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The John A. Hartford Foundation
Welcome to the Geriatric Nursing
Leadership Academy
The John A. Hartford Foundation
The John A. Hartford Foundation
The John A. Hartford Foundation
Hartford Foundation Mission
Increase the nation’s capacity to provide effective and
affordable care to its rapidly increasing older population
The John A. Hartford Foundation
Changing Demographics
% % %
The John A. Hartford Foundation
Chronic Disease is the Norm
• 87% of Medicare beneficiaries have one or more Chronic Diseases
• 66% have multiple Chronic Diseases• 20% have 5+ Chronic Diseases
The John A. Hartford Foundation
Prescription Drugs, Chronic Care & Older Adults
0 chronic conditions 10 prescriptions*
*average
The John A. Hartford Foundation
5+ chronic conditions 57 prescriptions
Prescription Drugs, Chronic Care & Older Adults
The John A. Hartford Foundation
Chronic Illness = Skyrocketing Healthcare Spending
• 5+ Chronic Diseases results in 1400% increase in Health Care Spending
Source: Medical Expenditure Panel Survey
$800$1,900
$3,400
$5,600
$8,900
$11,500
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
0 1 2 3 4 5+Number of Chronic Conditions
Av
era
ge
Pe
r C
ap
ita
Sp
en
din
g
The John A. Hartford Foundation
Imperfect Health Care System
• Disease-focused not patient-focused• Multiple “specialty” practitioners • Uncoordinated care• Treatment designed for 35-50 year old• Gap between knowledge and practice
The John A. Hartford Foundation
Results of Systems Failure
• Medical Errors– 44,000- 98,000 deaths annually (IOM)
• Medication errors– 1.3 million injured annually (FDA)– Nearly 50% of fatal medication errors in
people age 60+
The John A. Hartford Foundation
Hartford Strategy
MEDICINE NURSING SOCIAL WORK
INTEGRATING &
IMPROVING SERVICES
The John A. Hartford Foundation
Hartford Strategy
INTEGRATING &
IMPROVING SERVICES
The John A. Hartford Foundation
Integrating and Improving Services
• Hartford’s commitment – 25 years commitment– 143 grants totaling over $87 million – Strong linkage with academic geriatrics– Building on previous Hartford Foundation
efforts– National models of geriatric care
The John A. Hartford Foundation
Your Charge
• Adopt evidence-based approaches that work• Do not reinvent the wheel• Seek answers and share with others• Shape the quality of health care delivery• Improve health of elders
The John A. Hartford Foundation
Special Thanks
• Sigma Theta Tau• Advisory Board • Faculty• Mentors• Hartford Centers of Geriatric Nursing Excellence• Oregon Health & Science University• Northwest Health Foundation• Mayday Fund• Hill-Rom• You, our geriatric nursing leaders of the future
