Status of Geriatric Health and Quality of Life for Older Adults in - - PowerPoint PPT Presentation

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Mar 10, 2024 45 likes •227 views

Status of Geriatric Health and Quality of Life for Older Adults in Rhode Island Review of AARP Foundation Scorecard and United Healthcare Report Dan Harris, BA MPH(c) Healthcentric Advisors School of Public Health, Brown University

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Status of Geriatric Health and Quality of Life for Older Adults in Rhode Island

Review of AARP Foundation Scorecard and United Healthcare Report

Dan Harris, BA MPH(c) Healthcentric Advisors School of Public Health, Brown University

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Presentation Goals

Describe the population of older adults living in Rhode Island Review and critique the AARP and United Healthcare reports’ methods Discuss the main findings Identify opportunities for intervention

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Aging in Rhode Island

“Demographic transition”

14.4% 15.9% 18.0% 20.7% 23.1% 24.5% 24.7% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 2010 2015 2020 2025 2030 2035 2040

Percent of Adults > 65

Source: RI Statewide Planning Projections, 2013

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Older Adults in Rhode Island (> 65)

Characteristic % White 92% Female 58% Income below poverty level 10% Living with a disability 35% Self-care difficulty 7% Difficulty ambulating 24% Lives alone 32%

Source: American Community Survey 2014

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“PICKING UP THE PACE OF CHANGE”

AARP State Scorecard: A systems approach

?

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Rhode Island’s Overall Rank 32

38

11 10

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Five AARP Domains

Affordability and Access Choice of setting and provider Quality of life and quality

f care

Support for family caregivers Effective transitions

34 30 24 22 35

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A National Leader In

Measure Rank 2017

Percent of long-stay nursing homes residents hospitalized within a six-month period (2014)

5

Support for working caregivers (2014-2016)

5

Medicaid services per 100 people with ADL disabilities (2012)

6

Percent of high-risk nursing home residents with pressure sores (2013)

12

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Positive Changes In

Measure Rank 2014 Rank 2017

Median annual nursing home private pay cost as a percentage of median household income age 65+

48 44

Percent of Medicaid and state LTSS spending going to HCBS for

lder people & adults w/ physical

50 44

Percent of high-risk nursing home residents with pressure sores (2013)

21 12

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Opportunities for Improvement

Showed no improvement from 2014 to 2017 reports

1. Medicaid aged long-term service users receiving

services in the community (2017 Rank 42)

2. Percent of home health patients with a hospital

admission (2017 Rank 30)

3. Percent of new nursing home stays lasting 100 or

more days (2017 Rank 43)

4. Percent of residents who successfully transition

back to the community after 90+ days in the nursing home (2017 Rank 46)*

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UNITED HEALTHCARE SENIOR REPORT

A “health” approach

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Selected Performance

Measure Rank Nursing home quality 6 Smoking 8 Obesity 8 Dental visits 14 Excessive drinking 19 Pain management 32 Physical inactivity 30 Poverty 42 Community support 45

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Strengths & Weaknesses

Strengths Weaknesses High SNAP enrollment Low percentage of volunteerism Nursing home quality Seniors in poverty Low prevalence of obesity Low community support expenditures

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Bridging the Reports:

Community Determinants

United Healthcare Report

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Bridging the Reports:

Community Determinants

United Healthcare Report AARP Report

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Discussion

Opportunities for upstream intervention(s)?

– What community-level support systems are successful? Unsuccessful? Missing? – Diversifying care settings – Policy recommendations

Opportunities for dissemination?

– Public and academic

Recommendations for analysis and reporting