2. What you’ll learn Overview: Council on Aging and the Aging Network Long-term care: what is it and why does it matter? How we can help you How you can be involved in Fair Care Ohio
3. I. Overview: Council on Aging and the Aging Network
4. Our mission & vision Mission: Enhance the lives of adults by assisting them to remain independent at home through a range of quality services 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
5. About Council on Aging “I told them at the nursing home, ‘I love you guys, but I gotta go home.’” - Stepheny
6. Experts on Aging 40 years serving older adults, families and caregivers State-designated Area Agency on Aging since 1974 Butler, Clermont, Clinton, Hamilton and Warren One of largest non-profits in our region – not a government agency High standards: results, ethics and quality
7. Area Agencies on Aging Your connection to info and services for older adults and caregivers Ohio has 12 regional “Planning and Service Areas”, each with its own Area Agency on Aging (AAA) More than 600 AAAs nationwide SW Ohio AAA = Council on Aging It’s easy to find your AAA: www.eldercare.gov 1-800-677-1116
8. The AAA difference Area Agencies on Aging: Create choices in how and where people receive long-term care. Advocate for systemic changes that improve the lives of older adults. Are central, unbiased resource for older adults, caregivers, community
9. U.S. Administration on Aging Regional Office on Aging (10 in U.S.) State Unit on Aging – Ohio Dept of Aging (ODA) Area Agencies on Aging (AAA)COA and 11 others in Ohio Local Service Providers Ohio’s Older Adults The Aging Network
10. What we do "We are really happy to get the help...there's more than we can do ourselves."
11. What we do… Assistance: Help older adults stay in their homes and communities Advocacy: reform Ohio’s long-term care system Answers on Aging: Aging and Disability Resource Connections Outreach, education: including help with planning for long-term care
12. Programs and Initiatives Housing support services Long-term Care Consultations Nursing home diversion and transition from hospitals to home (care transitions) Nursing home pre-admission review Older Americans Act services (nutrition, wellness, transportation, legal help and more) Advocacy ADRC Call Center Caregiver support Educational events and outreach Home and community-based services Assisted Living Waiver Elderly Services Program PASSPORT
13. COA by the numbers - 2010 20,145 clients receiving in-home services Nearly 2 million home-delivered meals (to 11,371 homebound older adults) 1.9 million hours of in-home care 253, 167 trips to doctors, senior centers 21,580 requests for information about help for seniors 321 education and support sessions with caregivers 46 advocacy meetings with clients and elected officials From 2010 annual report
16. What islong-term care? It’s help with basic activities of daily living for an extended period of time. Activities of Daily Living (ADL) Instrumental Activities of Daily Living (IADL)
17. In the past… Long-term care took place in a nursing home.
18. Today… People age 65+: Only 5% live in group quarters, like nursing homes Source: AARP/U.S. Census Bureau Credit: Alyson Hurt/NPR
19. Settings for long-term care In own home or caregiver’s home Group homes or informal congregate arrangements Subsidized housing for seniors Adult day center Continuing Care Retirement Community Assisted Living – stand-alone or part of CCRC or nursing home Nursing home
20. Why the change? Better health and longevity Medical advances Universal design and assistive technologies Long-term care insurance Caregiving/cultural shift Quality of life expectations, desire for independence and privacy Continuing-care retirement communities
21. Long-term care matters Reason #1: You’ll probably need it. Source: survey by Age Wave and Harris Interactive for Genworth Financial
22. Even if you think you won’t Only 37% of seniors think they will need LTC. In fact, about 70% actually will need care for some period of time. 90+% of seniors have not discussed w/ spouse or children how they will pay for care, or what care options they prefer.
23. Long-term care matters Reason #2: if you’re a taxpayer, you’re already paying for long-term care.
28. COA Programs and Services “I love being able to stay in my own home. It means something to my heart.” - Ruth
29. Typical home care client Single woman in her 70s or 80s Needs help with bathing, cooking, cleaning, dressing, shopping Lives on a fixed income Family and friends pitch in to help out, but it’s not enough Family is concerned it’s not safe for her to live at home by herself
30. COA home care: PASSPORT and Elderly Services Program Care management Adult day services Caregiver respite Companion service Emergency response device Homemaking Home-delivered meals Home modifications Independent living assistance Personal care Major housecleaning/pest control Medical equipment and supplies Transportation
31. PASSPORT Prevents unnecessary nursing home placement Must be at least 60 years old Low income and assets (Medicaid-eligible) Frail : Need hands-on help with dressing, bathing, toileting, grooming, eating or mobility (2 or more of these) Able to remain safely at home with doctor’s consent Ineligible for services from another source: Medicare, private pay, insurance or hospice Free of charge or set at affordable level depending on financial situation Served 3,851 in 2010 (5 counties)
32. PASSPORT client “Without the program, I’d be in a nursing home somewhere. I cannot do for myself…but I do have people who love me.” Katie, PASSPORT client with her COA care manager
33. Elderly Services Program (ESP) County-based in-home care for those who do not qualify for PASSPORT Allows wider range of disabilities than PASSPORT Income is not an eligibility factor Available in Butler, Clinton, Hamilton and Warren counties (Clermont- separate program) Supported by local tax levies – you pay for this service, you should use it! Served 14,283 in 2010 (4 counties)
34. ESP continued… 65 or older (60 in Warren Co.) Impaired in everyday activities such as bathing and preparing food Free of charge or set at affordable level depending on income Flexible, individual care plan + care management Caregiver support Ineligible for services through another source/payer
35. Elderly Services Program client “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).” Nellie and Noble, Hamilton County ESP clients, with aide Pat
36. Assisted Living Waiver Private, apartment living with supportive services. Provides care for Medicaid-eligible adults in approved assisted living facilities. An alternative for people who need more care than PASSPORT or Elderly Services Program, but not a nursing home. Marian and daughter Carol “I love it here. I don’t think you could ask for something much better than this.” Marion, Assisted Living Waiver client
37. Assisted Living Waiver Services: Private rooms w/bath and kitchen 24-hr on-site response Meals Care Management Homemaking Personal Care Social Activities Community Transition Service
38. Assisted Living Waiver Eligibility: age 21 or older Need same level of care as PASSPORT (frail) And currently: A nursing facility resident, or receiving care through another Medicaid waiver program (PASSPORT), or an assisted living resident who has paid privately for at least six months
39. Home-delivered Meals Based on nutritional, not financial need Age 60 or older Unable to prepare a meal or get to a congregate meal site Spouses eligible Donations welcome
40. Caregivers are the foundation of our long-term care system “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
41. Help for caregivers Council on Aging Caregiver Support Program Homevisit from RN for teaching about medications, diabetic care, bathing, stress and more Must provide care for someone 60+ OR be a caregiver over the age of 60 Instruction manual and resource guide All offered as a public service
42. HOME: Repairs/Modifications Free home repairs and safety modifications for low-income homeowners and renters age 60+ Funded by Ohio HousingTrust Fund Money available!
43. Own Your Future Long-term care planning is a gift for you and your family Planning ahead means peace of mind, awareness of options, better decisions. Help from COA: Free Long-term Care Consultations (any age) Information, planning guide, and important links at www.help4seniors.org Educational workshops/seminars
44. Next upcoming… Own Your Future Workshop SeriesStop worrying and start planning 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: www.help4seniors.org or (513) 345-3367
47. Focusing on the issues We work with elected officials and leaders on issues of importance to older adults and caregivers. Balancing Ohio’s long-term care system Promoting choice Saving tax dollars Improving quality of life for older adults Housing Bed bugs
48. Advocacy Victory Rebalancing Long-term Care in Ohio Fair Care Ohio: Nearly 50,000 Ohioans spoke up so older adults could have choices for long-term care 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 Ohio’s long-term care spending balance will soon be 58% to 42% (institutional vs. home/community care)
49. Still more to be done… Ohio still exceeds the national average in nursing home admissions Ohio’s 60+ population will grow 25% by 2020 and will nearly double by 2040 The new budget puts us closer to the national average, but we can do better 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
51. Fair Care Ohio 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. Write, call, send e-mails, stay up-to-date, all through Fair Care Ohio www.faircareohio.org
52. Need help? “I tried to take care of my own problems, but sometimes you just make it worse so you have to get help.” - Patrick
53. Don’t go it alone Call us for Answers on Aging 513-721-1025 513-651-0691 TTY 800-252-0155 www.help4seniors.org Tell others about COA
56. Thank you! Paula Smith Communications Specialist 513-345-3315 psmith@help4seniors.org Laurie Petrie Communications Director 513-345-3393 lpetrie@help4seniors.org
Notes de l'éditeur
Or perhaps you see caregiving in your future and your parents will need it.
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.
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
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
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.
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