Larimer County Summit on Aging Bonnie Shetler, PhD President Foundation on Aging for Larimer County Foundation on Aging for Larimer County January 22, 2010 Larimer County Summit on Aging The Foundation on Aging for Larimer County aims to bring about community awareness of the unmet needs of aging and to be a catalyst for addressing such needs through collaboration that seeks innovative, funded solutions that result in health, happy, and enrich lives for us all. Foundation on Aging for Larimer County January 22, 2010 Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Bonnie Shetler, PhD Service Provider Network Office On Aging Foundation On Aging Aging-In-Place Unmet Needs Aging-In-Place Unmet Needs Collaborate Coordinate Create Awareness Provide Leadership Facilitate Process Larimer County Summit on Aging Foundation on Aging for Larimer County January 22, 2010 Larimer County Summit on Aging Aging as an Out-of-Body Experience Philip B. Stafford, Ph.D. Director, Center on Aging and Community Indiana Institute on Disability and Community Indiana University Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University Aging as an Out-of-Body Experience Aging is not about time and the body, but about place, and relationships Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University Our work together should involve creating good place to grow up and grow old Communities large and small are taking up the challenge The Summit on Aging positions Larimer County to leap into the future with confidence Community is the smallest unit of health. Wendell Berry, Health is Membership In Another Turn of the Crank Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University Our work should help create good places to grow up and grow old livable communities for a lifetime Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University Aging as an Out-of-Body Experience What is an elder-friendly community? Data driven and participatory planning for the future Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University ADDRESSES BASIC NEEDS Housing Is Modified To Accommodate Mobility And Safety % of 65+ householders with home mod needs The Domain The Dimension The Indicator Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University Identify the stakeholders Understand the issues Frame the problems Identify potential action steps Identify the assets in place/needed Prioritize actions Support and monitor the responsible parties Benchmark and evaluate Making our community elder-friendly Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University Improving a community, from beginning to end, involves organizing people. Money is secondary. Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Philip Stafford, PhD Director, Center on Aging and Community Indiana University THE GRAYING OF LARIMER COUNTY: IMPLICATIONS AND OPPORTUNITIES FOR THE FUTURE Susanna D. Bozinovski, Ph.D. CEO and President Bozinovski and Associates, Inc. Human Services Consulting King Street Broomfield CO (303) Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 S.D. Bozinovski/Bozinovski & Associates, Inc. Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 S.D. Bozinovski/Bozinovski & Associates, Inc. GROWTH BY AGE GROUP, LARIMER COUNTY National Research Center 2004 Percent of Larimer Residents Age 60+ Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 S.D. Bozinovski/Bozinovski & Associates, Inc. THE GRAYING OF LARIMER County July 2008 Population Estimates, Colorado Demographers Office Larimer County Summit on Aging Boomers & Beyond: Housing Trends in the 21 st Century Janice Blanchard Aging in Community Network Initiative Denver, CO Foundation on Aging for Larimer County January 22, 2009 1950s & 1960s: Growth of the Suburbs Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Blanchard, AICN Initiative Economic prosperity Single family homes Father, Mother & 3 to 4 kids Mother stayed at home 1950s & 1960s: Birth of Retirement Communities Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Blanchard, AICN Initiative 1970s: Apartments, Condos, Duplexes & Trailers Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Blanchard, AICN Initiative Recession/rising fuel costs Increase demand affordable housing New demand for multi-family units Rise in divorces & single households Mothers enter the workforce The 1980s: Colonial Homes and Luxury High Rises Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Blanchard, AICN Initiative Reagan years of prosperity Echo boom Dual-wage earning family is norm Renewed interest in urban living The 1990s: McMansions and New Urbanism Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Blanchard, AICN Initiative Greed, excess and wealth Increasing concern of unchecked growth Exurbia Awhannee Principles Rising inflation The 1990s: Assisted Living Facilities & Retirement Communities Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Blanchard, AICN Initiative Housing for Older Persons Act of 1995 Golden Age of Retirement The Third Place new niche market WW II Generation Values Housing in the 21 st Century: Whats Next? Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Blanchard, AICN Initiative From Aging in Place.. Whats Next ? Shifting the Paradigm .To Aging in Community Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Blanchard, AICN Initiative It takes a village to raise our children Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Blanchard, AICN Initiative It takes a community to care for our elders. Larimer County Summit on Aging Aging with Options Diane M. Stobnicke Volunteers of America Foundation on Aging for Larimer County January 22, 2009 Aging with Options An overwhelming majority of adults wish to remain in their own homes as they age. Rapid growth of older adults aging in place presents opportunities and challenges. Opportunities: substantial source of civic, social, and potentially financial capital. (Volunteers, board members, activists, community leaders, elected officials.) Challenges: affordable, flexible, coordinated services for an increasing number of frail and disabled adults. Aging in Place Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Diane M. Stobnicke/Volunteers of America Aging with Options Community Engagement Programs or Self Help Communities Provide an integrated set of support services such as: social, cultural, and educational activities; wellness and fitness programs; religious services; service coordination (usually non-medical); volunteer opportunities; transportation Monthly membership fee Organized by residents or a service agency Coordinates services with screened vendors Example, Beacon Hill Village and SAIL (Supporting Active Independent Lives) Promising Community Strategies Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Diane M. Stobnicke/Volunteers of America Aging with Options Preventive Services and Service Enhancements Evidence based interventions A Matter of Balance, Arthritis Foundation Exercise Program, Powerful Tools for Caregivers, Chronic Disease Self Management PEARLS (Program to encourage Active, Rewarding Lives for Seniors) Sessions with Social Worker to reduce symptoms of depression Service Coordinators working with seniors in high rises Promising Community Strategies Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Diane M. Stobnicke/Volunteers of America Aging with Options Injects aging into local community planning Engages older adults in community planning Addresses basic needs (housing, safety, food) Optimizes physical health and well-being (promotes healthy behavior, access to services) Maximizes independence for the frail and disabled (transportation, resources to age in place, support for family caregivers) An Elder Friendly Community Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Diane M. Stobnicke/Volunteers of America Larimer County Summit on Aging THE MOBILITY CHALLENGE Gary D. Thomas Executive Director SAINT Volunteer Transportation Senior Alternatives In Transportation Foundation on Aging for Larimer County January 22, 2009 THE MOBILITY CHALLENGE A perfect storm of issues will soon impact how Coloradans move about: Fuel prices Climate change concerns Aging of the baby boom generation Several initiatives are underway to provide new options but will the funding arrive in time? Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Gary Thomas / SAINT THE MOBILITY CHALLENGE Several new efforts underway to provide alternatives to private automobile travel: Fort Collins and Loveland just completed their first ever consolidated Transit Strategic Plan CDOT has formed a new Transit and Rail Division Amtrak is considering returning the Pioneer Train service between Denver and Seattle with possibly a stop somewhere in Larimer County Major study on the feasibility of High Speed Rail in Colorado is being completed U.S. Congress considering revisions to the Federal Transportation bill that will increase support and funding for transit and rail Mason Corridor Bus Rapid Transit line is funded - design underway I will. I will survive Scarlett OHara Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Gary Thomas / SAINT Larimer County Summit on Aging Health Care Issues for Seniors: Current Problems Prospective Solutions Roger P Bermingham MD Family Practice Residency Poudre Valley Hospital Foundation on Aging for Larimer County January 22, 2009 Shortage of Primary Care Providers General Internists 2% of graduating medical school seniors plan to go into general internal medicine: 2007 data Family Physicians Currently are 12% of the work physician work force Only provide a percentage of senior care Declining number of US graduates going into FP residencies Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Roger Birmingham, MD What about Geriatrics In 2007, 91 graduates from US medical schools entered Geriatric Fellowships Most are destined for academic medicine Added training with a decreased reimbursement Number of practicing geriatricians declined 5.5% from 2000 to 2007 Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Roger Birmingham, MD If you get into see the doctor Will you have enough time to bring up the issues you need to? Average primary care office visit time is shrinking Longer appointment times less available With shorter appointment times Patients do not bring up all the issues that are bothering them Providers do not verbally screen for other illnesses (see next slide) Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Roger Birmingham, MD If you get into see the doctor Will you have enough time to bring up the issues you need to? Average primary care office visit time is shrinking Longer appointment times less available With shorter appointment times Patients do not bring up all the issues that are bothering them Providers do not verbally screen for other illnesses (see next slide) Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2010 Roger Birmingham, MD Are there solutions for the impending Senior Health Care crisis? There is likely not a single solution Each potential solution has significant hurdles and drawbacks Many of the solutions take time to develop We are definitely in a brainstorming permitted mode Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Roger Birmingham Some existing solutions Medicare plus Choice plans Offer benefits above Medicare basics often including drugs Often regionally limited (Kaiser, Rocky Mtn HMO) May have cut backs in arenas that arent evident Program for All-inclusive Care of the Elderly (PACE) Basically is Day Care plus medical services Primarily for frail elderly with Medicaid Has to be regionally approved Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Roger Birmingham, MD Some options under discussion The Patient Centered Medical Home Having access to multiple modalities of care through or at your primary care physicians office Works only for larger medical groups No current extra fundingbut hoped for Nurse Practitioners clinics targeted for Seniors Typically work better in larger cities with higher number of Medicare HMO plans Still often need physician oversight Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Roger Birmingham, MD Brainstorming/Other options Retraining physicians in geriatric care Donald Reynolds Foundation grants Great education but reimbursement/access issues remain Using trained lay persons to act as case finders Increased loan forgiveness for physicians working in clinics with a higher percentage of senior patients Larimer County Summit on Aging Foundation On Aging for Larimer County January 22, 2009 Roger Birmingham, MD Larimer County Summit on Aging Findings from the Larimer County Summit on Aging Kelly Blanchard and Brittany Silvers Hartford Partnership Program for Aging Education Fellows in Gerontological Social Work Colorado State University School of Social Work Foundation on Aging for Larimer County March 3, 2010 PURPOSE OF BREAKOUT SESSIONS Presenter/Organization Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU HEALTH CARE Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU What are the key needs or the main problems around health care for current and future seniors in Larimer County? Education About Services and Resources Need More Services and Providers Communication HEALTH CARE Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU What are community assets that are being mobilized already to address health care? Connecting with Services and Resources HEALTH CARE Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU What are the opportunities for improvement around health care in Larimer County? Education- Provide and Obtain Collaborative Health Care HEALTH CARE Vision Statement Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU In a Larimer County that has achieved aging readiness, and is livable and healthy for our seniors All seniors are aware and understand the resources available to them; livable and healthy; receive adequate financial resources to meet their needs; through a coordinated environment are receiving the health care they need; preplan and move to more self-responsibility. SUPPORT SERVICES What are the key needs or the main problems around support services for current and future seniors in Larimer County? Affordability and availability of community services Education and awareness Quality of Life Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU SUPPORT SERVICES Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU What are community assets that are being mobilized already to address support services? Community Based Resources National Resources Government Resources SUPPORT SERVICES What are the opportunities for improvement around support services in Larimer County? Financial Education and outreach Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU SUPPORT SERVICES Vision Statement Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU In a Larimer County that has achieved aging readiness, and is livable and healthy for our seniors Is a model of innovation that demonstrates high quality and respectful elder friendly communities. TRANSPORTATION What are the key needs or the main problems around transportation for current and future seniors in Larimer County? Public transportation logistics Education and awareness Alternative options Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU TRANSPORTATION Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU What are community assets that are being mobilized already to address transportation? Community Based Resources Government Resources TRANSPORTATION What are the opportunities for improvement around transportation in Larimer County? Structural Improvements Education and awareness Untapped resources Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU TRANSPORTATION Vision Statement Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU In a Larimer County that has achieved aging readiness, and is livable and healthy for our seniors Will know how and can easily access a safe, affordable, enjoyable and reliable transportation system service that keeps them connected to our community. HOUSING Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU What are the key needs or the main problems around housing for current and future seniors in Larimer County? Central Resource for Housing Needs Resources for low income, special needs seniors Intentional Communities HOUSING Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU What are community assets that are being mobilized already to address housing? Community Based Resources National Resources Government Resources HOUSING Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU What are the opportunities for improvement around housing in Larimer County? Versatile Housing Collaboration of established organizations for knowledge, creativity and growth HOUSING Vision Statement Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU In a Larimer County that has achieved aging readiness, and is livable and healthy for our seniors All seniors have options for housing that are accessible, integrated with the greater community, allow for intentional interdependence, and provide a meaningful quality of life. THEMES FROM THE SUMMIT BREAKOUT SESSIONS Education and Awareness Advocacy Volunteers Available Single Reference Source/Point of Entry Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU CONCLUSION Underlying all of the findings from the Larimer County Summit on Aging is the reality that we, as a community, need to rally together to show our commitment to value, respect and provide for our seniors. Larimer County Summit on Aging Foundation On Aging for Larimer County March 3, 2010 Blanchard and Silvers/CSU Larimer County Summit on Aging Foundation on Aging for Larimer County January 22, 2010 Following the Larimer County Summit on Aging, the Foundation on Aging will form collaborative groups that will turn this vision into concrete objectives. Everyone is invited to be part of this collaborative process. Please indicate your willingness to be involved in these activities. Name/Title ____________________________________________________________ ____________ Affiliation ____________________________________________________________ _____________ Phone _________________________________________________________________________ FOA website: Larimer County Summit on Aging Vision Statement Foundation on Aging for Larimer County January 22, 2010 IN A LARIMER COUNTY THAT HAS ACHIEVED AGING READINESS, AND IS LIVABLE AND HEALTHY FOR OUR SENIORS ALL INDIVIDUALS ARE PREPARED FOR THE CHALLENGES AND OPPORTUNITIES ASSOCIATED WITH AGING IN OUR COMMUNITY.