April 24, 2015

New York State Plan on Aging 2015-2019

First Working Draft

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Greg Olsen

Executive Deputy Director

New York State Office for the Aging

Welcome and Opening Remarks

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Goals of Webinar

• Provide an overview of the first working draft of the New York State Plan on Aging 2015-2019

• Provide brief overview of current trends

• Provide brief overview of major content areas

• Provide direction on how the public can provide input into the Plan

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NYSOFA Mission

The mission of the New York State Office for the Aging is to:

help older New Yorkers to be as independent as possible for as long as possible through advocacy, the development and delivery of person-centered, consumer-oriented, and cost-

effective policies, programs and services which support and empower older New Yorkers and their families, in partnership

with the network of public and private organizations which serve them

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State Plan on Aging 2015-2019

• The federal Older Americans Act (OAA) of 1965 requires that each State submit to the Administrator of the federal Administration for Community Living (ACL) a State Plan on Aging.

• It requires a public input process to provide advice and guidance to the state office.

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• Complies with Sections 305 and 307 of the OAA

• Requirement to receive federal funding

• Sets up state requirements regarding our role as a SUA including:– Evaluation of need for services– How funds will be distributed– The effectiveness of services provided to individuals with greatest

economic need, greatest social need, or disabilities

State Plan on Aging 2015-2019

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Sets up state requirements regarding our role as a SUA including:• Reporting• Fiscal controls and fund accounting procedures• Assurances that the State agency will carry out the Office of the

State Long-Term Care Ombudsman• Assurances in the provision of legal services• Assurances regarding the provision for services for the

prevention of abuse of older individuals• Assurances for the provision of outreach and education, etc.

State Plan on Aging 2015-2019

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State Plan on Aging 2015-2019• In New York State, under the Older American’s Act of 1965 (codified as 42 U.S.C. §

3001-3057(n)) and New York State Elder Law (Chapter 35-A of the Consolidated Laws), the New York State Office for the Aging (NYSOFA) is the designated State Unit on Aging.

• NYSOFA is responsible for the development and administration of a State Plan that addresses federally prescribed goals and priorities as required by the Older American’s Act.

The New York State Plan is organized to be consistent with the AoA/ACL four focus areas:

– Older Americans Act (OAA) Core Programs,– AoA/ACL Discretionary Grants, – Person Centered Planning, and– Elder Justice

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NYSOFA’s Priorities Include

• Strengthening core OAA and state funded services to meet existing and future needs among older adults and their families;

• Expanding and strengthening the states No Wrong Door to serve all populations, regardless of age or payer source;

• Increasing the business acumen of the network to strengthen partnerships with health care providers and to develop models that reach new populations;

• Working with other state agencies and local partners to prevent readmission to hospitals;

• Teaching older adults how to manage complex chronic conditions and working to expand

to other populations;

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• Providing one-on-one assistance to understand the complexities of and navigating Medicare and other health insurance;

• Assisting individuals in understanding, applying for and receiving benefits they may be eligible for;

• Supporting caregivers of all ages to continue to serve their loved ones;

• Marketing the value of network services in health care and LTSS reorganization; and

• Instituting measurements and metrics to determine the efficacy of programs and for program/service improvements.

NYSOFA’s Priorities Include

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New York Aging Network Structure

• NYSOFA partners with 59 area agencies on aging (AAA’s), 56 of which are county based, one AAA located on each of the St Regis and Seneca Reservations and one AAA run by the City of New York.

• Combined, NYSOFA and the AAAs contract with over 1,200 organizations to deliver cost-effective, non-clinical long-term services and supports in the homes and communities of at risk older adults.

• AAAs and partners afforded the opportunity to be innovative and flexible in meeting locally determined needs

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Current Status of the Network

• The OAA pays states primarily for care and services for those over the age of 60, over time the networks portfolio has expanded to assist other populations.

• State and Federal funding in the amount of $207 million leverages an additional $235 million in resources from municipal governments, private fundraising, participant contributions and cost-sharing.

• Network services are not entitlements, funds are capped requiring counties to develop and sustain partnerships and leverage other community resources.

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Aging in NYS

• New York’s total population is over 19 million individuals, and the State ranks fourth in the nation in the number of adults age 60 and over – 3.7 million.

• Demographic characteristics changing over time have important implications for the state plan on aging.

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New York State

62 Counties

Change in Population Aged 60 and Over

2010 to 2020

Proportion of County Population Aged 60 and OverNumber of Counties with Specified percent of

Older Persons

2015 2025Less than 20% 7 5

20% to 24% 41 625% to 29% 12 33

30% and over 2 18

Source: Woods & Poole Economics, Inc., 2014 State Profile

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Minority Population Growth

-10%0%

10%20%30%40%50%60%70%80%90%

100%

2000 - 2010 2010 - 2020 2020 - 2030 2030 - 2040

White Non-Hispanic 60 and overWhite Non-Hispanic 85 and overMinority 60 and over

Minority 85 and over

Projected Growth of the Minority and Non-Minority Population inNew York State 2000 to 2040

Source: Woods & Poole, 2009

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MINORITY GROWTH RATE BY CATEGORY 2000-2025

53.3%

150.1%

208.2%

0%

50%

100%

150%

200%

250%

Black Hispanic Asian/PI

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Family Characteristics

FAMILY STRUCTURE in the United States

Married couple families

Married couple families with children

Single parent households

Single person households

Non-traditional households

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Health and Impairment of Older Adults

Chronic conditions are singled out as the major cause of illness, disability, and death in the United States. It is estimated that the cost of chronic conditions will reach $864 billion by 2040, with chronic conditions among older adults being more costly, disabling, and difficult to treat – and also the most preventable.

New York State Population: Disability

Age Group % of Group with All Types of Disabilities

5-20 4%

21-64 9%

65 and over 35%

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Other Trends in State Plan

• Growth in long term care needs

• Migration patterns

• Income and poverty

• Nutritional needs

• Community Involvement

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2015 – 2019 State Plan on Aging Focus Areas

Prescribed by AoA/ACL

The secret to change is to focus all of your energy, not on fighting the old, but on building the new. - Socrates

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Focus AreasOlder Americans Act Core Programs

• strengthen or expand Title III and VII services

• increase the business acumen of aging network partners

• work towards the integration of health care and social services systems

• integrate core services with ACL discretionary grants

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Focus Areas

ACL Discretionary Grants• develop measurable objectives that include integration of the grants within OAA core programs

• describe how the state will take advantage of ACA opportunities

• are there new activities as a result of this funding, new partnerships formed, etc.?

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Focus Areas

Person Centered Planning• Describe states efforts to make

fundamental changes in state policies and programs that support consumer control and choice

• Describe states efforts (measurable objectives) to support participant directed/person-centered planning for older adults and their caregivers across the spectrum of LTC services

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Focus Areas

Elder Justice• Describe the activities to prevent, detect,

assess, intervene, and/or investigate elder abuse, neglect and financial exploitation

• Describe planned efforts (measurable objectives) to support and enhance multi-disciplinary response to elder abuse involving APS, LTCOP, legal assistance programs, law enforcement, health care, financial institutions and other partners statewide.

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State Plan Content• Draft Plan is a first working draft, is continuously being worked on.

• Contains background and summary information regarding the demographic make-up of the older population in the state .

• Describes the programs and services administered by the Office.

• Provides a course of action – Objectives, Strategies and Expected Outcomes to meet the Overarching Goals.

• While Comprehensive – The State Plan is not intended to represent a detailed task oriented proposal.

• The State Plan also follows guidelines provided by AoA regarding its structure. The Plan must be looked at in its entirety as an integrated approach to service, policy and program, not as individualized and isolated programs.

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Section A. OAA Core Programs

• Access Services– Information and Assistance– NY Connects– Case Management– Transportation– Health Insurance Information, Counseling and Assistance (HIICAP)

• In-Home Contact and Support Services– Expanded In-home Services for the Elderly (EISEP)– Community Services for the Elderly (CSE)

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Section A. OAA Core Programs

• Supporting Aging in Place– Livable New York Initiative– Naturally Occurring Retirement Communities

• Activities for Health, Independence and Longevity– Foster Grandparent Program– RSVP– Senior Community Services Employment Program (Title V –

SCSEP)– Civic Engagement/Volunteering

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Section A. OAA Core Programs

• Nutrition Services– Nutrition Program for the Elderly

• Disease Prevention and Health Promotion Services– Title IIID and Medicare Prevention Services

• Supporting Caregivers– National Family Caregiver Support Program– Social Adult Day Services (SADS)– Respite– Caregiver Resource Centers

• Emergency Preparedness

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Section B. AoA/ACL Discretionary Grants

• Chronic Disease Self Management Education

• Lifespan Respite

• Systems Integration

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Section C. Participant Directed/Person Centered Planning

• Participant Directed

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Section D. Elder Justice

• Legal Assistance Program

• Legal Services Initiative

• Long Term Care Ombudsman Program

• Elder Abuse Education and Outreach

• Elder Abuse Prevention Intervention

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State Plan on Aging Overarching Goals

• Goal #1: Empower older New Yorkers, their families and the public to make informed decisions about, and be able to access, existing health, long term care and other service options.

– Describes objectives, strategies and expected outcomes for • Information and Assistance• NY Connects• Case Management• Transportation• HIICAP

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State Plan on Aging Overarching Goals

• Goal #2: Enable older New Yorkers to remain in their own homes with high quality of life for as long as possible through the provision of home and community-based services, including supports for family caregivers.

– Describes objectives, strategies and expected outcomes for• EISEP• CSE• Livable NY• NORC/NNORC• FGP• RSVP• SCSEP• Civic Engagement/volunteering• National Family Caregiver Support Program• Social Adult Day Services• Respite• Caregiver Resource Centers

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State Plan on Aging Overarching Goals

• Goal #3: Empower older New Yorkers to stay active and healthy through Older Americans Act services and those offered under Medicare.

– Describes objectives, strategies and expected outcomes for

• Disease prevention and health promotion services

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State Plan on Aging Overarching Goals

• Goal #4: Embed ACL discretionary grants with OAA Title III core programs.

– Describes objectives, strategies and expected outcomes for

• Chronic Disease Self Management Education• Lifespan Respite• Systems Integration• BIP• Care Transitions

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State Plan on Aging Overarching Goals

• Goal #5: Ensure the rights of older New Yorkers and prevent their abuse, neglect and exploitation.• Describes objectives, strategies and expected outcomes

for– Legal Assistance Program– Legal Services Initiative– Long Term Care Ombudsman Program– Elder Abuse Education and Outreach– Elder Abuse Prevention Intervention

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State Plan on Aging Overarching Goals

• Goal #6: Ensure the network is prepared to respond in emergencies and disasters.

– Describes objectives, strategies and expected outcomes for

• Emergency preparedness

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How to Read Plan and Provide Input

Go to NYSOFA Website

www.aging.ny.gov

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How to Read Plan and Provide Input

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How to Read Plan and Provide Input

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How to Read Plan and Provide Input

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Providing Input• Comment on any/all of the 6 Overarching Goals

• Please be specific on recommendations

• Include objectives and strategies that you are commenting on

• Provide comments on existing content as well as any new ideas you would like us to consider

• Fell free to share with other organizations, individuals, task forces, advisory groups, coalitions you may be a part of.

• Remember – this Plan is not designed to be inclusive of all work NYSOFA is engaged in, it follows prescribed federal format.

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Timeline

• Survey open - April 20 - May 20

• Internal review, edits, cleanup

• Formal submission to ACL – end of June

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Thank you for participating today!