
2010 AIRS Conference
HUD HHS Community Living Collaboration
One of three working groups in a larger HUD HHS collaboration initiated by HHS Secretary Sebelius and HUD Secretary Donovan.
HomelessnessLivable homes and communitiesCommunity living
HUD HHS Community Living Collaborative meets monthly and has established several sub-groups to focus on specific activities to encourage community living and aging in place.
2010 AIRS Conference
HUD HHS Community Living Collaboration – Activities
Capacity building effort that will provide technical assistance to national, state, and local entities to assist them in the planning and implementation of effective programs that link housing with long term supports and services
A demonstration project to explore how housing, long-term supports and services, and medical care can be coordinated to support older adults.
2010 AIRS Conference
HUD HHS Community Living Collaboration – Activities
Improved Coordination between HHS Office for Civil Rights and the HUD Fair Housing Office to more effectively address housing needs of persons with disabilities
Exploring the establishment of a “bridge fund” to temporarily fund housing for persons transitioned from a nursing home to the community while they wait for a permanent subsidy
2010 AIRS Conference
AoA Resource Centers Update
2010 AIRS Conference
National Center for Benefits Outreach and Enrollment
Increase access to benefits for seniors and younger adults with disabilities by:
providing tools and resourcesgenerating and disseminating knowledge about best practices and cost-effective strategies for benefits outreach and enrollment
Focus on public benefits that are critical to older people with limited incomes and resources
2010 AIRS Conference
Center Activities
Training and technical assistance on effective outreach, screening, enrollment, and follow-up strategies
Clearinghouse on best practices and cost-effective methods for finding and enrolling people in benefits outreach and enrollment
Web-based screening and enrollment tools (www.BenefitsCheckUp.org)
Fund and support Benefits Enrollment Centers10 pilots across the country focused on benefits coordination
Provide technical assistance and support to grantees that have received Medicare Improvements for Patients and Providers Act (MIPPA) grants
2010 AIRS Conference
Center Activities
Convening a Federal Partners working group whose focus is on benefits coordination and collaboration
Administration on AgingAdministration for Children and FamiliesCenters for Medicare & Medicaid ServicesUSDA Food & Nutrition ServiceHousing & Urban DevelopmentSocial Security AdministrationVeterans Administration
Work with National Association of State Units on Aging (NASUA) to convene a similar State Public Benefits Leadership Collaborative
www.centerforbenefits.org
2010 AIRS Conference
31
National Technical Assistance Resource Center for LGBT Elders
Objectives
Educate mainstream aging services organizations about the existence and special needs of LGBT elders
Sensitize LGBT organizations about the existence and special needs of older adults
Educate LGBT individuals about the importance of planning ahead for future long-term care needs
2010 AIRS Conference
National Technical Assistance Resource Center for LGBT Elders
Services and Advocacy for GLBT Elders (SAGE)Nation’s oldest and largest community-based organization serving older members of the LGBT communityLaunch planned for fall of 2010www.sageusa.org
2010 AIRS Conference
New National Legal Resource Center Website
NLRC is a collaborative project involving five national non-profit orgs
Purpose to empower legal and aging advocates with resources to provide high quality, free legal help to seniors
Website provides access to important resource support including case consultation and training
Excellent links on a variety of legal issues
http://nlrc.aoa.gov/NLRC/Index.aspx
2010 AIRS Conference
Other Stuff
35
A T o o l k i t f o r S e r v i n g D i v e r se C o m m u n i t i e s
2010 AIRS Conference
New Media
Facebook?
Twitter?
http://www.aoa.gov/AoARoot/Press_Room/Social_Media/index.aspx
2010 AIRS Conference
Stay Updated!
Monthly E-NewsletterE-News Alerts
http://www.aoa.gov/AoARoot/Press_Room/Enews
2010 AIRS Conference
QUESTIONS!
Feel free to contact me if you have questions, suggestions, or comments
