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Decreasing health disparities with older adults: The CAPABLE studies

This article discusses the CAPABLE studies, which focus on individual strengths, deficits, and goals in self-care among older adults. The study utilizes a client-directed approach with a team of professionals including a handyman, nurse, and occupational therapist. The article explores the positive outcomes and potential cost savings associated with addressing functional limitations among older adults.

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Decreasing health disparities with older adults: The CAPABLE studies

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  1. Decreasing health disparities with older adults: The CAPABLE studies Sarah L. Szanton, PhD ANP FAAN Associate ProfessorJohns Hopkins School of Nursing Associate Director for Policy, Center for Innovative Care in Agingsszanto1@jhu.edu September 22,2016

  2. Mrs. B

  3. Her Hazardous floor

  4. Relative Risk of Being in the Top 5% of Health Care Spenders, 2006

  5. CAPABLE • Focused on individual strengths and deficits and goals in self-care (ADLs and IADL) • Client-directed as opposed to client-centered • Handyman, Nurse and Occupational Therapist • OT: 6 visits, RN:4 visits, Handyman: $1300 budget over 4 months

  6. Month 1 Month 2 Month 3 Month 4

  7. Before After

  8. Exhibit 1. Changes from Baseline to Follow-up in Activities of Daily Living Limitations and Instrumental Activities of Daily Living Limitations

  9. Exhibit 2. Changes from Baseline to Follow-up in Depressive Symptoms and Home Hazards

  10. Addressing Function Poor function is costly It’s what older adults care about It’s virtually ignored in medical care Modifiable

  11. Payor Possibilities CMS committed to scaling if meets Triple Aim Accountable Care Organizations Medicare Advantage PACE Medicaid waivers Maryland Hospital Waiver

  12. Questions and discussion

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