healthy aging in massachusetts: pathways to life long wellness walter leutz, ph.d. associate...
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Healthy Aging in Massachusetts:Pathways to Life Long Wellness
Walter Leutz, Ph.D.Associate ProfessorHeller School of Social Policy and ManagementBrandeis UniversityWaltham, MA
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Structure of Initiative
• Tufts Health Plan Foundation funding for planning - Spring 2009
• Mass Health Policy Forums– Issue Briefs– Conferences
• Steering Committee and Subcommittees• Consensus plan
MHPF is a collaboration of the Schneider Institutes for Health Policy at the Heller School for Social Policy and Management, Brandeis Universityhttp://masshealthpolicyforum.brandeis.edu
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First Issue Brief - September 2009
Questions:• What is "Healthy Aging"?• What programs and policies support HA? • What's happening in MA with HA?
Methods:• Research review• Interviews
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Ingredients of Healthy Aging
Healthy AgingSeniors will ….
Be physically activeBe socially engaged
Lead meaningful lives
Be pro-active about health
Have good dietsFeel safe and secure
And….Communities will support older
adults to achieve these goals
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Health Promotion
Physical, Organizational,
and Social Environment
Individual Behavior
HealthyAging
The Social - Ecological Model of Healthy Aging
This forum is cosponsored and made possible by: Policy
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The Social ContextHealth Care
Long-term CareCommunity Agencies
Social NetworksFamilies
Older Adults
Empowerment, Interdependence,and Health
EMPOWERMENT
INTERDEPENDENCE
Empoweringprograms
Empoweredolder adults
Strongcommunityorganizations& supportedfamilies
Coordinatedservices &transitions
Healthy Aging
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What’s Happening in MA?
• Rolling out Evidence-based HA programs - NCOA, AoA, and ARRA grants
• Aging Network and Health Department leadership
• AAAs, Councils on Aging, & others on the frontline
• Existing healthy communities efforts
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Challenges to the Aging Network
• Evidence-based HA efforts ask the Network to use resources to save resources in health care
• Will the partners in this system collaborate?
• Will the health care system (or someone) pay up?
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Can the Network maintain this infrastructure?
October 2009
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December 2009 Forum
• 300+ in attendance• Wide range of agencies and interests• Tufts Health Plan Foundation extended its support for
HA: A Steering Committee Second Forum and Issue Brief
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Steering Committee
• Composition:
State agency staff
Health and aging services providers
Advocates
Researchers/academics
• Conveners: THPF & MHPF
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2010 Steering Committee Meetings• March - Ideas about key elements of a HA strategy
• May - Ideas for actions on elements
• June - Decided on Core & Cross-cutting elements & to have subcommittees & Forum speakers for Core
Core elements: Evidence-based programs, Public awareness, and Healthy Aging communities
Cross-cutting elements: Systems linkages, Older adult engagement, Evaluation, and Leadership
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September 2010 Forum
• MA state agency speakers:• Ruth Palumbo - State Unit on Aging Assistant Secretary
• Lauren Smith - Health Dept Chief Medical Officer
• Outside expert speakers:• Evidence-based programs - Gerry MacKenzie, NJ Department of Health and Senior Services
•Jennifer Wallace-Brodeur, AARP Vermont
•John Beilenson, Strategic Communications & Planning
• Launch Subcommittees
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General Purposes of Subcommittees
• Develop plans for strengthening HA programming in the area
• Account for the related work by state and local government, providers, advocates, & others
• Interface with the other sub-committees
• Address systems linkages, evaluation, older adult engagement, & leadership
• Be politically & financially feasible & sustainable
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Timeline• Nov 2010 - March 2011 Subcommittee
meetings
•March - May 2011 Draft Project Plans
•June 2011 Present Plan to HA Steering Committee
•Latter part of 2011 Launch Statewide HA Initiative at 3rd
Forum
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Progress to Date:Public Awareness Subcommittee
• General ideas
• Improve images of older adults
• Raise awareness of benefits of physical activity and social involvement
• Consider a broad range of traditional and alternate media
• Specific recommendations will be developed to support the work of other two subcommittees
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Progress to Date:Healthy Aging Programs Subcommittee• Context: Dissemination of HA programs statewide, including training 1,700 in CDSM through ARRA grant
• Micro issues: The nuts and bolts
• Get more master trainers to rural areas
• Address variations in completion rates
• Identify and disseminate best practices
• Macro issues: Environmental change
• Lack of funding, space, employees
• Getting attention, buy-in, and funding at state level
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Progress to Date:HA Communities Subcommittee
• Develop road map(s) or model(s) for communities
• Suggest leaders and stakeholders who may be involved
• Specify minimum of organizational and financial resources to start, maintain, and spur on the initiative
• Include HA program agencies and participants as appropriate
• Include evaluation, reporting, and dissemination
• Public-private collaboration and cross-cutting elements
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Next Steps
• Subcommittees complete plans
• Steering Committee reviews and votes on plans
• Third Issue Brief and Forum on a state-wide strategy
• Launch the strategy - Fall 2011