Healthy Aging- A Providers Perspecve - University of California,...
Transcript of Healthy Aging- A Providers Perspecve - University of California,...
Healthy Aging- A Providers Perspec6ve
TechnologiesforHealthyAging
CAlIT2—UCIrvine
November11,2016
MargaritaPereyda,MD
NATIONAL HIGHLIGHTS
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v Individualsaged65andovernumbered46.2millionin2014.
v Between2004and2014thepopulaKonage60andoverincreased32.5%.v Personsreachingage65haveanaveragelifeexpectancyofanaddiKonal
19years.
v Olderwomenoutnumberoldermenbyabout5million.
v About29%(13.3million)ofnoninsKtuKonalizedolderpersonslivealone.
• PrincipalsourcesofdatafortheProfilearetheU.S.CensusBureau,theNaKonalCenterforHealthStaKsKcs,andtheBureauofLaborStaKsKcs
NATIONAL HIGHLIGHTS- ECONOMIC STATE
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v Medianmoneyincomeofallhouseholdsheadedbyolderpeopledeclinedby2.7%between2013and2014.
v Householdscontainingfamiliesheadedbypersons65+reportedamedianincomeof$54,838in2014.
v Themajorsourcesofincomeasreportedbyolderpersonsin2013were:• SocialSecurity(reportedby84%ofolderpersons)• incomefromassets(reportedby51%)• privatepensions(reportedby27%)• governmentemployeepensions(reportedby14%)• earnings(reportedby28%)
v SocialSecurityconsKtuted90%ormoreoftheincomereceivedby35%ofbeneficiariesin2013(21%ofmarriedcouplesand46%ofnon-marriedbeneficiaries).
v Over4.5millionolderadults(10%)werebelowthepovertylevelin2014.
CALIFORNIA STATISTICS
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CALIFORNIA STATISTICS
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CALIFORNIA STATISTICS
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CALIFORNIA STATISTICS
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CALIFORNIA STATISTICS
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COMPARATIVE SLIDES LA AND CA
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COMPARATIVE LA AND CA DISABILITY
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ORANGE COUNTY SNAPSHOT
✚ ThelargestpercentageofgrowthintheolderadultpopulaKonisinthe60-64agecohort.
✚ ThemedianhouseholdincomeofOrangeCounty’solderadultpopulaKonwas$47,992in2009.
✚ ThemedianpaymentfromSocialSecurityis$12,461,andthemaximumSupplementalSecurityIncomepaymentis$10,440.
✚ 44%ofolderadultsinOCareconsideredeconomicallyinsecure(fallbelowElderIndex).
✚ 79percentofolderadultsinOrangeCountyowntheirownhomes.
Source:OCGovernmentOfficeonAging
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AnIncreasinglyAgingPopula2onputsAddi2onalPressureonourNa2onal
ResourcesforProvidingCare
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U.S.HealthCareExpendituresweremorethan1002meshigherin
2014thanin1960
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U.S.HealthCareCostshaveConsumedanIncreasinglyGreaterShareofourNa2on’sEconomic
Resources
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WITHIN TEN YEARS, PUBLIC PROGRAMS WILL COVER 56% OF ALL AMERICANS
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72 91 93
50
62 727
1421
1 2 3
CHIP
Medicaid
Medicare
Exchange
Source:HMA,2014.
134Million(42%ofAmericans)
172Million(52%ofAmericans)
191Million(56%ofAmericans)
MEDICARE AND MEDICAID UNDER A NEW ADMINISTRATION
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TheAffordableCareAct,
MedicareandMedicaid
WHAT IMPACTS HEALTH OUTCOMES?
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HealthCare10%
EnvironmentalExposure
5%
Gene2cPredisposi2on
30%
SocialCircumstances
15%
BehavioralPaWerns40%
Source:Schroeder,StevenA.WeCanDoBecer–ImprovingtheHealthoftheAmericanPeople.NEnglJMed2007;357:1221-8
SOCIAL DETERMINANTS OF HEALTH
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TheSocialDeterminantsofHealth
Education
LINK•AGE SURVEY 2013
✚ Papersurvey✚ Distributedto3782olderadultsaged55-100+✚ Another233(29%)completeditonline✚ Totalof1114individualsresponded:
✚ 76%werewomen✚ 67%wereovertheageof70✚ 70%oftherespondersreportedtheylivealone✚ 57%oftherespondershadannualincomesunder$25,000
✚ 60%werelivinginseniorhousingcommuniKes
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LEVERAGING TECHNOLOGY
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LINK•AGESURVEY2013DATA
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LEVERAGING TECHNOLOGY
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LINK•AGESURVEY2013DATA
LEVERAGING TECHNOLOGY
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LINK•AGESURVEY2013DATA
PROVIDER PERSPECTIVE
✚ MEDICATIONMANAGEMENT/ADHERENCE✚ CARECOORDINATION/COMMUNICATIONANDCARETRANSITIONS✚ POPULATIONHEALTH/RISKMANAGEMENT✚ CAREGIVEREDUCATIONANDSUPPORT✚ ACTIVITYMONITORING/EMERGENCYRESPONSE
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OPPORTUNITIES FOR STAKEHOLDERS
✚ ConnectedSeniorsseebenefitsforimprovedsocialinteracKons✚ PayerswilllikelybeopentosafetyandwellnessopKons✚ CaregiversandProviders
✚ CommunicaKon✚ Training✚ TransiKonsofcare✚ CoordinaKonofcare
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SUPPORT, TRAINING, AND CONSUMER INPUT
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