Answers on Aging

Answers on Aging,[object Object]
What you’ll learn,[object Object],Overview: Council on Aging and the Aging Network,[object Object],Long-term care: what is it and why does it matter?,[object Object],How we can help you,[object Object],How you can be involved in ,[object Object],	Fair Care Ohio,[object Object]
I. Overview: ,[object Object],Council on Aging and ,[object Object],the Aging Network,[object Object]
Our mission & vision,[object Object],Mission: Enhance the lives of adults by assisting them to remain independent at home through a range of quality services,[object Object],Vision: Every senior adult in our region shall have a choice and range of services that will assist them to remain independent in their chosen environment,[object Object]
About Council on Aging,[object Object],“I told them at the nursing home, ‘I love you guys, but I gotta go home.’” -  Stepheny,[object Object]
Experts on Aging,[object Object],40 years serving older adults, families and caregivers,[object Object],State-designated Area Agency on Aging since 1974,[object Object],Butler, Clermont, Clinton, Hamilton and Warren,[object Object],One of largest non-profits in our region – not a government agency,[object Object],High standards: results, ethics and quality ,[object Object]
Area Agencies on Aging,[object Object],Your connection to info and services for older adults and caregivers,[object Object],Ohio has 12 regional “Planning and Service Areas”, each with its own Area Agency on Aging (AAA),[object Object],More than 600 AAAs nationwide,[object Object],SW Ohio AAA = Council on Aging,[object Object],It’s easy to find your AAA:,[object Object],,[object Object],1-800-677-1116,[object Object]
The AAA difference,[object Object],Area Agencies on Aging: ,[object Object],Create choices in how and where people receive long-term care.,[object Object],Advocate for systemic changes that improve the lives of older adults.,[object Object],Are central, unbiased resource for older adults, caregivers, community,[object Object]
U.S. Administration on Aging,[object Object],Regional Office on Aging (10 in U.S.),[object Object],State Unit on Aging – Ohio Dept of Aging (ODA),[object Object],Area Agencies on Aging (AAA)COA and 11 others in Ohio,[object Object],Local Service Providers,[object Object],Ohio’s Older Adults,[object Object],The Aging Network,[object Object]
What we do,[object Object],"We are really happy to get the help...there's more than we can do ourselves.",[object Object]
What we do…,[object Object],Assistance: Help older adults stay in their homes and communities,[object Object],Advocacy: reform Ohio’s long-term care system,[object Object],Answers on Aging: Aging and Disability Resource Connections,[object Object],Outreach, education: including help with planning for long-term care,[object Object]
Programs and Initiatives,[object Object],Housing support services,[object Object],Long-term Care Consultations,[object Object],Nursing home diversion and transition from hospitals to home (care transitions),[object Object],Nursing home pre-admission review,[object Object],Older Americans Act services (nutrition, wellness, transportation, legal help and more),[object Object],Advocacy,[object Object],ADRC Call Center,[object Object],Caregiver support,[object Object],Educational events and outreach,[object Object],Home and community-based services,[object Object],Assisted Living Waiver,[object Object],Elderly Services Program,[object Object],PASSPORT,[object Object]
COA by the numbers - 2010,[object Object],20,145 clients receiving in-home services ,[object Object],Nearly 2 million home-delivered meals (to 11,371 homebound older adults),[object Object],1.9 million hours of in-home care,[object Object],253, 167 trips to doctors, senior centers,[object Object],21,580 requests for information about help for seniors,[object Object],321 education and support sessions with caregivers,[object Object],46 advocacy meetings with clients and elected officials,[object Object],From 2010 annual report,[object Object]
II. Long-term care: ,[object Object],what is it and why does it matter?,[object Object]
What is long-term care?,[object Object]
What islong-term care?,[object Object],It’s help with basic activities of daily living for an extended period of time.,[object Object],Activities of Daily Living (ADL) ,[object Object],Instrumental Activities of Daily Living (IADL),[object Object]
In the past…,[object Object],Long-term care ,[object Object],took place in a ,[object Object],nursing home.,[object Object]
Today…,[object Object],People age 65+: ,[object Object],Only 5% live in group quarters, like nursing homes,[object Object],Source: AARP/U.S. Census Bureau,[object Object],Credit: Alyson Hurt/NPR,[object Object]
Settings for long-term care,[object Object],In own home or caregiver’s home,[object Object],Group homes or informal congregate arrangements,[object Object],Subsidized housing for seniors,[object Object],Adult day center,[object Object],Continuing Care Retirement Community,[object Object],Assisted Living – stand-alone or part of CCRC or nursing home,[object Object],Nursing home,[object Object]
Why the change?,[object Object],Better health and longevity,[object Object],Medical advances,[object Object],Universal design and assistive technologies ,[object Object],Long-term care insurance ,[object Object],Caregiving/cultural shift,[object Object],Quality of life expectations, desire for independence and privacy,[object Object],Continuing-care retirement communities,[object Object]
Long-term care matters,[object Object],Reason #1: ,[object Object],You’ll probably need it.,[object Object],Source: survey by Age Wave and Harris Interactive for Genworth Financial,[object Object]
Even if you think you won’t,[object Object],Only 37% of seniors think they will need LTC. In fact, about 70% actually will need care for some period of time. ,[object Object],90+% of seniors have not discussed w/ spouse or children how they will pay for care, or what care options they prefer.,[object Object]
Long-term care matters,[object Object],Reason #2: if you’re a taxpayer, you’re already paying for long-term care.,[object Object]
Who pays for LTC?,[object Object]
Private pay nursing home residents going broke,[object Object],% who go on Medicaid after periods of time in NH; source: Scripps Gerontology Center, 2007,[object Object]
Every taxpayer should know: Let’s compare costs…,[object Object],Average monthly costs per person,[object Object],Home care,[object Object]
III. How can Council on Aging help you?,[object Object]
COA Programs and Services,[object Object],“I love being able to stay in my own home.  It means something to my heart.” - Ruth,[object Object]
Typical home care client,[object Object],Single woman in her 70s or 80s,[object Object],Needs help with bathing, cooking, cleaning, dressing, shopping,[object Object],Lives on a fixed income,[object Object],Family and friends pitch in to help out, but it’s not enough,[object Object],Family is concerned it’s not safe for her to live at home by herself,[object Object]
COA home care: PASSPORT and Elderly Services Program,[object Object],Care management,[object Object],Adult day services,[object Object],Caregiver respite,[object Object],Companion service,[object Object],Emergency response device,[object Object],Homemaking,[object Object],Home-delivered meals,[object Object],Home modifications,[object Object],Independent living assistance ,[object Object],Personal care,[object Object],Major housecleaning/pest control,[object Object],Medical equipment and supplies ,[object Object],Transportation,[object Object]
PASSPORT,[object Object],Prevents unnecessary nursing home placement,[object Object],Must be at least 60 years old,[object Object],Low income and assets (Medicaid-eligible),[object Object],Frail : Need hands-on help with dressing, bathing, toileting, grooming, eating or mobility (2 or more of these) ,[object Object],Able to remain safely at home with doctor’s consent ,[object Object],Ineligible for services from another source: Medicare, private pay, insurance or hospice,[object Object],Free of charge or set at affordable level depending on financial situation,[object Object],Served 3,851 in 2010 (5 counties),[object Object]
PASSPORT client,[object Object],“Without the program, I’d be in a nursing home somewhere. I cannot do for myself…but I do have people who love me.”,[object Object],   	Katie, PASSPORT client with her COA care manager,[object Object]
Elderly Services Program (ESP),[object Object],County-based in-home care for those who do not qualify for PASSPORT ,[object Object],Allows wider range of disabilities than PASSPORT,[object Object],Income is not an eligibility factor,[object Object],Available in Butler, Clinton, Hamilton and Warren counties (Clermont- separate program),[object Object],Supported by local tax levies – you pay for this service, you should use it!,[object Object],Served 14,283 in 2010 (4 counties),[object Object]
ESP continued…,[object Object],65 or older (60 in Warren Co.),[object Object],Impaired in everyday activities such as bathing and preparing food,[object Object],Free of charge or set at affordable level depending on income,[object Object],Flexible, individual care plan + care management,[object Object],Caregiver support,[object Object],Ineligible for services through another source/payer,[object Object]
Elderly Services Program client,[object Object],“I thought I could do without help but I found out I couldn’t.  I would tell people, ‘Don’t wait as long as I did to get help.’ I don’t know what I did without Pat (home health aide).”,[object Object],Nellie and Noble, Hamilton County ESP clients, with aide Pat,[object Object]
Assisted Living Waiver,[object Object],Private, apartment living with supportive services.,[object Object],Provides care for Medicaid-eligible adults in approved assisted living facilities. ,[object Object],An alternative for people who need more care than PASSPORT or Elderly Services Program, but not a nursing home.,[object Object],Marian and daughter Carol,[object Object],“I love it here.  I don’t think you could ask for something much better than this.” Marion, Assisted Living Waiver client,[object Object]
Assisted Living Waiver,[object Object],Services:,[object Object],Private rooms w/bath and kitchen,[object Object],24-hr on-site response,[object Object],Meals,[object Object],Care Management,[object Object],Homemaking,[object Object],Personal Care,[object Object],Social Activities,[object Object],Community Transition Service,[object Object]
Assisted Living Waiver,[object Object],Eligibility:,[object Object],age 21 or older,[object Object],Need same level of care as PASSPORT (frail),[object Object],And currently:,[object Object],A nursing facility resident, or,[object Object],receiving care through another Medicaid waiver program (PASSPORT), or,[object Object],an assisted living resident who has paid privately for at least six months,[object Object]
Home-delivered Meals,[object Object],Based on nutritional, not financial need,[object Object],Age 60 or older,[object Object],Unable to prepare a meal or get to a congregate meal site,[object Object],Spouses eligible,[object Object],Donations welcome,[object Object]
Caregivers are the foundation of our long-term care system,[object Object],“When you’re taking care of a loved one, you feel you are not adequate, that you should be doing better.”  - Maria, caregiver for her husband Julius,[object Object]
Help for caregivers,[object Object],Council on Aging Caregiver Support Program,[object Object],Homevisit from RN for teaching about medications, diabetic care, bathing, stress and more,[object Object],Must provide care for someone 60+ OR be a caregiver over the age of 60,[object Object],Instruction manual and resource guide,[object Object],All offered as a public service,[object Object]
HOME: Repairs/Modifications,[object Object],Free home repairs and safety modifications for low-income homeowners and renters age 60+,[object Object],Funded by Ohio HousingTrust Fund,[object Object],Money available!,[object Object]
Own Your Future,[object Object],Long-term care planning is a gift for you and your family,[object Object],Planning ahead means peace of mind, awareness of options, better decisions.,[object Object],Help from COA:,[object Object],Free Long-term Care Consultations (any age),[object Object],Information, planning guide, and important links at,[object Object],Educational workshops/seminars,[object Object]
Next upcoming…,[object Object],Own Your Future Workshop SeriesStop worrying and start planning ,[object Object],Get the facts and hear from experts on estate planning, legal issues, financial planning and long-term care choices Attend one or more sessions: Next session – spring 2012 Details and registration later at: or (513) 345-3367,[object Object]
IV. Fair Care Ohio:,[object Object],Getting involved ,[object Object]
Advocacy,[object Object]
Focusing on the issues,[object Object],We work with elected officials and leaders on issues of importance to older adults and caregivers. ,[object Object],Balancing Ohio’s long-term care system,[object Object],Promoting choice,[object Object],Saving tax dollars,[object Object],Improving quality of life for older adults,[object Object],Housing,[object Object],Bed bugs,[object Object]
Advocacy Victory,[object Object],Rebalancing Long-term Care in Ohio,[object Object],Fair Care Ohio: Nearly 50,000 Ohioans spoke up so older adults could have choices for long-term care,[object Object],Ohio’s 2012-13 budget increases PASSPORT and Assisted Living spending by $55.6 million over the next 2 yrs and allows 4,800 more seniors to access these programs,[object Object],Ohio’s long-term care spending balance will soon be 58% to 42% (institutional vs. home/community care),[object Object]
Still more to be done…,[object Object],Ohio still exceeds the national average in nursing home admissions,[object Object],Ohio’s 60+ population will grow 25% by 2020 and will nearly double by 2040 ,[object Object],The new budget puts us closer to the national average, but we can do better,[object Object],Ohio’s Area Agencies on Aging want a 50/50 balance of spending on nursing homes and home/community-based care = more care options for Ohioans and $$ savings for taxpayers,[object Object]
Take action! Get involved!,[object Object]
Fair Care Ohio,[object Object],We think Ohio's long term care system should be fair to the taxpayer and fair to the elderly.  Help us get the message to Ohio's legislators.,[object Object],Write, call, send e-mails, stay up-to-date, all through Fair Care Ohio,[object Object],,[object Object]
Need help? ,[object Object],“I tried to take care of my own problems, but sometimes you just make it worse so you have ,[object Object],to get help.” - Patrick,[object Object]
Don’t go it alone,[object Object],Call us for Answers on Aging,[object Object],513-721-1025,[object Object],513-651-0691 TTY ,[object Object],800-252-0155,[object Object],,[object Object],Tell others about COA,[object Object]
Visit us online and sign up for newsletter and updates,[object Object]
Stay in touch with COA!,[object Object]
Thank you!,[object Object],Paula Smith,[object Object],Communications Specialist,[object Object],513-345-3315,[object Object],,[object Object],Laurie Petrie,[object Object],Communications Director,[object Object],513-345-3393,[object Object],,[object Object]
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Answers on Aging

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Hinweis der Redaktion

  1. Or perhaps you see caregiving in your future and your parents will need it.
  2. Savings run out. You worked all life, don’t think this will happen to you or others, but – you can see that most people run through their savings pretty quickly. Also this doesn’t necessarily mean just one unbroken stay in NF. It could be accumulated over longer period via series of short stays.
  3. Community Transition Service – helps people who are leaving a nursing facility purchase essential household furnishingsWhere are these services available?Only Ohio licensed residential care facilities that offer private living units (one person per room, unless otherwise requested) with full, private baths, can offer this program.List on COA Web site
  4. New state budget (sfy 2012-13) shifts Ohio's ltc system toward more home/community care:proportion of Medicaid $ that Ohio spends on institutional care will drop from 64 to 58% while spending on home/community services will grow from 36 to 42%12,890 more Ohioans will receive Medicaid home and community based services instead of being admitted into an institution
  5. Current Ohio older population – about 2 millionNew LTC balance Puts us closer to the national average…but the conservative goal of AAA is 50/50Remember the cost slides from earlier in the presentation…home and community based options cost far less than nursing homes.
  6. Don’t forget to fill out our Stay in Touch cards.All we need is your e-mail address and county – no name, address or phone required. All communications are via web and email (no mailings) – cost-effective and fastOnly a few messages a year, enewsletter 3-4 times/yearWon’t share you information with anyone elseCan unsubscribe at anytime