The National Association of County and City Health Officials (NACCHO)

Presents

Building and Maintaining Local Health Department Partnerships with Area Agencies

on Aging and Other Local Aging Organizations

Thursday, February 23, 20063:00–4:30 pm (ET)2:00-3:30 PM (CT)1:00-2:30 PM (MT)12:00-1:30 PM (PT)

Aging 101 Aging 101 Plugging into the Aging NetworkPlugging into the Aging Network

to Better Reach Older Adults to Better Reach Older Adults

William F. BensonWilliam F. BensonHealth Benefits ABCsHealth Benefits ABCs

NACCHO Webinar NACCHO Webinar February 23, 2006February 23, 2006

1965 – A Remarkable Year1965 – A Remarkable Year

• Medicare (SSA, Title XIX)Medicare (SSA, Title XIX)

• Medicaid (SSA, Title XVIII)Medicaid (SSA, Title XVIII)

• Older Americans Act (OAA)Older Americans Act (OAA)

Many Other Major Laws Enacted Many Other Major Laws Enacted Benefiting Older AmericansBenefiting Older Americans

ADEA -- 1967ADEA -- 1967

Social Security “Rescue” of 1983Social Security “Rescue” of 1983

OBRA 87 – Nursing Home ProvisionsOBRA 87 – Nursing Home Provisions

Medicaid Spousal Impoverishment Medicaid Spousal Impoverishment ProtectionsProtections

Medicaid WaiversMedicaid Waivers

Medicare Modernization Act (Part D)Medicare Modernization Act (Part D)

Source: From Baby Boom to Elder Boom: Providing Health Care for an Aging Population Copyright 1996, Watson Wyatt Worldwide.

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1930 1950 1970 1990 2010 2030 2050

Year

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An Aging PopulationAn Aging PopulationPercentage of U.S. Population over Age 65Percentage of U.S. Population over Age 65

Percent of Population Over Age 65, Percent of Population Over Age 65, United States, 2000United States, 2000

Source: U.S. Census Bureau, 2003.

5.0–9.9

10.0–14.9

15.0–19.9

20.0–30.0

Percent

Percent of Population Over Age 65, Percent of Population Over Age 65, United States, 2015United States, 2015

Source: U.S. Census Bureau, 2003.

5.0–9.9

10.0–14.9 15.0–19.9

20.0–30.0

Percent

Percent of Population Over Age 65, Percent of Population Over Age 65, United States, 2025United States, 2025

Source: U.S. Census Bureau, 2003.

5.0–9.9

10.0–14.9 15.0–19.9

20.0–30.0

Percent

““The future ain’t whatThe future ain’t what it used to be.” it used to be.”

- Yogi Berra- Yogi Berra

Older Americans ActOlder Americans Act

7 Titles – Approx. $1.8 Billion Annually7 Titles – Approx. $1.8 Billion AnnuallyStatement of ObjectivesStatement of ObjectivesAdministration on Aging – DHHSAdministration on Aging – DHHS““Aging Network” – SUAs, AAAs & Community Aging Network” – SUAs, AAAs & Community ServicesServicesState & Local Innovations & Programs of Nat’l State & Local Innovations & Programs of Nat’l Significance (Discretionary Funds)Significance (Discretionary Funds)Senior Employment Program (DoL)Senior Employment Program (DoL)Grants to TribesGrants to TribesElder RightsElder Rights

Older Americans ActOlder Americans Act

Title IIITitle IIIState Units on Aging – GA Division of State Units on Aging – GA Division of AgingAging

III-B: AAAs – ARC in AtlantaIII-B: AAAs – ARC in Atlanta

III-B – Community Services: e.g., I&R, III-B – Community Services: e.g., I&R, Transportation, Case Management, Legal Transportation, Case Management, Legal Assistance, Senior CentersAssistance, Senior Centers

Older Americans ActOlder Americans Act

Title III (Cont.)Title III (Cont.)

III-C – congregate & home-delivered III-C – congregate & home-delivered mealsmeals

III-D – Disease Prevention & Health III-D – Disease Prevention & Health Promotion Promotion

III-E – National Family Caregiver Support III-E – National Family Caregiver Support ProgramProgram

Older Americans’ ActOlder Americans’ ActTitle III – Part DTitle III – Part D

DP/HP services defined as:DP/HP services defined as:– Risk assessmentsRisk assessments– Routine screeningsRoutine screenings– Nutrition counseling and educationNutrition counseling and education– Health promotion programsHealth promotion programs– Physical fitness, music, art/dance therapyPhysical fitness, music, art/dance therapy– Home injury controlHome injury control– Depression screeningDepression screening– Education on preventive health services under MedicareEducation on preventive health services under Medicare– Medication managementMedication management– Info on age-related diseases/chronic disabling conditionsInfo on age-related diseases/chronic disabling conditions– CounselingCounseling

In carrying out the program, the Assistant Secretary for Aging In carrying out the program, the Assistant Secretary for Aging shall consult with the directors of the CDC and the NIA . . .shall consult with the directors of the CDC and the NIA . . .

Older Americans’ ActOlder Americans’ ActTitle III – Part DTitle III – Part D

FundingFunding– FY 2005 & FY 2006 -- $21,616,000FY 2005 & FY 2006 -- $21,616,000

$5 million for medication management$5 million for medication management

President’s FY 2007 Budget -- $0 for Part DPresident’s FY 2007 Budget -- $0 for Part D

Community Orgs

655 AAAs

57 SUAs

AoA

3,000 LHDs

58 SHDs

CDC

Department of Health and Human Services

CDDChronic Disease

Program Directors

NACCHONational Asso of

County & City Health Officials

NASUANat’l Assn of State

Units on Aging

N4ANational Assn of

Area Agencies on Aging

Community Orgs

Parallel Networks:Aging Services and Public Health

““At national, state, and local levels, At national, state, and local levels, partnerships between the aging and partnerships between the aging and

public health networks . . . can make a public health networks . . . can make a difference in the health of older adults.” difference in the health of older adults.”

““Public Health and an Aging Public Health and an Aging Population: A Call to Action”Population: A Call to Action”

(1994)(1994)

““Public Health and an Aging Public Health and an Aging Population: A Call to Action”Population: A Call to Action”

(1994)(1994)

Potential Areas for CollaborationPotential Areas for Collaboration::

Assess and monitor needs of older adultsAssess and monitor needs of older adultsCollect and share dataCollect and share dataFill gaps in service and fundingFill gaps in service and fundingImplement health promotion/disease prevention Implement health promotion/disease prevention interventionsinterventionsDeliver cross-trainingDeliver cross-trainingUnified voice to policy makersUnified voice to policy makers

““Guide to Guide to State Health Departments and State Health Departments and

State Units on AgingState Units on AgingWorking Together”Working Together”

((1996)1996)““A growing body of evidence indicates that A growing body of evidence indicates that health promotion can postpone or prevent health promotion can postpone or prevent disease and disability, maintain or improve disease and disability, maintain or improve health status, contain costs, and enhance the health status, contain costs, and enhance the quality of life of older adults.”quality of life of older adults.”

““Guide to Guide to State Health Departments and State State Health Departments and State

Units on AgingUnits on AgingWorking Together”Working Together”

““should work together cooperatively in program should work together cooperatively in program planning and service delivery in order to achieve planning and service delivery in order to achieve common goals and objectives.”common goals and objectives.”

““encourage collaboration between local health encourage collaboration between local health departments and AAA’s in planning and departments and AAA’s in planning and implementing health promotion programs.”implementing health promotion programs.”

Aging States ProjectAging States Project::Needs AssessmentNeeds Assessment

(2001-2003)(2001-2003)

Jointly funded by AoA and CDCJointly funded by AoA and CDC

Administered through National State Units on Aging, and Administered through National State Units on Aging, and State Chronic Disease DirectorsState Chronic Disease Directors

To identify health-related needs, activities, and To identify health-related needs, activities, and partnerships in SUAs and SHDspartnerships in SUAs and SHDs

To help determine mutual areas of interest and To help determine mutual areas of interest and opportunities for collaborationopportunities for collaboration

Aging States Project -Aging States Project -RecommendationsRecommendations

Promote improved collaboration between Promote improved collaboration between SHDs and SUAsSHDs and SUAs

Support health promotion/disease Support health promotion/disease prevention programs for older adultsprevention programs for older adults

Provide needed training and technical Provide needed training and technical assistanceassistance

CDC’s Aging ProgramCDC’s Aging ProgramWithin CDC’s Chronic Disease CenterWithin CDC’s Chronic Disease Center

Focal point for aging work at CDCFocal point for aging work at CDC

Outreach to aging networkOutreach to aging network

Collaboration with national organizations, Collaboration with national organizations, e.g., n4a, NCOA, ASAe.g., n4a, NCOA, ASA

Research on prevention measuresResearch on prevention measures

CDC aging website: www.cdc.gov/agingCDC aging website: www.cdc.gov/aging

Healthy Aging:Healthy Aging:Opportunities to Make Opportunities to Make

a Differencea DifferencePromote healthy lifestylesPromote healthy lifestylesIncrease use of early detectionIncrease use of early detectionIncrease adult immunization ratesIncrease adult immunization ratesReduce injuriesReduce injuriesIncrease use of disease self-Increase use of disease self-management techniquesmanagement techniquesUsing Evidence-based InterventionsUsing Evidence-based Interventions

Public Health andPublic Health and Aging Partnerships: Aging Partnerships:

A Formula for Healthy Aging A Formula for Healthy Aging

Aging:Aging:

In-depth knowledge of those In-depth knowledge of those servedserved

Broad range of issues Broad range of issues addressedaddressed

Providing variety of essential Providing variety of essential servicesservices

Extensive outreach capabilityExtensive outreach capability

Public HealthPublic Health::

Experience in state-based Experience in state-based disease prevention programsdisease prevention programs

Scientific expertiseScientific expertise

Collection and application of Collection and application of datadata

Prevention researchPrevention research(identifying what works)(identifying what works)

The Aging Network:The Aging Network:An Established InfrastructureAn Established Infrastructure

In virtually every community in AmericaIn virtually every community in America3 Decades + of knowledge of their communities 3 Decades + of knowledge of their communities and elders, & experience in planning & and elders, & experience in planning & delivering a diverse array of servicesdelivering a diverse array of servicesGreat flexibilityGreat flexibilityMandate for Health Promotion & Disease Mandate for Health Promotion & Disease Prevention Prevention Long history of partnershipsLong history of partnershipsLeadership eager to expand & strengthen those Leadership eager to expand & strengthen those partnershipspartnerships

Five Key Challenges forFive Key Challenges forOur Aging SocietyOur Aging Society

• Promoting healthy living among the older Promoting healthy living among the older populationpopulation

• Engaging elders in meaningful and vital action Engaging elders in meaningful and vital action • Making sure our communities are “elder friendly” Making sure our communities are “elder friendly”

or “elder ready” or “elder ready” • Focusing like a laser beam on the young to be Focusing like a laser beam on the young to be

sure they are going to be vital as they age and in sure they are going to be vital as they age and in their old agetheir old age

• Sustaining the necessary support for a much Sustaining the necessary support for a much larger older populationlarger older population

Creating Partnerships for Creating Partnerships for Healthy AgingHealthy Aging

Presented by:Presented by:Pamela Piering, DirectorPamela Piering, Director

Seattle Human Services DepartmentSeattle Human Services DepartmentAging and Disability ServicesAging and Disability Services

Cheza Collier Garvin, PhD, MPH, MSWCheza Collier Garvin, PhD, MPH, MSWProgram Director, Chronic Disease Prevention and Healthy AgingProgram Director, Chronic Disease Prevention and Healthy Aging

Prevention Division, Public Health Seattle and King CountyPrevention Division, Public Health Seattle and King County

Evidence-based Healthy AgingEvidence-based Healthy Aging On-going Program DevelopmentOn-going Program Development

Healthy Aging PartnershipHealthy Aging Partnership Sound StepsSound Steps Chronic Disease RegistryChronic Disease Registry

Program Development and DisseminationProgram Development and Dissemination Enhance Fitness ProgramEnhance Fitness Program Enhance Wellness ProgramEnhance Wellness Program

REACH (Racial/Ethnic Approaches to Community REACH (Racial/Ethnic Approaches to Community Health) ProgramHealth) Program

Healthy Eating for Healthy Aging (HEHA)Healthy Eating for Healthy Aging (HEHA) Senior Farmers MarketSenior Farmers Market PEARLS – research partnershipPEARLS – research partnership Other Partnerships and Partnership HighlightsOther Partnerships and Partnership Highlights

Key PartnersKey Partners Local Area Agency on AgingLocal Area Agency on Aging, , Aging and Aging and

Disability ServicesDisability Services Public Health - Seattle & King CountyPublic Health - Seattle & King County Healthy Aging PartnershipHealthy Aging Partnership Comprehensive Health Education Comprehensive Health Education

FoundationFoundation University of Washington Health University of Washington Health

Promotion Research CenterPromotion Research Center Aging Network community agenciesAging Network community agencies Senior ServicesSenior Services

Area Agency on AgingArea Agency on Aging

Aging and Disability ServicesAging and Disability Services Seattle-King County : 240,000 60+ Seattle-King County : 240,000 60+

Three-way sponsorshipThree-way sponsorship City of Seattle, Human Services DeptCity of Seattle, Human Services Dept King CountyKing County United Way of King CountyUnited Way of King County

Guided by Area Plan on Aging 2004-07Guided by Area Plan on Aging 2004-07 $34 million state/federal/local$34 million state/federal/local Key initiatives – nutrition & health Key initiatives – nutrition & health

promotionpromotion

Area Agency on Aging (AAA)Area Agency on Aging (AAA)

One of 655 in the nationOne of 655 in the nation Core funding from the Older Americans Core funding from the Older Americans

Act: Act: nutrition, information/assistance, legal svcs, nutrition, information/assistance, legal svcs,

transportation, family caregiver supporttransportation, family caregiver support Additional Medicaid-funded services:Additional Medicaid-funded services:

Case Management for in-home clientsCase Management for in-home clients Home Care servicesHome Care services Adult Day Care/Day HealthAdult Day Care/Day Health

AAA RolesAAA Roles

Planning to meet community needsPlanning to meet community needs Community Advisory CouncilsCommunity Advisory Councils

Convene partners in building an elder-Convene partners in building an elder-friendly communityfriendly community

Allocation of ‘discretionary’ resources, Allocation of ‘discretionary’ resources, primarily Older Americans Act, some primarily Older Americans Act, some state/localstate/local

Advocacy for older Americans with Advocacy for older Americans with policymakerspolicymakers

Public Health – Seattle & King CountyPublic Health – Seattle & King County

Healthy People, Healthy CommunitiesHealthy People, Healthy Communities MISSION:MISSION:

To achieve and sustain healthy people To achieve and sustain healthy people and healthy communities throughout King and healthy communities throughout King County by providing public health services County by providing public health services which promote health and prevent which promote health and prevent diseasedisease..

Partnerships As Key Strategy for:Partnerships As Key Strategy for:

Collaboration and Shared PowerCollaboration and Shared Power Sharing Limited ResourcesSharing Limited Resources Assurance of InclusivenessAssurance of Inclusiveness Maximizing EffectivenessMaximizing Effectiveness Capacity BuildingCapacity Building Everybody BenefitsEverybody Benefits

Chronic Disease Prevention & Chronic Disease Prevention & Healthy Aging, Prevention DivisionHealthy Aging, Prevention Division

Started 1997Started 1997 Quickly realized benefits of collaborationQuickly realized benefits of collaboration Value multiple expertise/perspectivesValue multiple expertise/perspectives Ability to provide planning, technical Ability to provide planning, technical

assistance, program development, other assistance, program development, other skills, even a little $skills, even a little $

Chronic Disease Prevention & Chronic Disease Prevention & Healthy Aging, Prevention DivisionHealthy Aging, Prevention Division

Heart healthHeart health AsthmaAsthma CancersCancers DiabetesDiabetes NutritionNutrition Physical ActivityPhysical Activity DisparitiesDisparities ObesityObesity Lifespan Healthy AgingLifespan Healthy Aging

Healthy Aging PartnershipHealthy Aging Partnership

Focus on improving health status and Focus on improving health status and quality of life for older adultsquality of life for older adults

Natural link with local AAA, Aging and Natural link with local AAA, Aging and Disability ServicesDisability Services

Beginning the Partnership: Beginning the Partnership: 1995 Public Health report1995 Public Health report

Living Longer, Staying Healthy: the Health Living Longer, Staying Healthy: the Health Status of Older Adults in King CountyStatus of Older Adults in King County

Chronic diseases leading causes of deathChronic diseases leading causes of death Injuries from fallsInjuries from falls Immunization ratesImmunization rates Suicide and social supportSuicide and social support

Assessing Seniors’ NeedsAssessing Seniors’ Needs ConferenceConference Planning consultantPlanning consultant Focus groupsFocus groups ResultsResults

A single information source with a real person A single information source with a real person providing customer service (1-888-4ELDERS)providing customer service (1-888-4ELDERS)

Health information needed – falls, Health information needed – falls, immunizations, depression, physical activityimmunizations, depression, physical activity

Web site: www.4elders.orgWeb site: www.4elders.org

HAP Members (40)HAP Members (40) City/County Public Health DepartmentCity/County Public Health Department Local Area Agency on Aging: Aging & Disability Local Area Agency on Aging: Aging & Disability

ServicesServices State Department of HealthState Department of Health Housing Authority; Mental Health; Social/Human Housing Authority; Mental Health; Social/Human

Services, Parks and RecreationServices, Parks and Recreation Large non-profits (Senior Services, AARP, Large non-profits (Senior Services, AARP,

Comprehensive Health Education Foundation, Comprehensive Health Education Foundation, etc.)etc.)

Smaller non-profits (Latino & Asian organizations; Smaller non-profits (Latino & Asian organizations; Visiting Nurse Services; Services for the Blind, Visiting Nurse Services; Services for the Blind, Dental Foundation) Dental Foundation)

Public & non-profit hospitals and health insurance Public & non-profit hospitals and health insurance companiescompanies

Information CampaignInformation CampaignPromotional EffortsPromotional Efforts

Brochure (English, Spanish, Asian languages)Brochure (English, Spanish, Asian languages) Posters, magnets and other giveaway itemsPosters, magnets and other giveaway items Physical activity brochurePhysical activity brochure Direct mail (“stuffers” in property tax statements)Direct mail (“stuffers” in property tax statements) Partner agency publicationsPartner agency publications Web siteWeb site ““Free” mediaFree” media Paid advertising: Radio, newspaper, bus adsPaid advertising: Radio, newspaper, bus ads Val Pak insertVal Pak insert

2004-2005 HAP Goals2004-2005 HAP Goals

•Continue public health messagesContinue public health messages•Continue training/educational Continue training/educational

workshopsworkshops• Increase involvement of older adultsIncrease involvement of older adults•Focus on older adult civic engagementFocus on older adult civic engagement•Focus on policy involvementFocus on policy involvement•Address needs of older adults in Address needs of older adults in

multiple racial/ethnic communitiesmultiple racial/ethnic communities•Encourage collaborations with Encourage collaborations with

business communitybusiness community

Calls to 1-888-4ELDERS

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1500

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Sound StepsSound Steps

Walking programWalking program 2003, 6 sites in Seattle, 2003, 6 sites in Seattle,

500 participants500 participants 2004, 15 sites 2004, 15 sites

countywidecountywide Sponsored by HAP, Sponsored by HAP,

funded by Aging funded by Aging Blueprint grantBlueprint grant

ToolKit ToolKit http://www.chef.org/http://www.chef.org/

““I love this walking thing. I’ve I love this walking thing. I’ve

been here every week that I been here every week that I

could since I started…It made could since I started…It made

me enjoy walking so much that I me enjoy walking so much that I

don’t mind going by myself.”don’t mind going by myself.”

-- Sound Steps walker

Sound StepsSound Steps …

Chronic Disease RegistryChronic Disease Registry

1,000 case management clients1,000 case management clients Collaboration with REACH Diabetes ProjectCollaboration with REACH Diabetes Project Home-based interventionsHome-based interventions

HomestretchHomestretch Nutrition counselingNutrition counseling Medication managementMedication management PEARLS – depression interventionPEARLS – depression intervention

Community interventionsCommunity interventions Exercise classesExercise classes Chronic disease support groupsChronic disease support groups

Enhance Fitness (EF)Enhance Fitness (EF)

Encourage adaptation in communityEncourage adaptation in community ADS provided one-time grants for ADS provided one-time grants for

weightsweights Physical activity component now Physical activity component now

required at each nutrition site (41 sites)required at each nutrition site (41 sites) EF at 18 meal sites.EF at 18 meal sites. HPRC support to refugee/ immigrant HPRC support to refugee/ immigrant

programs in SE Seattleprograms in SE Seattle

Enhance Wellness (EW)Enhance Wellness (EW) HPRC research with Senior Services, HPRC research with Senior Services,

Northshore Senior CenterNorthshore Senior Center Results drove awareness in ADS Results drove awareness in ADS In 1997, ADS shifted Older Americans In 1997, ADS shifted Older Americans

Act funding (health promotion) to HEPAct funding (health promotion) to HEP EW expansion, now receives $130,000 EW expansion, now receives $130,000

annually from ADSannually from ADS www.projectenhance.orgwww.projectenhance.org

““Celebrate healthy successes.”Celebrate healthy successes.”

REACH REACH (Racial/Ethnic Approaches to (Racial/Ethnic Approaches to

Community Health)Community Health) Diabetes Project Diabetes Project

MISSIONMISSION ““The mission of the REACH Coalition is to The mission of the REACH Coalition is to

reduce diabetes health disparities reduce diabetes health disparities experienced by communities of color. experienced by communities of color. Through strong partnerships, we will support Through strong partnerships, we will support the empowerment of individuals, families, the empowerment of individuals, families, and communities, and create sustainable and communities, and create sustainable long-term approaches to prevention and long-term approaches to prevention and control of diabetes utilizing all appropriate control of diabetes utilizing all appropriate community resources in King County.”community resources in King County.”

MULTIPLE CULTURES WORKING TOGETHER TO REACH FOR HEALTH

REACH COALITIONAfrican AmericanAsian American/Pacific Islander AmericanLatino/HispanicEuropean American

CDC Funding 1999-2007

Coalition Challenges and SolutionsCoalition Challenges and Solutions

Multiple Cultures and Multiple Cultures and LanguagesLanguages

Differences of OpinionDifferences of Opinion

Distribution of FundsDistribution of Funds Authority HierarchyAuthority Hierarchy

7 Languages, Hire 7 Languages, Hire Bilingual/Bicultural Staff, Bilingual/Bicultural Staff, Listen and LearnListen and Learn

Consensus Decision Consensus Decision Making; Bring Concerns Making; Bring Concerns back to the Coalition - (Ops)back to the Coalition - (Ops)

Coalition Selection Coalition Selection CommitteeCommittee

Process Discussion; Take Process Discussion; Take BackseatBackseat

COMMUNITY ACTION PLAN COMMUNITY ACTION PLAN ELEMENTSELEMENTS

Interventions conducted by sub-contracting Interventions conducted by sub-contracting community agenciescommunity agencies

Support GroupsSupport Groups Education ClassesEducation Classes Self Management ClassesSelf Management Classes Enhanced Diabetes Registry useEnhanced Diabetes Registry use Case CoordinationCase Coordination Community CampaignsCommunity Campaigns EvaluationEvaluation

ENHANCED DIABETES ENHANCED DIABETES REGISTRY USEREGISTRY USE

Tracking ofTracking of HbA1cHbA1c blood pressureblood pressure eye examseye exams foot examsfoot exams urine testsurine tests referralsreferrals

CASE COORDINATIONCASE COORDINATION

Complete diabetes registryComplete diabetes registry Communicate with providersCommunicate with providers Communicate with patients about Communicate with patients about

recommended procedures for themrecommended procedures for them Refer patients to community activities and Refer patients to community activities and

resourcesresources

Healthy Eating for Healthy Aging Healthy Eating for Healthy Aging (HEHA)(HEHA)

Come! Taste! - cooking demonstrationsCome! Taste! - cooking demonstrations Promotional ItemsPromotional Items

Newsletters for Senior Farmers’ Market Produce Newsletters for Senior Farmers’ Market Produce Delivery ProgramDelivery Program

Medical Nutrition Therapy Pilot ProgramMedical Nutrition Therapy Pilot Program 7-Language Diabetes Food Guide Pyramids7-Language Diabetes Food Guide Pyramids

Collaboration with REACH ProgramCollaboration with REACH Program

Senior Nutrition ForumSenior Nutrition Forum Planning, Presentations, Training, etc.Planning, Presentations, Training, etc.

Healthy Eating for Healthy AgingHealthy Eating for Healthy AgingCome! Taste!Come! Taste!

Preparation…

Having a Taste!

Somali Diabetes Food Guide Somali Diabetes Food Guide PyramidPyramid

Senior Farmers MarketSenior Farmers Market Fresh produce Fresh produce

baskets for 800 baskets for 800 seniors June – seniors June – October.October.

2,000 seniors receive 2,000 seniors receive farmers market farmers market vouchers.vouchers.

Participants eat more Participants eat more fruits & vegetables.fruits & vegetables.

Public Health- Public Health- NewsLetterNewsLetter

Senior Farmers MarketSenior Farmers Market

Many community partnersMany community partners HPRC evaluationHPRC evaluation 3-year Vitamin Settlement Trust 3-year Vitamin Settlement Trust

Fund $600,000Fund $600,000 2005-6 State budget includes 2005-6 State budget includes

$680,000 statewide$680,000 statewide

PEARLS PEARLS (Project to Encourage Active, (Project to Encourage Active, Rewarding Lives for Seniors)Rewarding Lives for Seniors)

First-time for AAA as research First-time for AAA as research partnerpartner

Challenge to bring research into Challenge to bring research into workplaceworkplace

Competing demands: Competing demands: workloadworkload pace of changepace of change control group modelcontrol group model

Referral process challengesReferral process challenges

PEARLS PEARLS

Five year studyFive year study Positive results, offer to controlsPositive results, offer to controls Interventionist selection, trainingInterventionist selection, training Build on existing psych consultantBuild on existing psych consultant New Medicaid assessment tool New Medicaid assessment tool

identifies minor depression scaleidentifies minor depression scale

PEARLS FuturePEARLS Future

Promote results: conferences, board Promote results: conferences, board meetings, Advisory Council, newspapermeetings, Advisory Council, newspaper

Train new interventionistsTrain new interventionists Secure funding:Secure funding:

AAA Discretionary funding, part-time AAA Discretionary funding, part-time Seek Medicaid “Client Training” fundingSeek Medicaid “Client Training” funding Promote to other AAAs in WashingtonPromote to other AAAs in Washington

Testimonials – funders, community eventsTestimonials – funders, community events

Other Partnership ActivitiesOther Partnership Activities Mutual Consultation and PlanningMutual Consultation and Planning Review of AAA Local Plan Review of AAA Local Plan

incorporating healthy aging activities incorporating healthy aging activities with case managementwith case management

Mutual involvement in projects, e.g. UW Mutual involvement in projects, e.g. UW Health Promotion Research Center Health Promotion Research Center depression project: Project to depression project: Project to Encourage Active, Rewarding Lives for Encourage Active, Rewarding Lives for Seniors (PEARLS)Seniors (PEARLS)

ET CETERA – Imagination is the limit, ET CETERA – Imagination is the limit, well sometimes resources too!well sometimes resources too!

Challenges: Maintaining Challenges: Maintaining InvolvementInvolvement

Meeting attendance - sometimes sporadicMeeting attendance - sometimes sporadic Email communicationEmail communication Steering committee structure for detailed Steering committee structure for detailed

planning and decision makingplanning and decision making Reaching constituencies through member Reaching constituencies through member

agenciesagencies

Challenges: FundingChallenges: Funding

Fundraising a constant concernFundraising a constant concern Maximizing scarce resources through in-Maximizing scarce resources through in-

kind contributionskind contributions Balancing with other fiscal needsBalancing with other fiscal needs

Challenges: Clarifying IdentityChallenges: Clarifying Identity Creating visual identity - logo, colors, etc.Creating visual identity - logo, colors, etc. Sharing use of the logoSharing use of the logo Internal perceptionsInternal perceptions Public perceptionsPublic perceptions

Characteristics of Effective Characteristics of Effective PartnershipsPartnerships

EnvironmentEnvironment History of collaboration, cooperationHistory of collaboration, cooperation

Membership Membership Mutual respect, appreciation of inputMutual respect, appreciation of input Complementary expertiseComplementary expertise Willingness to contribute time and Willingness to contribute time and

efforteffort Process and structureProcess and structure

Members share a stake in outcomeMembers share a stake in outcome FlexibilityFlexibility

Characteristics of Effective Characteristics of Effective PartnershipsPartnerships

CommunicationCommunication Regular scheduleRegular schedule Open and frequent problem solvingOpen and frequent problem solving Time spent building relationships Time spent building relationships

PurposePurpose Attainable goals, objectivesAttainable goals, objectives Shared vision, mutual commitmentShared vision, mutual commitment

ResourcesResources Sufficient funds, staff, timeSufficient funds, staff, time

New OpportunitiesNew Opportunities Continuing to seek new partnersContinuing to seek new partners

Washington Alliance for Healthy AgingWashington Alliance for Healthy Aging• StatewideStatewide• Annual SummitAnnual Summit• Bridging SystemsBridging Systems

Creatively developing new program ideasCreatively developing new program ideas WorkshopsWorkshops Civic engagementCivic engagement Moving beyond diabetesMoving beyond diabetes

Seeking funding through grant opportunitiesSeeking funding through grant opportunities

Favorable ClimateFavorable Climate

Increasing older adult populationIncreasing older adult population Increasing awareness of the needs of Increasing awareness of the needs of

older adultsolder adults Increasing focus on the prevention and/or Increasing focus on the prevention and/or

management of chronic diseasesmanagement of chronic diseases Increasing focus on cost savingsIncreasing focus on cost savings

““It is not the years in your life but It is not the years in your life but the life in your years that counts.”the life in your years that counts.”

For More InformationFor More Information

ContactContact Pamela.Piering@seattle.govPamela.Piering@seattle.gov Cheza.Garvin@metrokc.govCheza.Garvin@metrokc.gov

Healthy Aging PartnershipHealthy Aging Partnership www.4elders.orgwww.4elders.org Aging and Disability ServicesAging and Disability Services

www.seattle.gov/humanservices/ads/areaplanwww.seattle.gov/humanservices/ads/areaplan REACH: REACH: www.metrokc.gov/health/REACHwww.metrokc.gov/health/REACH Health Promotion Research CenterHealth Promotion Research Center

http://depts.washington.edu/hprc/http://depts.washington.edu/hprc/

The National Association of County and City Health Officials (NACCHO)

Presents

Building and Maintaining Local Health Department Partnerships with Area Agencies on Aging and Other

Local Aging Organizations

Question & Answer SessionThere are 2 ways to ask a question:

1) Click on the “Q&A” tab in NetSpoke and type in your question; the speakers will address your question via phone

2) Ask your question via phone

The National Association of County and City Health Officials (NACCHO)

Presents

Building and Maintaining Local Health Department Partnerships with Area Agencies on Aging and Other

Local Aging Organizations

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