STATE PLANNING GRANTS

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STATE PLANNING GRANTS
Deborah Burns Aging Services Program Specialist
Office of Community Based ServicesUS
Administration on Aging
James WhaleyDirector National Association of
State Units on Aging
4th State Units on Aging Nutritionists
Administrators Conference August 2006
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Project Outcomes

• Aging network move toward a coordinated,
  systematic and consistent planning process
• OAA State/AAA compliance plans reflective of
  comprehensive planning efforts of SUAs AAAs
• Purpose to demonstrate clear and purposeful
  methods of comprehensive State and area planning
  methodologies

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Comprehensive Plans Include

• All programs funding streams administered by
  the SUA and AAAs
• Programs services for older individuals
  administered by other state government agencies

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Comprehensive Plans Include 2

• AoA Strategic Action Plan goals
• AoA Initiatives
• ADRCs
• POMP
• Evidence-Based Prevention Programs
• Integration of long-term care services/planning
  within the State
• Incorporation of internet technology (IT) systems
  management into planning

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Project Conceived

• A cooperative effort among eight State grantees,
  AoA, and the technical consultant, NASUA
• A three year effort beginning, September 2005,
  with development, testing and implementation
  stages

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State Planning Grantees

• Arizona
• Florida
• Indiana
• Kentucky

• Minnesota
• North Carolina
• New Jersey
• Pennsylvania

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Arizona

• Arizona 2020
• Improve coordination consistency of the State
  AAA plans
• Use plans as strategic documents to strengthen
  organizational capacity
• Involve other state government agencies
• ADRC Pomp

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Florida

• Comprehensive planning model
• Uniform data collection, needs assessment
  outcome-measurement methodologies
• Development of web-accessible national planning
  database
• Involve other state agencies in the planning
  workgroups

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Indiana

• Test the AdvantAge Initiative as a state-level
  planning model
• Design create comprehensive demographic
  database
• Statewide randomized telephone survey
• 16 PSA Aging Summits

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Kentucky

• New State Area plan formats
• Develop statewide outcomes
• Improve coordination of area state plans
• Incorporate new client tracking system into the
  planning model

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Minnesota

• Develop a system-change/service-development
  planning model
• Establish web-based application reporting
  system
• Develop evidenced-based health promotion programs
  at the state local levels

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New Jersey

• Develop 3 nutrition program planning models
• Cost effective efficient program operations
• Integration of nutrition plans into the ADRC
  initiatives
• Service delivery for diverse populations

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North Carolina

• Coordinated Logic Model planning model for
  state and area plans
• Focus on client outcomes
• Integrate POMP into the planning model
• Link goals and features of AoA Strategic Action
  Plan to state AAA planning

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Pennsylvania

• Produce standard measurement model for each State
  Plan objective
• Develop local outcome measures
• Statewide adoption of Culturally and
  Linguistically Appropriate Standards (CLAS)
• How to guide on State Plan outcome measures

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First Year Activities of State Grantees

• The State PGP grantees have
• Brought together all stakeholders (including
  other State government agencies) and provided
  thorough orientation
• Developed/implemented various assessment/survey
  tools
• Reviewed best practices in areas relevant to each
  state

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1st Year State Grantee Activities 2

• Developed planning formats and upcoming plan
  updates
• Developed communication tools to enhance project
  discussions and information dissemination and
• Developed performance measurement strategies

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1st Year National Model Activities

• The Project Resource Center at NASUA has
• Developed and disseminated planning research
  briefs
• Convened expert panels
• Drafted elements of a national planning model
• Provided individual TA to grantee states

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New Jerseys Nutrition Project

• Three teams, each has developed its own logic
  planning model
• Program Operations
• Integration into ADRCs
• Service to Diverse Populations

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New Jersey Nutrition Project Program Operations

• Development of cost model(s) that allows for
  standardized budgets reporting
• Evaluation of the cost effectiveness of various
  cost options including purchasing methods, group
  buying, and volumepurchasing.

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New Jersey Nutrition Project Integration Into
ADRCs

• Current nutrition program assessment/ intake
  tools were collected and analyzed
• NJs ADRC IA/intake/assessment process tools
  also analyzed
• Gaps identified in the areas of race/ ethnicity,
  language spoken, and specialdiet needs.

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New Jersey Nutrition Project Integration Into
ADRCs 2

• Recommendations developed and forwarded to the
  ADRC Management Team 
• ADRC team identified 3 questions to be added to
  ADRC intake tool to assess need for a nutrition
  referral
• ADRC team developed position paper to support
  addition of Nutrition Risk Assessment tool to
  ADRC assessment tool

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New Jersey Nutrition Project Service to Diverse
Populations

• Assessing current program utilization and local
  demographics
• Assessing provision of cultural competency
  training to nutrition program staff
• Implementing initiatives to improve/expand
  service delivery to diverse populations.

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New Jersey Nutrition Planning Grant Contact

• Gerry McKenzie
• Geraldine.mackenzie_at_doh.state.nj.us
• 609-943-3499
• NJ Department of Health and Senior Services
• 240 West State Street
• P.O. Box 807
• Trenton, NJ 08512

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Minnesota Evidence Based Health Promotion Program

• A Cross-System Evidence-Based Partnership
• Falls prevention initiative with public and
  private partners
• Older Minnesotans
• fewer falls and fall-related injuries
• maximizing independence and quality of life

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MN Evidence Based Health Promotion Program
Objectives

• Increase awareness of the prevalence of and risk
  factors for falls
• Increase availability of evidence-based falls
  prevention programs that help older adults gain
  lower body strength and balance
• Increase access to these programs through
  frequent falls risk assessments and referrals
• Increase quality assurance efforts related to
  falls prevention activities

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MN Evidence Based Health Promotion Program
Enhanced "YouCan!" Model

• Developed by the Southeast Minnesota Area Agency
  on Aging
• Conducted at seven congregate dining sites (five
  in senior housing, one in a community center, and
  one in a senior center)
• Original model walking program and nutrition
  education
• Additional components chronic disease
  self-management education/exercises focused on
  lower body strength and balance (prevent falls)

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MN Evidence Based Health Promotion Program
Enhanced "YouCan!" Model 2

• Classes taught by teams including certified
  fitness trainers, physical therapy assistants and
  health care professionals
• Participants Average age 80-85 years (oldest
  96), 77 live alone, 20 live with spouse, 3
  live with other family members
• Outcome measures eating habits, level of
  physical activity, self-reported health status/
  appetite status, personal nutrition/physical
  activity goals, blood pressure, BMI, Timed Up and
  Go test, Timed Stands

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MN Evidence Based Health Promotion Program
Enhanced YouCan! Evaluation

• Individual screening information and group survey
  results shared with participants
• Participants/partners provide group and
  individual feedback on program structure,
  content, process
• Participants experienced significant improvement
  in physical activity levels, health status
  measures and self-reported health

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MN Evidence Based Health Promotion Program You
Can! Lessons Learned

• Worth the time and effort to track their health
  status throughout the program - Very motivating
  (Participants)
• Not difficult to ensure confidentiality of
  individual health information in order to comply
  with HIPAA requirements

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MN Evidence Based Health Promotion Program You
Can! Next Steps

• Share evidence with local health care purchasers
  and clinics
• Generate additional funding for the program
• Recruit more participants
• Expand to additional locations

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MN Evidence Based Health Promotion Program You
Can! Programs Contact

• Kari Benson
• Kari.benson_at_state.mn.us
• 651-431-2566
• MN Board on Aging
• P.O. Box 64976
• St. Paul, MN  55164-0976

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Plans for Year 2 and 3

• The second and third years of the project will
  involve field-testing and refining of the State
  and national models.
• The state grantees will be providing ongoing
  input for the national model from their
  individual projects, and will be tapped for
  review and refinement of the model beginning the
  fall of 2006.

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National Planning Grants Program Contacts

• Deborah Burns
• US Administration on Aging
• 202/357-3581
• Deborah.burns_at_aoa.hhs.gov
• James Whaley
• Technical Assistance Support Center
• 202/898-2578 ext 140
• jwhaley_at_nasua.org www.nasua.org/tasc