The Experts below are selected from a list of 54 Experts worldwide ranked by ideXlab platform
Kristie P Kulinski - One of the best experts on this subject based on the ideXlab platform.
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advancing community based falls prevention programs for older adults the work of the Administration for community living Administration on Aging
Frontiers in Public Health, 2017Co-Authors: Kristie P Kulinski, Casey Dicocco, Shannon Skowronski, Phantane SprowlsAbstract:The mission of the Administration for Community Living (ACL) is to maximize the independence, well-being, and health of older adults, people with disabilities across the lifespan, and their families and caregivers. In direct alignment with this mission is ACL's support of evidence-based falls prevention programs in communities throughout the United States. Since 2014, the Administration on Aging (AoA), part of ACL, has invested nearly $14 million in entities such as state agencies, nonprofits, and universities to expand access to proven community-based falls prevention programs. The initiatives supported by ACL/AoA bring to bear two primary goals-(1) to significantly increase the number of older adults and older adults with disabilities at risk for falls who participate in evidence-based community programs to reduce falls and falls risks; and (2) to implement innovative funding arrangements, including contracts, partnerships, and collaborations with one or more sustainability partners to support these programs during and beyond the grant period. Support from ACL/AoA has significantly increased the availability of evidence-based falls prevention programs in funded communities, as well as enhanced the network's sustainable delivery infrastructure to promote continued access to these critical programs beyond the scope of grant funding. This article highlights the successful rollout of ACL/AoA's falls prevention initiative.
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closing the disparity gap the work of the Administration on Aging
Generations, 2014Co-Authors: Michele L Boutaugh, Kristie P Kulinski, Susan Jenkins, Kate Lorig, Marcia G Ory, Matthew Lee SmithAbstract:Lessons learned from the Administration on Aging's efforts to increase access for racial and ethnic minorities to evidence-based prevention programs that are known to work.Members of racial and ethnic minority groups in the United States continue to face disproportionate chronic illness burden and disparities related to healthcare access (U.S. Department of Health and Human Services [HHS], 2013). These disparities must be addressed because older adults with multiple chronic conditions are at greater risk for premature death, poor functional status, unnecessary hospitalizations, adverse drug events, and high healthcare costs (Parekh et al., 2011).To help mitigate the growing impact of chronic diseases, since 2003, the Administration on Aging (AOA), a program division within the Administration for Community Living (ACL), has supported Stanford University's Chronic Disease Self-Management Program (CDSMP) and other evidence-based prevention programs (HHS, 2010). Repeated studies have demonstrated that CDSMP participants experience many positive benefits, including significant improvements in self-reported health and in specific symptoms such as pain, fatigue, and depression; increased frequency of exercise; and greater self-efficacy (Brady et al., 2013). Some studies also have shown decreases in outpatient visits, emergency room visits, and hospital days (Lorig et al., 2001; Ory et al., 2013a). These positive health outcomes have been replicated among participants from diverse age groups, racial and ethnic backgrounds, geographic settings, and health status (Lorig, Ritter, and Jacquez, 2005; Swerissen et al., 2006; Tomioka et al., 2012; Smith et al., 2013).This article describes recent AOA initiatives to increase access for diverse populations to evidence-based programs, and synthesizes key lessons learned from initiative evaluations in the context of the "RE-AIM" (Reach, program Effectiveness, Adoption, Implementation, and Maintenance) framework (Glasgow, Vogt, and Boles, 1999; Glasgow et al., 2004; Belza, Toobert, and Glasgow, 2008).Relevant AOA and ACL InitiativesThe AOA administers the Older Americans Act (OAA), which authorizes state-based formula grants to fund health and human services, including prevention and health promotion activities. Priority is given to serving older adults (ages 60 and older) who live in medically underserved areas, or who are in greatest economic need. Since 2012, congressional appropriations require this funding be used only for evidence-based programs. Recently, ACL refined its definition of evidence-based programs. Effective October 1, 2016, funding will be restricted to programs that meet the criteria listed in Table 1 (above). AOA also provides formula grants to tribal organizations that support health promotion programs and home-and community-based supportive services (HCBS) for Native American, Alaskan Native, and Native Hawaiian elders.Since 2006, AOA also has provided three major competitive grant programs to support dissemination of evidence-based programs (Table 2, below). The Evidence-Based Disease and Disability Prevention Program (EBDDP) grants supported CDSMP and evidence-based physical activity, falls prevention, nutrition, and behavioral health programs. Both the American Recovery and Reinvestment Act (ARRA) and the Prevention and Public Health Fund (PPHF) grant programs have supported the generic CDSMP and also self-management programs developed for specific chronic conditions (arthritis, diabetes, HIV/AIDS, and chronic pain), Spanish-speaking populations, and in an online format.The three grant programs were aimed at increasing the number of older adults who participate in evidence-based programs, and building delivery infrastructures and systems to sustain program delivery. Reaching underserved populations was an explicit expectation. The ARRA and PPHF funding announcements included the requirement that grantees demonstrate capacity and ability to achieve health equity among disparately affected populations, as follows:Applicants must identify and select a specific targeted population(s) including at least one low-income, minority, rural, limited English speaking or other underserved older and/or disabled population with chronic conditions and provide a rationale for this selection. …
Michele L Boutaugh - One of the best experts on this subject based on the ideXlab platform.
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fostering healthy Aging through evidence based prevention programs perspectives from the Administration for community living Administration on Aging
Frontiers in Public Health, 2015Co-Authors: Michele L Boutaugh, Laura J LawrenceAbstract:In 2012, the Administration for Community Living (ACL) emerged as a new operating division within the U.S. Department of Health and Human Services (HHS), bringing together the Administration on Aging (AoA); the Administration on Intellectual and Developmental Disabilities (AIDD), (formerly known as the Administration on Developmental Disabilities); and the Office on Disability. The ACL name reflects both the aspirations of the people we serve and our new mission to maximize the independence, well-being, and health of older adults, people with disabilities across the lifespan, and their families and caregivers (1). Consistent with that mission is a long-standing commitment to the translation of evidence-based prevention programs from the research setting into community practice. The Administration on Aging continues to administer the Older Americans Act (OAA) (2), which authorizes a national Aging network and formula grants to states. These grants fund a wide array of services including congregate and home-delivered meals; transportation; personal and respite care; dementia care; caregiver support services; and programs to protect elder rights (see Figure Figure1).1). A portion of OAA funding also supports health prevention and promotion activities. As of 2012, Congressional appropriations require that this funding be used only for evidence-based programs (3). Figure 1 Aging network structure and Older Americans Act services are shown. Data from 2012 State Program Reports (SPR) and National Ombudsman Reporting System (NORS). Available from: http://www.agid.acl.gov/DataGlance/ Since 2003, AoA has also provided competitive grants to support collaborations between the Aging and public health networks and their partners at the state and local community level. We are especially proud of the impact of these grants, which have helped to forge Aging and public health partnerships and to build a program delivery infrastructure in 48 U.S. states and territories. This national infrastructure has enabled over 264,000 individuals throughout the country to participate in evidence-based chronic disease self-management education (CDSME), diabetes self-management training, physical activity, falls prevention, nutrition education, and depression management programs (4). We are even more excited about what is happening now and the potential that lies ahead. The Patient Protection and Affordable Care Act of 2010 (5) has created many new demonstration projects aimed at achieving the triple aim of healthcare reform: “better health, better health care, and lower costs” (6). These projects provide a tremendous opportunity to demonstrate the value of evidence-based community programs. Programs like the Chronic Disease Self-Management Program (CDSMP) not only improve individual lives, but can be tools to help achieve the “triple aim.” A recent national study of CDSMP, which was partially supported by ACL, demonstrated this potential value. Participants in the study showed significant improvements in health (e.g., self-reported health, pain, fatigue, and depression); experienced measurable improvements in quality of care (e.g., patient–physician communication, medication compliance, and confidence completing medical forms); and required fewer emergency department visits and hospitalizations (7). These kinds of data have helped our grantees and their partners participate in various health care reform efforts. We are currently supporting 22 grants, all financed by the Affordable Care Act Prevention and Public Health Fund (PPHF). Each of these grants enables state units on Aging and state departments of health across the nation to achieve two important goals. They increase the number of older adults and adults with disabilities who complete CDSME programs to maintain or improve their health. They also help agencies build sustainable systems for continuing to deliver such programs after the grant period ends. As a result, many states are utilizing diverse strategies to sustain their programs including embedding programs within other Affordable Care Act initiatives such as patient-centered medical homes and Accountable Care Organizations; partnering with Medicaid and other health insurance providers; collaborating with Federally Qualified Health Centers, Veterans Administration Medical Centers, and other healthcare organizations; and teaming with non-traditional partners such as the Department of Corrections and behavioral health agencies (8). The PPHF CDSME grants are part of ACL’s larger vision to use partnerships to help reshape healthcare and build a person-centered, comprehensive system that coordinates acute care, long-term care, and community services. For instance, ACL, the Centers for Medicare & Medicaid Services, and the U.S. Department of Veterans Affairs have partnered to invest in a national framework called Aging and Disability Resource Centers (ADRCs). These centers provide a widely accessible “no wrong door” system, where older adults, people with disabilities, and veterans of all ages can learn about and access a full range of long-term care services and supports (9). Many ADRCs are working with hospitals and other partners on care transition programs to better manage discharges from hospital to home or other care settings, and are serving as centralized referral sources for the CDSMP workshops and other evidence-based programs. We continue to collaborate with other federal and private agencies to address the HHS Strategic Framework on Multiple Chronic Conditions in bringing to scale and enhancing sustainability of evidence-based self-management programs (10). And in September 2014, we released 14 state and tribal falls prevention grants and a new National Falls Prevention Resource Center award financed by the Affordable Care Act PPHF. This new grant program will increase access to evidence-based community programs to reduce falls and falls risk while also increasing the sustainability of such programs through innovative funding arrangements (11). While proud of what we have achieved, we are also mindful of the challenges that lie ahead. Our goal is to make these programs universally accessible. We have made great progress, but there are still gaps in our coverage. We cannot reach the millions that we still need to reach on our own. We are continuing to work with researchers, foundations, national organizations, and advocacy groups to strengthen our capacity to partner with health care entities and managed care plans. We are also continually exploring effective ways to integrate community-based organizations into new delivery and financing models. ACL is committed to pursuing every opportunity to sustain and expand support for evidence-based prevention programs to improve the lives of older adults and people with disabilities.
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closing the disparity gap the work of the Administration on Aging
Generations, 2014Co-Authors: Michele L Boutaugh, Kristie P Kulinski, Susan Jenkins, Kate Lorig, Marcia G Ory, Matthew Lee SmithAbstract:Lessons learned from the Administration on Aging's efforts to increase access for racial and ethnic minorities to evidence-based prevention programs that are known to work.Members of racial and ethnic minority groups in the United States continue to face disproportionate chronic illness burden and disparities related to healthcare access (U.S. Department of Health and Human Services [HHS], 2013). These disparities must be addressed because older adults with multiple chronic conditions are at greater risk for premature death, poor functional status, unnecessary hospitalizations, adverse drug events, and high healthcare costs (Parekh et al., 2011).To help mitigate the growing impact of chronic diseases, since 2003, the Administration on Aging (AOA), a program division within the Administration for Community Living (ACL), has supported Stanford University's Chronic Disease Self-Management Program (CDSMP) and other evidence-based prevention programs (HHS, 2010). Repeated studies have demonstrated that CDSMP participants experience many positive benefits, including significant improvements in self-reported health and in specific symptoms such as pain, fatigue, and depression; increased frequency of exercise; and greater self-efficacy (Brady et al., 2013). Some studies also have shown decreases in outpatient visits, emergency room visits, and hospital days (Lorig et al., 2001; Ory et al., 2013a). These positive health outcomes have been replicated among participants from diverse age groups, racial and ethnic backgrounds, geographic settings, and health status (Lorig, Ritter, and Jacquez, 2005; Swerissen et al., 2006; Tomioka et al., 2012; Smith et al., 2013).This article describes recent AOA initiatives to increase access for diverse populations to evidence-based programs, and synthesizes key lessons learned from initiative evaluations in the context of the "RE-AIM" (Reach, program Effectiveness, Adoption, Implementation, and Maintenance) framework (Glasgow, Vogt, and Boles, 1999; Glasgow et al., 2004; Belza, Toobert, and Glasgow, 2008).Relevant AOA and ACL InitiativesThe AOA administers the Older Americans Act (OAA), which authorizes state-based formula grants to fund health and human services, including prevention and health promotion activities. Priority is given to serving older adults (ages 60 and older) who live in medically underserved areas, or who are in greatest economic need. Since 2012, congressional appropriations require this funding be used only for evidence-based programs. Recently, ACL refined its definition of evidence-based programs. Effective October 1, 2016, funding will be restricted to programs that meet the criteria listed in Table 1 (above). AOA also provides formula grants to tribal organizations that support health promotion programs and home-and community-based supportive services (HCBS) for Native American, Alaskan Native, and Native Hawaiian elders.Since 2006, AOA also has provided three major competitive grant programs to support dissemination of evidence-based programs (Table 2, below). The Evidence-Based Disease and Disability Prevention Program (EBDDP) grants supported CDSMP and evidence-based physical activity, falls prevention, nutrition, and behavioral health programs. Both the American Recovery and Reinvestment Act (ARRA) and the Prevention and Public Health Fund (PPHF) grant programs have supported the generic CDSMP and also self-management programs developed for specific chronic conditions (arthritis, diabetes, HIV/AIDS, and chronic pain), Spanish-speaking populations, and in an online format.The three grant programs were aimed at increasing the number of older adults who participate in evidence-based programs, and building delivery infrastructures and systems to sustain program delivery. Reaching underserved populations was an explicit expectation. The ARRA and PPHF funding announcements included the requirement that grantees demonstrate capacity and ability to achieve health equity among disparately affected populations, as follows:Applicants must identify and select a specific targeted population(s) including at least one low-income, minority, rural, limited English speaking or other underserved older and/or disabled population with chronic conditions and provide a rationale for this selection. …
Hall Quinshay - One of the best experts on this subject based on the ideXlab platform.
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BARRIERS OF Aging: THE IMPACT OF HOUSING on U.S. OLDER ADULT HEALTH
'Wiley', 2020Co-Authors: Hall QuinshayAbstract:Today, millions of older adults aged 65 and older, face the challenges of Aging. In the past ten years, the number of people aged 65 and older in the U.S. increased from 37.2 million to 49.2 million, and by 2040 an estimated one in five Americans will be age 65 or older (Administration for Community Living & Administration on Aging, 2018; Urban Institute, 2014). Housing is a significant factor in health outcomes for this population because of their increased time spent in the home, which can put them at an increased risk for home accidents (Newman, 2003). Using the Health and Retirement Study, this study explores the association of assistive features being present in one’s home on health status and provides evidence to identify the housing needs of the older adult population
Otar Gerzmava - One of the best experts on this subject based on the ideXlab platform.
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Administration on Aging global comparison of formal and informal caregiving
European Scientific Journal ESJ, 2014Co-Authors: Gogi Batiashvili, Otar GerzmavaAbstract:Countries in regions of the world are manAging Aging populations differently, but each country offers lessons to be learned. Countries used as examples include Germany, Australia, Japan, Uruguay, Kenya, Hungary, and the United States. All of these countries have some type of formal, informal, or both systems in place to care for older persons. These countries, among others throughout the world, will have to confront decreasing familial caregivers together with longer life expectancy. Other issues to consider include policy formation, resource allocation, health care, and diversity.
Phantane Sprowls - One of the best experts on this subject based on the ideXlab platform.
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advancing community based falls prevention programs for older adults the work of the Administration for community living Administration on Aging
Frontiers in Public Health, 2017Co-Authors: Kristie P Kulinski, Casey Dicocco, Shannon Skowronski, Phantane SprowlsAbstract:The mission of the Administration for Community Living (ACL) is to maximize the independence, well-being, and health of older adults, people with disabilities across the lifespan, and their families and caregivers. In direct alignment with this mission is ACL's support of evidence-based falls prevention programs in communities throughout the United States. Since 2014, the Administration on Aging (AoA), part of ACL, has invested nearly $14 million in entities such as state agencies, nonprofits, and universities to expand access to proven community-based falls prevention programs. The initiatives supported by ACL/AoA bring to bear two primary goals-(1) to significantly increase the number of older adults and older adults with disabilities at risk for falls who participate in evidence-based community programs to reduce falls and falls risks; and (2) to implement innovative funding arrangements, including contracts, partnerships, and collaborations with one or more sustainability partners to support these programs during and beyond the grant period. Support from ACL/AoA has significantly increased the availability of evidence-based falls prevention programs in funded communities, as well as enhanced the network's sustainable delivery infrastructure to promote continued access to these critical programs beyond the scope of grant funding. This article highlights the successful rollout of ACL/AoA's falls prevention initiative.