The Indian Health Service and Elder Care

1. The Indian Health Service and Elder Care Bruce Finke, MD - IHS Kay Branch – Alaska Native Tribal Health Consortium For the 2008 National Title VI Training April 29, 2008 Shakopee, MN

2. Let’s talk about…. • 2008 IHS Long Term Care Grants • The Director’s Initiatives in • Chronic Care • Health Promotion and Disease Prevention • Behavioral Health • Palliative Care Training and Resources • CDC and topics of interest in Aging • Fall and Injury Prevention • Other important topics…..?

3. DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Clinical and Preventive Services; Elder Care Initiative Long- Term Care Grant Program Announcement Type: New. Funding Announcement Number: HHS–2008–IHS–EHC–0001. Catalog of Federal Domestic Assistance Numbers: 93.933. Key Dates: Letter of Intent Deadline: May 2, 2008. Application Deadline Date: June 20,2008. Review Date: July 21–August 1, 2008. Earliest Anticipated Start Date: September 1, 2008.

4. IHS Elder Care Long Term Care Grants – FY08 Category 1 – Assessment and Planning • What do our elders need and how do we provide it? • 2 Years • Up to 50K per year • Eligible service(s) • Sustainability Category 2 – Implementation • We know exactly what we want to do, we know it will work, we just need some help getting it started. • 2 years • Up to 75K per year • Eligible service(s) • Sustainability

5. IHS Elder Care Long Term Care Grants – FY08 Category 1 - Assessment and Planning • Understanding the need for LTC • Specifics!!!! • Demographics!!!! • Leading to comprehensive plan or vision for LTC • Leading to a detailed business plan for a service or services

6. IHS Elder Care Long Term Care Grants – FY 08 Category 2 – Implementation • Need clearly demonstrated • Fully developed plan • Including possibly a business plan • Clear path to sustainability after 2 years

7. IHS Elder Care Long Term Care Grants – FY 08 • If a long term care service or program is not eligible for contracting or compacting, it is not eligible for funding through the grant program. • Only long term care services that are primarily medical in nature are within the authority of the Indian Health Services • The programs or services must be designed to serve IHS beneficiaries.

8. IHS Elder Care Long Term Care Grants – FY08 Only medical long term care services are within the authority of the Indian Health Service A medical long term care service should be • based on an individual assessment by a qualified professional. • part of an individual care plan. • linked to a specific diagnosis or diagnoses.

9. IHS Elder Care Long Term Care Grants – FY 08 Examples of programs or services not eligible for grant funding: • Assisted Living • Custodial Nursing Home Care • Non medical transportation • Non medical nutrition • Socialization • Chore services • Social Elder Day • “PACE (Program of All-inclusive Care of the Elderly” as a specific CMS program

10. IHS Elder Care Long Term Care Grants Examples of programs or services that are potentially eligible for grant funding: • Personal care delivered in elder housing • Swing beds, skilled nursing services, medical rehabilitation services • Medical Transportation • Medical Nutrition Therapy • Activities in a therapeutic setting • Medically required safety modifications in the home • Medical model Elder Day Health • LTC programs integrating medical Long Term Care services using the “PACE” model.

11. Call Your Geriatrician Bruce Finke, MD 413-584-0790 615-417-4915 (cell) bruce.finke@ihs.gov