The International Association of Gerontology and Geriatrics’ (IAGG) 2017 annual conference is taking place July 23-27, 2017 in San Francisco, California. This year’s conference theme is “Global Aging and Health: Bridging Science, Policy, and Practice” .
The Aging and Disability Business Institute and some of its partners will be giving presentations at the conference this year. Please see below for details on individual sessions:
Aging and Disability Business Institute Submission:
Community-Based Organization Integration In The U.S. Healthcare System: Building The Business Case
Date: Wednesday, July 26, 2017
Time: 11:30am-1:30pm PT
As the global population ages, countries and health systems all over the world are struggling to adequately meet the unique and complex care needs of older citizens. In the United States, an increased emphasis on value-based care that will hold them accountable for quality and cost has led health care payers to focus on social services that can keep vulnerable populations out of high-cost, institutional settings. Traditional United States medical systems do not have much experiencing delivering these types of services, however, and the social service agencies that do have experience (such as Area Agencies on Aging) typically do not have contracting, billing, and infrastructure experience necessary to partner effectively with the health care system. The types of services these community based organization deliver include evidence based self-management programs, consumer education, care transition programs in addition to home and community based long term service supports A new National Aging and Disability Business Center was established to provide training and technical assistance to enhance the business capacity of community-based organizations, positioning them to negotiate, secure, and successfully implement contracts with health care entities. This workshop will provide an overview of the Business Center – its goals, objectives, tools and resources. The symposium will show how this national approach will help these organizations make the business case for reimbursement for services that improve value, i.e, improve health, healthcare at lower per capita costs, Examples of successful partnerships will be described and the value proposition that exists as the result of these linkages.
- Rob Schreiber, Healthy Living Center of Excellence, Lawerence, MA
- Nora Super, National Association of Area Agencies on Aging, Washington, DC
Evidence-Based Leadership Council (EBLC) Submission:
Early Outcomes of Fit & Strong! Plus: New Exercise/Weight Loss Program for Osteoarthritis
Date: July 25, 2017
Time: 11:30 AM 1:30 PM
Overweight older adults with osteoarthritis (OA) face high risk for disability; however, no evidence-based programs target PA and weight simultaneously. Fit & Strong! (F&S!) is an evidence-based PA program for persons with OA that improves lower extremity (LE) strength and mobility out to 18 months. We present findings from a trial of the new FS! Plus program that addresses PA and weight loss.
This comparative effectiveness trial is enrolling 400 participants (200 in F&S! and 200 in F&S! Plus). To date, enrollees (n=394) are 86% female, 92% African-American, obese (BMI=34.6), with a mean age of 67.9. Mean LE pain and stiffness scores are 5.9 and 3.2, mean Chair-Stands is 8.3 and mean 6-Minute Distance Walk is 1167 feet. The F&S! Plus group had fewer chronic conditions at baseline, but prevalence of common conditions by group was similar.
Preliminary findings on 292 participants with 2-, and 6-month outcomes revealed significant differences in change in BMI (p<.001), weight (p<.001), waist circumference (p=.001), LE pain (p=.04), LE stiffness (p=.004), LE physical function (p=.002), and 6-Minute Distance Walk (p<.001), all favoring FS! Plus at 2 months. At 6-months change in BMI (p=.005), weight (p=.006), waist circumference (p=.004), and LE physical function (p=.02) remained significant, favoring the treatment group. FFQ diet data show significant changes in total (p=.006), dark green (p=.02), and orange vegetable consumption (p=.02) at 2-months and total (p=.002) and dark green vegetables (p=.002) at 6-months, favoring F&S! Plus.
This presentation will review the trial design and baseline, 2, 6, and 12-month outcomes.
- Susan Hughes, Center for Research on Health and Aging, UIC, Chicago, IL
- Andrew Demott, Center for Research on Health and Aging, Chicago, IL
National Council on Aging (NCOA) Submissions:
Interdisciplinary Approach to Fall Prevention-Research, Practice, and Policy, Poster Presentation
Date: July 24, 2017
Time: 10:00 AM – 12:00 PM PT
Research demonstrates that falls are multifactorial and require an interdisciplinary treatment approach. Interdisciplinary evidence-based fall prevention (EBFP) programs are effective with great return in investment. This presentation will educate the participants about the evidence in interdisciplinary EBFP, how to implement it in your practice, and what policy changes are needed to ensure that our older adults are supported to successfully age-in-place. We will examine interdisciplinary EBFP around the United States and identify strengths and opportunities for improvements in each. Success is reflected in reducing fall risk, falls, fall injuries, and assuring sustainability of the clinic through financing options. Organizational structure, payer systems and public policy will be reviewed and an outline provided to assist the professional with developing an action plan.
- Mariana Wingood, University of Vermont-Medical Center Inpatient Rehab, Colchester, VT
- Chelsea Gilchrist, National Council on Aging, Arlington, VA
Innovation in Health Care Delivery for Adults Aging with Disabilities
Date: July 23, 2017
Time: 9-10:30 a.m. PT
This symposium summarizes key findings central to health care delivery for individuals aging with disabilities, including innovative models of care coordination and evidence-based healthy aging programs. First, we present findings from innovative care coordination programs serving adults with physical disabilities and individuals with intellectual and developmental disabilities. These demonstrations were funded through the Center for Medicare and Medicaid Services (CMS) Innovation Center (CMMI) Health Care Innovation Award (HCIA) awards. Second, we examine health services appraisal and unmet healthcare needs for adults (age 50 and over) with physical disabilities in a state Medicaid managed care program. Third, we present findings from evidence-based healthy aging programs (Chronic Disease Self-Management and Falls Prevention programs) serving individuals aging with disabilities. Finally, we present findings from a pilot that adapted an evidence-based healthy aging program for adults aging with long-term disabilities acquired earlier in life.
- Joe Caldwell, National Council on Aging
- Tamar Heller, University of Illinois at Chicago
- Angelica P. Herrera-Venson, National Council on Aging
- Ivan R. Molton, University of Washington School of Medicine