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1A non-profit service and advocacy organization © 2011 National Council on Aging

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2A non-profit service and advocacy organization © 2011 National Council on Aging

Putting It All Together - What Happens After ARRA?

Agenda

Ohio’s Marc Molea and Diane Beaty-Cargile will share the strategies that play a key role in sustaining evidence-based programs, including statewide and national partnerships and embedding programming into Title III-D, SCSEP, Medicaid, and other government-funded programs to ensure funding/reimbursement for CDSMP.

Q&A – All

“The Ohio Experience”

Grantee WebinarJanuary 17 and 18, 2012 

Putting It All Together – What Happens After ARRA?

Menu of EBDP in Ohio

Healthy IDEAS Chronic Disease and Diabetes Self-Management Program A Matter of BalanceDining with Diabetes Reducing Disability in Alzheimer's Disease Care Transitions

Healthy Outcomes

Fewer hospital admissions and readmissionsImproved self-confidence to deal with health issuesFewer doctor visitsLess health distress, fatigue, disabilityIncreased exercise and activityFewer symptoms of depression

Raising Awareness

Chronic Disease Self-Management Programs

2 T-Trainers, 74 CDSMP Master Trainers50+ Master Trainers Cross-trained in the Diabetes Self-Management Program (DSMP)2 Tomando Control de su Salud Master TrainersCDSMP/DSMP

Ohio’s twelve area agencies on aging have CDSMP training infrastructuresTrained 274 lay leaders, and more than 4000 individuals have completed the workshop since 2007Offered CDSMP workshops to state employees

How We Do It….

Statewide Healthy U CalendarSharePoint site for Site Coordinators and Master Trainers (HUGS)

Tracking workshopsReporting on completersCommunicating to/between sites

Communication with sites via emails, announcements, quarterly meetings, site visits

If We Are Successful….

If we succeed in employing a series of prevention and self-care strategies to help individuals with disabilities remain independent longer, we could reduce the number of people with a severe disability who rely on Medicaid by 1% annually. (Scripps Gerontology Center, January 2010)

Lessen the number of people relying on Medicaid by 11.5% by 2020 – avoid $700 million in Medicaid LTC expenditure

Keys To Taking Your Programs To The Next Level

Have the right programs and program infrastructure

Implementation optionsHave solid partnersHave enough capacityGenerate demandEmbed programs into funding and reimbursement stream

Building Capacity

“Not as easy as it might seem”

National Church Residences

Over that past seven years NCR hosted Healthy U workshops in many of their facilities. Now they are building Healthy U into their organizational infrastructure. Recently two NCR staff members were certified as Master Trainers and will over the next year train lay leaders in their over 50 facilities in Ohio.Conduct workshops for their residents and the adjacent communities.

Rehabilitation and Corrections

Staff at the Hocking Correctional Facility through a partnership at AAA 8 successfully implemented Healthy UTwo lay leaders from Hocking Correctional have been trained as CDSMP/DSMP Master Trainers and have begun to expand Healthy U into other Rehabilitation and Correction facilitiesCDSMP/DSMP is included as a goal in Ohio’s Ex-Offender Reentry Coalition 5 Year Strategic Plan (2010-2014)

VA Medical Centers

In September 2011, five VA Medical Centers in Ohio had 18 staff members trained as Healthy U Master Trainers, and has asked to partner with ODA to conduct community workshops in Columbus, Cleveland, Dayton, Chillicothe and Cincinnati.

Ohio Commission on Minority Health

Partner with OCMH to train and support lay leaders from minority organizations throughout the state with the goal of having them implement Healthy U within their respective populations/ communities.

Generating Demand

“Not as easy as it might seem”

Patient Centered Medical Homes

AAAs in Cincinnati, Columbus and Cleveland are working with PCMH collaboratives in their communities to make Healthy U available to their patientsMedicaid Health HomeOhio Patient-Centered Primary Care Collaborative

Public Retirement Systems

ODA and AAAs are partnering with three public retirement systems (i.e., OPERS, STRS, SERS) and their Health Plans (i.e., MMO) to make Healthy U available to their beneficiaries. In January 2012, OPERS and MMO will make Healthy U workshops available to beneficiaries participating in their Intermediate Health Plan. Paying for workbooks and CDs.

Golden Buckeye Card

Promote/enroll Healthy Aging programs to 2.4 Million Golden Buckeye Card beneficiaries.Each month 15,000- 18,000 Ohioans turning age 60 receive a GBC Card automatically. Vehicle to promote wellness and prevention to 16,000 + Golden Buckeye Businesses

Employers/Health Plans

ODA and ODH are working with employers and health plans to include Healthy U as a component of their wellness incentive programs. Golden Buckeye Card BusinessesSCSEP/Title VJobs OhioUnions

Funding and Reimbursement Stream

OAA Title III D Funding

No statewide requirements to use funds on evidence-based interventions.

Several AAAs are requiring EB programs

Ten AAAs using funds to support EB programs directly or through contracts with providers.

Seven of AAAs have Direct Service Waivers to support delivery of EB prevention programs –CDSMP/DSMP, MOB, Care Transitions.

Six AAAs have embedded Healthy IDEAS in their Care Management programs funded by OAA and Medicaid.

CNCS Senior Corps

In SFY 2013, Ohio’s Retired Senior Volunteer Program (RSVP) projects are incentivized to support implementation of Healthy U and/or other evidence-based prevention programs.

Diabetes Prevention and Control Program (DPCPs)

ODH working to provide DPCPs funds and resources to support development of DSMPs in Faith-based organizationsPilot in Central Ohio with 18 churches and then make available statewide.Statewide Partners include: ODH, ODA, Ohio Commission on Minority Health and Governor's Office of Faith-Based and Community Initiatives

ODA/RSC VRP3 Initiative

The Ohio Department of Aging and Rehabilitation Services partner to leverage federal Vocational Rehabilitation funds to empower VR consumers with disabilities to better manage their chronic health conditions to support successful employment and independence. During 2012, we will offer five Healthy U workshops and employment supports to VR consumers.

Consolidated HCBS WaiverCDSMP/DSMP proposed for the new consolidated waiver as a service.

SERVICE DEFINITION: Recipient training needs are identified in the assessment and will be provided in accordance with a therapeutic goal in the plan of care.SERVICE DESCRIPTION: Covers - client centered problem solving to deal with frustration, fatigue, pain and isolation; appropriate exercise for strength, flexibility and endurance; appropriate use of medications; communicating effectively with

Combined HCBS Waivers

family, friends and health professionals; nutrition; and how to evaluate new treatments.

The service consists of 6 units, one unit per week for 6 consecutive weeks. (A unit is equal to one 2.5 hour class) in the home or in the community.

PROVIDER: Certification in an evidence-based chronic disease self-management program such as the Stanford University CDSMP.

Serve as a model for other EB Interventions and reimbursement streams

ACA/Other Initiatives

Community-Based Care Transitions ProgramMoney Follows the PersonHealth Homes Improved Care Coordination for Dual Eligible IndividualsBalancing Incentive Payment ProgramCommunity First Choice OptionAccountable Care OrganizationsPayment Reform

Catalyst for Payment Reform

AoA Systems Integration Grants

Prevention related activities:Expand our existing statewide EB offerings to new populations Expand MOB or another falls intervention statewideFill voids in existing menu of EB interventions: physical activities, caregiver support, pain management, and in-home and on-line options

AoA Systems Integration Grants

Other focus areasCare TransitionsQuality/Consumer SatisfactionSustainability and Community Engagement (e.g., Village Model)Ohio Benefit BankPerson-Centered, Dementia and Disability Capable TrainingPartners in Dementia Care

Contact Information

Marc Moleammolea@age.state.oh.us614-752-9167

Diane Beaty-Cargiledbeatycargile@age.state.oh.us614-644-2184

Ohio Department of Aging50 W. Broad Street/9th FloorColumbus, Ohio 43215-3363www.aging.ohio.gov

Questions and Answers

“If you ask me anything I don't know, I'm not going to answer” Yogi Berra

33A non-profit service and advocacy organization © 2011 National Council on Aging

Q&A

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