Sharon Rhyne, MBA, MHA Audrey Edmisten, RD, LDN, MPH Tiffany Shubert, MPT, PhD

1. Sharon Rhyne, MBA, MHA Audrey Edmisten, RD, LDN, MPH Tiffany Shubert, MPT, PhD

2. Acknowledgement The NC Roadmap was supported by • National Association of Chronic Disease Directors Senior Opportunity Grants • HA2006-II, HA2008 • Division of Aging and Adult Services • Division of Public Health • The Institute on Aging

3. NC RoadmapSession Objectives • Understand the importance and effectiveness of health promotion and disease prevention programming for older adults • Identify the evidence-based health promotion programs for older adults available in North Carolina • Utilize the NC Roadmap to implement evidence-based health promotion programs and upload your programming information on to www.ncroadmap.org

4. The Silver Tsunami • Older adults are NC’s fastest growing population due to: • Decreasing birth rates, improved life expectancies, migration, better health…and the boomers • Greater life expectancy due to: • Advances in health care and (opportunities for) healthier lifestyles “When I’m 64: How Boomers Will Change Health Care ”, American Hospital Association, May 2007

5. 12% or less 12.1% to 13.0% The average for NC is 12.0%. The range is from 6.3% to 23.6% 13.1% to 14.4% 14.5% to 15.9% More than 16% Percent of Population Age 65+ in North Carolina, 2000

6. 12% or less 12.1% to 13.0% The average for NC is 17.7%. The range is from 10.5% to 35.2% 13.1% to 14.4% 14.5% to 15.9% More than 16% Percent of Population Age 65+ in North Carolina, 2030* *Based on July 2006 population projections

7. United States Life Expectancy 1900-2008 • 1900: Avg. life expectancy was ___? • 2008: Avg. life expectancy is 78.1 yrs. • In NC ___? • In NC, average years of healthy life remaining at birth ___? www.schs.state.nc.us/SCHS/pdf/SCHS -129.pdf www.schs.state.nc.us/SCHS/data/lifexpectancy

8. How Many Years of Good Health? Minority men and women in North Carolina have shorter life expectancies, but more years of poor health. Source of data: CDC, Chronic Disease Notes & Reports, vol. 16, no. 2/3 (2004).

9. The Challenge A rapidly growing older adult population in almost every county in the state Chronic disease epidemic Limited healthcare providers Limited resources

10. Adult Day Services Care Management Nutrition Services (Congregate, Home Delivered Meals) Respite Care In-Home Aide Information and Case Management Senior Center Operations Transportation Housing and Home Improvement Other Services - Health Promotion, Ombudsman Advocacy Program, Adult Protective Services , etc. Division of Aging & Adult Services

11. The Aging Network Federal Level Administration on Aging State Level NC Division of Aging & Adult Services Regional Level Area Agencies on Aging (17) County Level Person County Council on Aging

12. The Health Promotion Solution Older adults who make healthier choices demonstrate • Lower rates of premature death due to chronic disease • Decreased rates of disability • Better mental health and cognitive function • Lower healthcare costs

13. Partnerships for Health Promotion Aging, Public Health & the Institute on Aging • Set a more coordinated and systemic effort to address healthy aging in the state • Build infrastructure to support and disseminate EBHP • Memorandum of Understanding • Partnerships and Coalitions • Programs, Resources & Other Tools

14. Outcomes • Five NACDD Senior Grants • AoA Grant to disseminate Living Healthy • North Carolina Healthy Aging Coalition • North Carolina Falls Prevention Coalition • Roadmap for Healthy Aging

15. Evidence-Based Health Promotion Programs 2009 • Chronic Disease Self-Management Program—(Living Healthy) • Arthritis Foundation Exercise Programs • Matter of Balance • Active Living Every Day • Powerful Tools • Diabetes Self-Management Program • Fit and Strong • Walk With Ease • Healthy IDEAS • And more to come….

16. Future Directions • Expansion of evidence-based programs • Workshops to educate about EBHP • More master trainer sessions • Sustainability (Living Healthy Program) • Expand users of NC Roadmap • Minimize replication of efforts, maximize resources • Create one-stop shopping for health promotion programming

17. The North Carolina Roadmap for Healthy Aging www.ncroadmap.org

18. What is the NC Roadmap? • A user-friendly, interactiveguide for providers to learn about and deliver EBHP • A statewide inventory of health promotion programming • A county-by-county listing of evidence-based health promotion programs • A marketing tool to attract both new partners and new clients to programs • A networking tool to identify community partners to implement and deliver health promotion programming

19. What is it, Really? • A wiki • A website that uses wiki software, allowing easy creation and editing of any number of interlinked Web pages • Wikis are often used to power community websites (http://en.wikipedia.org/wiki/Wiki, accessed 9/21/09)

20. Who Will Find the Roadmap Helpful? • Community Providers • Resources/strategies to identify partners in the community and to implement EBHP • Healthcare Providers • Education about what is an EBHP; listings of EBHP and health promotion programming in their community • Policy Makers • Health, demographic, and health promotion data for each county in the state • Researchers

21. Why is this important? • Easy access to health information for your community • Provides a listing of current health promotion programs so efforts will not be replicated • A venue to educate public and providers about health issues in your community, and the importance of EBHP

22. Case Study: Watauga County Use of the NC Roadmap to develop new and effective partnerships • AAA Region D NC Roadmap Workshop • Purpose of Workshop • Educate about EBHP • Introduce tools for implementation • Explain use of Roadmap • 38 attendees, 7 counties represented • 14 from Watauga County

23. Case Study: Watauga County Aging Services, Healthy Carolinians, ASU Faculty, Physical Therapy, Rehabilitation • Outcomes • Realization of common health promotion goals • Identification of duplication of efforts • Decision to meet quarterly to pool resources to develop and support EBHP • Utilize the NC Roadmap to advertise programs and update partners

24. How Does the NC Roadmap Work? • www.ncroadmap.org • Information and tools for EBHP • Guides for implementing programs in NC • Contact information for master trainers • Links to additional resources • County specific information that can be updated and maintained by each facility • Search engine to find programs • Additional state and national resources • Information can be updated or added by any registered user

25. www.ncroadmap.org • Site demonstration • New program information • New regional or statewide program • Modify current programming information • Other tools

26. Dr. Seuss on EBHP & The NC Roadmap ‘‘a person’s a person, no matter how small” If enough providers in a community support and utilize EBHP, great things in health promotion can be accomplished

27. Questions? Thank You! Tiffany Shubert tshubert@med.unc.edu Audrey Edmisten Audrey.Edmisten@dhhs.nc.gov Sharon Rhyne Sharon.Rhyne@dhhs.nc.gov