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Welcome to the Geriatric Nursing Leadership Academy. Hartford Foundation Mission Increase the nation’s capacity to provide effective and affordable care to its rapidly increasing older population. Changing Demographics. %. %. %. Chronic Disease is the Norm.
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Hartford Foundation Mission Increase the nation’s capacity to provide effective and affordable care to its rapidly increasing older population
Changing Demographics % % %
Chronic Disease is the Norm • 87% of Medicare beneficiaries have one or more Chronic Diseases • 66% have multiple Chronic Diseases • 20% have 5+ Chronic Diseases
Prescription Drugs, Chronic Care & Older Adults 0 chronic conditions 10 prescriptions* *average
Prescription Drugs, Chronic Care & Older Adults 5+ chronic conditions 57 prescriptions
Chronic Illness = Skyrocketing Healthcare Spending • 5+ Chronic Diseases results in 1400% increase in Health Care Spending Source: Medical Expenditure Panel Survey
Imperfect Health Care System • Disease-focused not patient-focused • Multiple “specialty” practitioners • Uncoordinated care • Treatment designed for 35-50 year old • Gap between knowledge and practice
Results of Systems Failure • Medical Errors • 44,000- 98,000 deaths annually (IOM) • Medication errors • 1.3 million injured annually (FDA) • Nearly 50% of fatal medication errors in people age 60+
Hartford Strategy MEDICINE NURSING SOCIAL WORK INTEGRATING & IMPROVING SERVICES
Hartford Strategy INTEGRATING & IMPROVING SERVICES
Integrating and Improving Services • Hartford’s commitment • 25 years commitment • 143 grants totaling over $87 million • Strong linkage with academic geriatrics • Building on previous Hartford Foundation efforts • National models of geriatric care
Your Charge • Adopt evidence-based approaches that work • Do not reinvent the wheel • Seek answers and share with others • Shape the quality of health care delivery • Improve health of elders
Special Thanks • Sigma Theta Tau • Advisory Board • Faculty • Mentors • Hartford Centers of Geriatric Nursing Excellence • Oregon Health & Science University • Northwest Health Foundation • Mayday Fund • Hill-Rom • You, our geriatric nursing leaders of the future