1. 2014 WRAAA LECTURE & LUNCHEON Addressing Care Needs Through Strategic Partnerships in a Holistic Community Care Environment Panel Presentation

2. TODAY’S PANELISTS Overview: Ronald Hill, CEO, WRAAA Self Care: Stephanie FallCreek, President & CEO, Fairhill Partners Informal Care: Nancy B. Udelson, President & CEO, Alzheimer’s Association, Cleveland Area Chapter Formal Care: Julie Jarvis, Director of Planning and Community Resources, WRAAA

3. OVERVIEW RONALD HILL WESTERN RESERVE AREA AGENCY ON AGING CHIEF EXECUTIVE OFFICER

5. ORGANIZATIONS THAT ADVOCATE ON BEHALF OF OLDER AND DISABLED ADULTS National Organizations: AARP National Association of Area Agencies on Aging National Council on Aging

6. ORGANIZATIONS THAT ADVOCATE ON BEHALF OF OLDER AND DISABLED ADULTS Statewide Organizations: Ohio Association of Area Agencies on Aging Advocates for Ohio’s Future AARP Ohio Ohio Coalition for Adult Protective Services (OCAPS) Ohio Assisted Living Association Ohio Association of Senior Center Ohio Council for Home Care Service Provider Networks

7. ORGANIZATIONS THAT ADVOCATE ON BEHALF OF OLDER AND DISABLED ADULTS Local Organizations: Services for Independent Living Coalition Alzheimer’s Association- Cleveland Area Chapter Consortium Against Adult Abuse North East Ohio MyCare Ohio Coalition North East Ohio Consumer Voice for Integrated Care Council of Older Persons Senior Voice PASSPORT, Assisted Living, and OAA Service Providers

9. SELF CARE STEPHANIE FALLCREEK, D.S.W. FAIRHILL PARTNERS IN CLEVELAND PRESIDENT AND CEO

10. Personal Assets Knowledge INDIVIDUAL Time Physical Capability S ELF C ARE Skill Healthy Behaviors Disease Self-Management

11. Strengthen Tangible Assets  Increase knowledge  Improve skills  Improve physical function  Access benefits Strengthen Intangible Assets  Increase confidence  Decrease fear  Increase or enhance relationships SUPPORTING SELF-CARE AND SELF MANAGEMENT Asset building at the individual level generates returns throughout the care environment

12. Core Skills Action Planning Problem Solving Decision-Making Assumptions Peer facilitation and modeling is powerful Changing negative thinking to positive thinking is possible (beliefs are changeable) Communication is key Volunteers can be very effective facilitators SELF-CARE CONFIDENCE BUILDING

13. Matter of Balance Enhance Wellness Enhance Fitness Fit and Strong Home Meds PEARLS Healthy Ideas Healthy Moves Tai Chi for Arthritis Stanford Suite: CDSM DSM Pain Management HIV/AIDS Spanish Versions Online Versions ILLUSTRATIVE EVIDENCE-BASED/SELF-MANAGEMENT PROGRAMS THAT STRENGTHEN SELF-CARE

14. Contact Information: Stephanie FallCreek, President/CEO (216) 421-1350 x 111 sfallcreek@fairhillpartners.org Website: www.fairhillpartners.org

15. INFORMAL CARE NANCY B. UDELSON ALZHEIMER'S ASSOCIATION, GREATER CLEVELAND PRESIDENT AND CEO

16. FORMAL SUPPORTS LONG TERM SERVICES AND SUPPORTS (LTSS) JULIE A. JARVIS WESTERN RESERVE AREA AGENCY ON AGING DIRECTOR OF PLANNING&COMMUNITY RESOURCES

17. GROWING NEED FOR LTSS 12 million Americans, of all ages, are assisted through a system of long term services and supports (LTSS) – this is expected to double by 2050 The 65 and older population is growing dramatically, 70% will need LTSS for an average of three (3) years Nearly two-thirds of the cost of LTSS today is financed by federal and state governments through the Medicaid program Older Americans Act funded programs provide a range of community based services which enhance quality of life and independence

18. LTSS DEFINITION Assistance with activities of daily living Distinct from health care services Includes both paid & unpaid caregivers Long Term Services and Supports (LTSS)

19. RE-BALANCING National Spending for Long Term Services and Supports (LTSS), 2011- National Health Policy Forum

20. CARE INTEGRATION Health Care LTSS

21. Physicians wish they could write prescriptions to help patients with social needs Nutrition 64% Transportation 47% Employment Assistance 52% Housing Assistance 43% SOCIAL DETERMINATES Health Care’s Blind Side, 2011 – Robert Wood Johnson Foundation Survey

22. PERSON CENTERED & DIRECTED CARE Triple Aim… better care of individuals, better health for populations and lower costs Person Centered… personal values guide all clinical decisions

23. LTSS PROVIDER NETWORK 4,800 adult day services centers 12,200 home health agencies 3,700 hospices 15,700 nursing care facilities 22,200 assisted living and similar residential care communities National Study of Long Term Care Providers (NSLTCP)

24. LTSS PROVIDER NETWORK Evidence suggests that receipt of multiple OAA services may lessen the likelihood of nursing home placement and increase time living in the community AoA’s Performance Outcomes Measures Project (POMP)

25. BRIDGING SILOS Strengthen partnerships across settings Adopt person centered, interdisciplinary approaches to care Increase knowledge about community services and supports

26. QUESTIONS AND ANSWERS

27. Thank you!