California Department of Aging CDA Initiatives California Community Choices Advisory Committee Septe

1
California Department of Aging (CDA)
Initiatives California Community Choices
Advisory CommitteeSeptember 3, 2009
2
Update CDA Initiatives - Past, Present, Future

• Aging Disability Resource Connection (ADRC)
• Evidence-Based Health Promotion
• Alzheimers Disease Grants
• MIPPA Grant

3
CDA ADRC Grants

• Initial Year 3 CMS Administration on Aging
  (AoA) ADRC Grant July 2004 June 2007
  Extended to June 2008
• First Supplemental AoA Grant October 2006 June
  30, 2009
• Final Supplemental AoA Grant October 2007 June
  30, 2009

4
Californias Aging Disability Resource Connection
(ADRC) Grants

• Supported establishment of four ADRCs serving
  multiple communities in California
• 1. San Diego City County PSA 23
• 2. Del Norte Humboldt Counties PSA 1
• 3. San Francisco City County PSA 6
• 4. Five-County area Butte, Colusa, Glenn,
• Plumas Tehema Counties PSA 3

5
CDAs ADRC Initiative

• Partnership between Independent Living Centers
  Area Agencies on Aging
• Last AoA Grant (2007-2009) Supported
  transitioning nursing home residents to community
  home setting in partnership with Ombudsman Program

6
CDAs ADRC Initiative Future

• Funding ended June 30, 2009
• Future Continue to support ADRCs through
  participation in CHHS Agency ADRC Coalition

7
Evidence-Based Health Promotion (EBHP) Initiative

• In 2006, AoA funded 16 states, including
  California, for the period 10/1/2006 to
  7/31/2009
• Opportunity for one-year supplemental grant to
  expand project 8/1/2009-7/31/2010 is now in
  process Status??
• EBHP Initiative Goal To create a statewide
  network of public private partnerships to
  implement sustain evidence-based health
  promotion programming

8
Evidence-Based Proven to Work

• Program/Intervention that
• Replicates a specific intervention tested through
  randomly controlled trials (RCT)
• Results published in peer-reviewed journals
• Proven to work through extensive research and
  evaluation

9
Evidence-Based Proven to Work

• Maintain fidelity to the original program design
• Reach the maximum number of older adults who are
  at risk and can benefit from the programs

10
EBHP Initiative

• Empower older adults to enhance their health,
  wellbeing quality of life
• Reduce unnecessary health care utilization,
  especially ER/hospitalization

11
Evidence-Based Health Promotion Programs

• Stanfords Chronic Disease Self-Management
  (CDSMP) also know in California as Healthier
  Living
• The Matter of Balance, a fall prevention program
• Healthy Moves
• Medication Management

12
EBHP Grant Key Partners

• Partners in Care Foundation
• California Department of Health Care Services
• Area Agencies on Aging (AAAs)
• Others

13
EBHP Initiative Other Partners

• California Association of Physician Groups (CAPG)
• Kaiser Permanente of Southern California
• Catholic Healthcare West (CHW)
• Eskaton Senior Services
• The HealthTrust (Santa Clara County)
• WECARE
• California Community Colleges Educators of Older
  Adults (CCCEOA)

14
EBHP Initiative

• Initial five counties Fresno, Madera, Los
  Angeles, Sonoma, San Diego
• Currently expanded into following counties
  Humboldt, Kern, Nevada, Orange, Riverside,
  Sacramento, San Bernardino, San Francisco, San
  Luis Obispo, San Mateo, Santa Barbara, Santa
  Clara, Ventura, and Yolo County

15
Current Alzheimers Disease (AD) Grants

• Key Partners Alzheimers Association Chapters in
  California
• Three Grants
• Two Evidence-Based Grants and
• One Innovations Grant
• Key component of all grants Funds Direct
  Service to persons with Alzheimers

16
Alzheimers Grants

• Goals
• Enhance Caregiver skills confidence
• Reduce Caregiver stress burden
• Enhance persons with Alzheimers ability to live
  safely in community and reduce/delay likelihood
  of nursing home placement

17
Alzheimers Grants

• First Evidence-Based Alzheimers Disease Grant
• Term 10/1/2007 9/30/2009
• Implementation of Cuidando con Respeto
  Culturally linguistically transformed version
  of Savvy Caregiver
• Savvy Caregiver researcher Ken Hepburn

18
Alzheimers Grants

• Savvy Caregiver Evidence-based
• Group process that
• Provides caregivers with training/basic knowledge
  and skills needed to carry out their role in
  caring for someone with AD
• Has been proven to increase caregiver skills
  confidence, reduce stress and provide increased
  access to supportive services

19
Alzheimers Grants

• Second Alzheimers Evidence-Based Grant
• Term 10/1/ 2008 9/30/2011
• Implementation of Savvy Caregiver statewide to an
  English-speaking, ethnically diverse population
• Evaluation of results reported to AoA

20
Alzheimers Grants

• Alzheimers Innovations Grant
• Term 10/1/2008 3/31/2010
• Expansion of Dementia Care Network model in to
  Vietnamese Community in Orange County and Latino
  Community in LA County
• Dementia Care Network Care Advocates provide
  access to supportive services for persons with
  Alzheimers and their families/caregivers

21
Pending New Alzheimers Grant

• Third Evidence-Based Grant
• Proposal submitted to AoA July 2009
• If funded 3-YearTerm Sept 1, 2009 August 31,
  2012
• Goal Statewide implementing of New York
  University Caregiver Intervention (NYUCI) program
  that has been proven to
• Reduce caregiver stress and
• Delay nursing home placement
• Grant Status Not yet known

22
NYUCI Alzheimers Program

• Developed by Dr. Mary Mittleman at NYU
• Randomized control trial (RCT)
• Six sessions of individual and family counseling
  within 4-month period
• Support Groups
• Contact with counselor as needed

23
New Medicare Improvements for Patients
Providers Act (MIPPA)

• Recently Received 2-year MIPPA Grant from AoA and
  CMS for Beneficiary Outreach Assistance
• Requires Collaboration/Coordination between
  HICAP, AAAs and ADRCs
• Funds enhanced outreach for Medicare
  Beneficiaries focusing on Medicare Part D
• People Eligible for Low Income Subsidy Program
  (LIS) and Medical Savings Program (MSP)
• Beneficiaries residing in rural areas

24
MIPPA Grant Timeframe

• Term 6/1/2009 5/31/2011
• Funds available upon approval of work plan
  submitted to CMS AoA
• Continuing Funding upon approval of First Phase
  Report submitted nine months after Project Start
  Date

25
CDA Grants Link to ADRCs

• EBHP Grant ADRCs are an important link for
  access to information about health promotion and
  disease prevention programs
• Alzheimers Grant One grant enabled Alzheimers
  Association chapters to provided training to ADRC
  staff in San Diego and Del Norte counties.
  Unfortunately, funding reduction limited
  expansion to other ADRCs.
• MIPPA Grant funding for 4-ADRCs

26
Future CDA Initiative

• CDA Website Link
• In planning stage
• Site for posting schedule for
• EBHP and
• Alzheimers Programs
• Accessible for referrals by ADRC and AAA IA,
  physician offices and others

27
CDA Contact

• Janet Tedesco, Grants Specialist
• California Department of Aging
• jtedesco_at_aging.ca.gov
• [phone]