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Judith A. Metcalf, APRN, BC, MS Director, UNE Maine Geriatric Education Center

University of New England Maine Geriatric Education Center: Overview of Project Goals and Activities June 8, 2012 The 22 nd Maine Geriatrics Conference Where Policy Meets Practice Bar Harbor, Maine. Judith A. Metcalf, APRN, BC, MS Director, UNE Maine Geriatric Education Center

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Judith A. Metcalf, APRN, BC, MS Director, UNE Maine Geriatric Education Center

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  1. University of New EnglandMaine Geriatric Education Center:Overview of Project Goals and ActivitiesJune 8, 2012The 22nd Maine Geriatrics ConferenceWhere Policy Meets PracticeBar Harbor, Maine Judith A. Metcalf, APRN, BC, MS Director, UNE Maine Geriatric Education Center Nurse Practitioner, UNE Mature Care

  2. Disclosure The presenter does not have an interest in selling technology, program, product, and or service to CME/CE professionals Funding for this presentation is provided by the University Of New England Maine Geriatric Education Center which is sponsored by the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) Grant # UB4HP19207-02

  3. Objectives • Create awareness of the mission of the federally funded (HRSA) Geriatric Education Centers (GECs) • Discuss five UNE-MGEC project goals and initiatives • Identify UNE-MGEC programs and resources and how to access them

  4. Overview of the GEC Network in 2012 • Network of 45 Geriatric Education Centers • Funding – Title VII • Education and Training • Provide hundreds of hours of CE programs in geriatrics for practicing health professionals

  5. Overview of the GEC Network in 2012 • Education and Training • Provide didactic and clinical training opportunities in geriatrics for health professional students and promote interprofessional, team based approaches to care and care coordination

  6. Overview of the GEC Network in 2012 • Education and Training • Collaborates with acute care, long term care, and community-based service providers on evidence based practice programs to designed to reduce rates and improve outcomes of care relating to delirium, depression, falls, pain, and diabetes in older adults

  7. Overview of the GEC Network in 2012 • Education and Training • Between July 1, 2010 and June 30, 2011, • the GECs provided educational programs for approximately 40,000 health care professionals and students from disciplines such as medicine, nursing, allied health, health services administration, social work, and psychology

  8. UNE-MGEC INITIATIVES • Geriatric Intraprofessional Health Literacy Collaborative Team Training • EBP Intraprofessional Falls and Quality of Falls Care Team Training • Strategies to Nurture Aging People (SNAP) an Inter- professional Academic and Community Initiative • Arts in Aging • Emergency Preparedness

  9. Geriatric Health Literacy Learning Collaborative Team Training • Southern Maine Medical Center • Franklin Community Health Network • Penobscot Community Health Center • Statewide Faculty Team

  10. Health Literacy IP Team Training

  11. Four Teams

  12. Health Literacy

  13. Health Literacy IP Team Training

  14. EBP Intraprofessional Falls and Quality of Falls Care Team Training • WHY falls and quality of falls care based training? • Concentrations of older adults in targeted rural • counties higher than U.S. average (12.6%)

  15. % of Population Over 65 in Maine by County Alphabetical Sorted from high to low Source: U.S. Census Bureau: State and County Quick Facts. Data derived from Population Estimates, Census of Population and Housing – Accessed 2/18/2010

  16. Constitute major reason for traumatic deaths in older • adults • Most frequent cause of hospital admissions due to injury • 1 in 3 (age 65 >) fall each year • Of those, 20% - 30% suffer moderate to severe injuries • Hausdorff JM, et al. Gait Variability and fall risk in community-living older adults: a 1-year prospective study. Archives of Physical Medicine and Rehabilitation 2001;82(8): 1050-6 Falls is a Major Public Health Issue

  17. $$ Falls Cost Billions $$ Among community-dwelling older adults, fall-related injury is one of the 20 most expensive medical conditions. In 2000 total direct cost (age 65>) exceeded $19 billion In 2002 Medicare $$ per fall averaged between $9,113 & $13,507 In 2008 over 18,000 older adults died as a result of a fall event Carroll NV, et al. The cost of falls among the community-dwelling elderly. Journal of Managed Care Pharmacy. 2005; 11(4): 307-16. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [ online]. Accessed November 30,2010. Shumway, et al. Falls in t he Medicare population: incidence, associated factors, and impact on health care. Physical Therapy 2009.89(4):1-9. Stevens JA, et al. The costs of fatal and nonfatal falls among older adults. Injury Prevention 2006;12:290-5

  18. Falls Cost Billions $$ In 2009 ERs treated 2.2 million nonfatal fall injuries among older adults; 582,000 of these patients had to be hospitalized In 2010 Total direct cost-all falls injuries 65 and older exceeded $28.2 billion In 2020 annual/direct/indirect cost $54.9 billion (in 2007 $$) Carroll NV, et al. The cost of falls among the community-dwelling elderly. Journal of Managed Care Pharmacy. 2005; 11(4): 307-16. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [ online]. Accessed November 30,2010. Shumway, et al. Falls in t he Medicare population: incidence, associated factors, and impact on health care. Physical Therapy 2009.89(4):1-9. Stevens JA, et al. The costs of fatal and nonfatal falls among older adults. Injury Prevention 2006;12:290-5

  19. Evidence Based Practice (EBP) Educational Intervention with ER Health Professionals - MDI Hospital • Educational sessions to improve the quality of falls care for older adults utilizing the 12 validated ACOVE-3 quality indicators, initiated an ongoing. • Training is based on (EBP) for improving the quality of falls care for older adults using 12 validated quality indicators. (Chang JT, Ganz DA, Quality indicators for falls and mobility problems in vulnerable elders. J Am Geriatric Soc 2007; 55:327-334). (ACOVE-3 Quality Indicators, Chang & Ganz, 2007)

  20. Chang, J.T. & Ganz, D.A. (2007) Quality Indicators for Falls and Mobility Problems in Vulnerable Elders, Journal of the American Geriatrics Society, Vol. 55 (S2), S247-S487

  21. Mount Desert Island, Maine

  22. Mount Desert Island, Maine

  23. EBP Falls IP Team Training

  24. EBP Falls IP Team Training

  25. Multifactorial Risk Assessment

  26. Fall Footwear

  27. When you least expect it !!

  28. Strategies to Nurture Aging People (SNAP) an Inter-professional Academic and Community Initiative

  29. (SNAP) an Inter-professional Academic and Community Initiative

  30. Living Art - Living Well Studio4 part Seminar Series • Molly Neptune Parker, Passamaquoddy basket maker • Thomas Cote, Acadian wood carver • John Connors, Bateaux boat builder • Franco House Party French songs and music

  31. UNE-MGEC “Living Art-Living Well Studio” 4 Part Seminar Series February 9, March 8, April 12 & May 10, 2012 St Mary’s d’Youville Pavilion, from 5:30 –7 pm Seminar 1 Seminar 3 Seminar 4 Seminar 2

  32. Tom Cote & apprentice

  33. John Connors & apprentice

  34. Studio #4 Franco House Party

  35. Emergency Preparedness

  36. Educational DVDAssessing Elder Abuse in the Clinical Setting: Asking the Difficult Question

  37. UNE-MGEC Resourceswww.une.edu/mainegec Complimentary online courses • Assessing Elder Abuse in the Clinical Setting • Advance Directives • Health Literacy/Plain Language • Emergency Preparedness Planning for Long Term Care and Assisted Living Communities (in progress) • Resources for Health Professionals • Falls Prevention • Preparing for an Emergency Disaster • Elder Investment Fraud • Living Art - Living Well 4 Part Seminar Series • Health Literacy • Continuing Education Opportunities

  38. UNE-MGEC Resourceswww.une.edu/mainegec • Resources • Older Adult Resource Toolkit (OAR) • Teaching DVDs – Assessing Elder Abuse in the Clinical Setting; Driving & Advance Directives • Health Literacy Teach Back (in progress) • UNE-MGEC Educational Needs Assessment 2010 Financial Exploitation of Older Adults-Red Flags in Clinical Practice: Evidence-Based Screening Tools to Assess for Vulnerability and Resources for Appropriate Referrals --- A Clinician’s Toolkit (EIFFE) • Speakers Robert E Roush, EdD, MPH Judith M. Shaw, JD EIFFE video on YouTube http://youtu.be/ISNK9zlHQEc

  39. National Institute on Aging • www.nia.nih.gov/health/agepages/falls American Geriatrics Society • www.americangeriatrics.org/education/forum Centers for Disease Control and Prevention, National Center for Injury Prevention and Control (NCIPC) • www.cdc.gov/ncipc/factsheets/falls American Geriatrics Society, British Geriatrics Society, American Academy of Orthopedic Surgeons Panel on Falls Prevention. Guidelines for the prevention of falls in older persons. JAGS.2001;49:664-672 Resources and References

  40. Summary of the Updated American Geriatrics Society /British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons. JAGS. 2011;59:148-157 Primary Care-Relevant Interventions to Prevent Falling in Older Adults: A Systematic Review for the U.S. Preventive Task Force. Ann Intern Med. 2010;153:815-825 Quality Indicators for Falls and Mobility Problems in Vulnerable Elders. JAGS,2007; 55:S327-S334 Quality Indicators for the Management and Prevention of Falls and Mobility Problems in Vulnerable Elders. Ann Intern Med. 2001;135 (8 Part 2): 686-693 Resources and References

  41. Thank You ! Judith A. Metcalf, APRN, BC, MS Director, UNE Maine Geriatric Education Center Nurse Practitioner, UNE Mature Care 716 Stevens Avenue, Portland, Maine 04103 T 207-221-4459 F 207-523-1922 jmetcalf@une.eduwww.une.edu/mainegec FMI : email mamoroso@une.edu or 207-221-4460

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