1. U.S. Administration on Aging 1 U.S. Department of Health and Human Services Administration on Aging Dr. Michelle M. Washko, PhD November 18, 2010 – 8:30 a.m.

2. U.S. Administration on Aging 2 1965: Three Important Programs Enacted Medicare Medicaid Older Americans Act “Every State and every community can now move toward a coordinated program of services and opportunities for our older citizens.” President Lyndon B. Johnson, July 1965

3. U.S. Administration on Aging 3 Older Americans Act - Overview  Title I – Declaration of Objectives; Definitions  Title II – Administration on Aging  Title III – Grants for State and Community Programs on Aging  Title IV – Activities for Health, Independence, and Longevity  Title V – Senior Community Service Employment Program  Title VI – Grants for Native Americans  Title VII – Vulnerable Elder Rights Protection For more information: http://www.aoa.gov/AoARoot/AoA_Programs/OAA/index.aspx

4. U.S. Administration on Aging 4 Mission To help elderly individuals maintain their health and independence in their homes and communities through comprehensive, coordinated, and cost effective systems of long- term care, and livable communities across the United States. Authorities Older Americans Act of 1965 Public Health Service Act section 398 – Alzheimer’s Disease Supportive Services Public Health Service title XVII – Lifespan Respite Care Medicare Improvements for Patients and Providers Act of 2008 ARRA – Chronic Disease Self-Management, Nutrition Services Patient Protection and Affordable Care Act of 2009

5. U.S. Administration on Aging 5 Forging Links: The People We Serve Seniors Informal Caregivers Medicare Beneficiaries Middle-Aged Individuals Planning Ahead Younger People with Disabilities Medicaid Eligibles Nursing Home Residents Dual Eligibles

6. U.S. Administration on Aging 6 Who We Serve With Older Americans Act Funds  10.5 Million Elderly 60 & Over  Of which 3 Million Who Rely on the Network for Intensive Services  Nearly 700,000 Caregivers

7. U.S. Administration on Aging 7 How We Help 11 Million Seniors (and Their Caregivers) Remain Independent In Their Communities AoA 56 State Units, 629 Area Agencies & 246 Tribal Organizations 20,000 Service Providers & 500,000 Volunteers Provides Services and Supports to 1 in 5 Seniors 240 million meals 28 million rides 33 million hours of personal care 9 million hours of adult day care 675,000 caregivers assisted 10 million hours of respite care 455,000 ombudsman consultations 4.4 million hours of case management In FY 2009: ~1500 formula grants to 56 states/territories and ~400 tribes, ~300 competitive grants

8. U.S. Administration on Aging 8 Comprehensive & Coordinated Service Delivery Systems Nursing Homes Home Care Agencies Adult Day Care Programs HUD Public Housing Projects Local Health Department Senior Centers Transportation Agencies Local Medicaid Offices Assisted Living Adult Protective Services Volunteer Programs Cooperative Extension Agencies YM/WCA Alzheimer’s Chapters Social Security Offices Community Health Centers Veteran’s Centers Hospital Discharge Planning Units Area Agencies on Aging SCSEP Partners

9. U.S. Administration on Aging 9 Grocery Shopping/ Meal Preparation “What will I need to stay healthy in my own home as I get older?” Chronic Disease Self-Management Information & Referral Personal Care/ Home Health Aide Medication Management Home Delivered/ Congregate Meals Home Modification Socialization/ Senior Center Legal AssistanceBenefits CounselingEmployment Financial Plan/ Management Adult Day Care Respite Care Chores/ Housekeeping Transportation A Person-Centered Approach

10. U.S. Administration on Aging 10 Our Priority: Aging In Place Helping Seniors Age In Place Through Three Key Strategies Invest in Core Services that Help Seniors Stay in their Communities Build Partnerships that Leverage Additional Public & Private Resources Promote Evidence- Based Research Translation & Innovations to Ensure Effective Outcomes

11. U.S. Administration on Aging 11 The Last Five Years: Branching Out In New Directions National Institutes on Aging (NIA), Centers for Medicare/Medicaid Services (CMS), and the Agency for Healthcare Research & Quality (AHRQ): Using the Aging Network’s “natural laboratories” to translate research into practice Department of Veterans Affairs (VA): Care coordination & caregiver support Aging and Disability Resource Centers Community Innovations for Aging in Place Medicare fraud detection – Senior Medicare Patrol Prevention and health promotion – Evidence-based programs Medicare Part D enrollment (prescription drug coverage)

12. U.S. Administration on Aging 12 The Next Five Years… Serving an escalating senior population Health care reform Enhancing care coordination/hospital discharge planning Elder justice Partnering to expand the direct care workforce Translating aging research into practice Expanding supportive services model to reach veterans of all ages Housing collaborations AND… Reauthorization of the Older Americans Act!

13. U.S. Administration on Aging 13 THANK YOU! Contact info: Michelle.Washko@AoA.hhs.gov Michelle.Washko@AoA.hhs.gov