aging and health program strategic plan update september 2010
TRANSCRIPT
Aging and Health Program
Strategic Plan UpdateSeptember 2010
Goals for Today
• Quick review of grantmaking approach• Review program strategies, grants, and
spending• Update on progress on target indicators• A modest proposal and future directions
Aging and Health Program: Strategic Plan Update // 2
Grantmaking Approach
• Only national funder focused on aging and health mission
• Highly strategy driven
• Expert staff, engaged in the field
• Creating change, not grants alone Aging and Health Program: Strategic Plan Update // 3
2010 2011 2012 2013 20140
5
10
15
20
25
30
24.2
20.218.7 19.2 19.6
Projected Payout ($ millions)
Aging and Health Program: Overview
Aging and Health Program: Strategic Plan Update // 4
Better Health of Older Adults
Aging and Health Program: Strategic Plan Update // 5
Health CareDelivery Redesigned for Older Adults
Model Developmentand Testing
AARP –Caregiver Support
Guided Care
Sigma Theta Tau –Leadership Academy
Practice Change Fellows
Dissemination of Proven Ideas
Agents of Change
OHSU – CareManagement +
Partners in Care –Medication Mgmt.
U. of Washington – IMPACT
VNSNY – CHAMP
U. Colorado –Care Transitions
Mount Sinai – Palliative Care
SHM – BOOST Care Transitions
PHI – Coaching Supervision
Integrating & Improving Services: Portfolio
Aging and Health Program: Strategic Plan Update // 6
$3,862,303
$623,134
$692,129
Dissemination
Change Agents
Model Development
Integrating & Improving Services:Outstanding Commitments
Aging and Health Program: Strategic Plan Update // 7
Integrating & Improving Services:Grant Outputs
• Models Adopted in 50 States
• 3,764 Clinical Sites
• 5,372 Providers Trained
Aging and Health Program: Strategic Plan Update // 8
Goal: Two new models of care demonstrate clinical benefit and feasibility.
In Progress• Guided Care• AARP Caregiver Support• PHI Coaching Supervision
Integrating & Improving Services:Indicators of Impact
Goal: Four models in dissemination become self sustaining in their spread.
In Progress• Care Management + • Care Transitions •
VNSNY-CHAMP• Meds Management •Palliative Care •
IMPACT• SHM BOOST
Aging and Health Program: Strategic Plan Update // 9
Social Work: Portfolio
Social WorkersCompetentto Care forOlder Adults
Faculty Development
GSA – Doctoral Fellows
LeadershipAcademy
CurricularChange
Pre-DissertationAwards
NYAM – HPPAE
CSWE – Gero-Ed Center
GSA – Faculty Scholars
Aging and Health Program: Strategic Plan Update // 10
Social Work: Outstanding Commitments
8,232,622
$2,182,275
Faculty Development
Curricular Change
Aging and Health Program: Strategic Plan Update // 11
Social Work: Indicators of Impact
MSW Programs Having >2 Faculty Specializing in Geriatrics
MSW Programs with* Coursework in Aging
MSW Programs Adopting Hartford Practicum Model for Training
Series1
0%10%
20%30%
40%50%
60%70%
80%90%
100%
Goal Current*Represents % programs with coursework available, not requiring coursework, which remains our goal.
Aging and Health Program: Strategic Plan Update // 12
Nursing: Portfolio
All NursesCompetentto Care forOlder Adults
Faculty Development
BAGNCScholarship & Fellowships
CGNES
Gero PsychCollaborative
CurricularChange
Gero Nurse Ed. Consortium
Associate Degree Programs
Adult Advanced Practice Nursing
Aging and Health Program: Strategic Plan Update // 13
Nursing: Outstanding Commitments
$2,710,304
$1,421,398 $8,702,304
Faculty Development
Centers of Excellence
Curricular Change
Scholars Programs
Aging and Health Program: Strategic Plan Update // 14
Nursing: Indicators of Impact
Bachelors Nursing Schools Adopting AACN Geriatric Competencies
Masters Programs Adopting AACN Geriatric Competencies
Bachelors Programs with >1 Geriatrics Faculty Member(s)
Series1
0%10%
20%30%
40%50%
60%70%
80%90%
100%
Goal Current
Aging and Health Program: Strategic Plan Update // 15
Medicine:Portfolio
All PhysiciansCompetentto Care for Older Adults
Faculty Development
Centers of Excellence
ADGAP –Leadership
Surgeons Initiative
Reynolds Foundation Programs
CurricularChange
MSTAR
Beeson
Williams
Jahnigen
Scholars Programs
Internal MedicineSpecialist Initiative
ADGAP –Chief Residents
Aging and Health Program: Strategic Plan Update // 16
Medicine: Outstanding Commitments
$8,220,619
$9,378,676
$3,673,786 Curricular Change
Centers of Excellence
Scholars Programs Faculty Development
Aging and Health Program: Strategic Plan Update // 17
Medicine: Indicators of Impact*
% Aca. Medical Centers with Divisions of Geriatrics
Average MD faculty = 16
% Medical Schools with geriatric requirements
% IM Residencies with some geriatrics requirements
Se-ries
10% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%
Series1
Goal Current*Original Indicators of Impact: Faculty in Divisions of Geriatric Medicine Grow by 20%Medical Schools Adopting AAMC Geriatric CompetenciesResidencies, Specialties, & Subspecialties Adopting Geriatric Training Standards
Aging and Health Program: Strategic Plan Update// 18
Aging and Health Program: Strategic Plan Update // 19
Aging and Health Program:Allocation of Funds
Commitments
Area Plan Actual Proposed
Medicine 40% 41% 36%*
Nursing 24% 25% 24%
Social Work 16% 20% 20%*
Services 20% 10% 20%
Future Directions
• 2010– CGNE & PHI renewals
• 2011– Strategic planning– Rebalance faculty development vs. curriculum– Continuing education
• 2012– Finish making deferred payments– Make new grants to spend ~$7M unallocated
in 2013
Aging and Health Program: Strategic Plan Update // 20
Aging and Health Program: Strategic Plan Update
Questions & Discussion
Aging and Health Program: Strategic Plan Update // 21
Aging and Health Commitments: 2003 - 2010 (in thousands)
Outcomes (in dollars) 2003 2004 2005 2006 2007 2008 2009** 2010 Grand Totals('03 - '09)
Medicine 7,221 12,986 1,518 19,787 17,972 3,400 14,815 1,812 77,699
Nursing 3,050 4,267 18,587 591 8,173 8,181 1,331 1,780 44,180
Social Work 3,449 9,185 5,383 9,195 14,425 0 4,607 0 46,244
IIS 328 6,606 2,376 4,800 6,824 5,215 1,199 400 27,348
Aging & Health Other 0 135 2,340 1,264 74 2,403 400 0 6,616
Totals By Year (in current $s): 14,048 33,179 30,204 35,637 47,468 19,199 22,352 3,992 202,087
Cumulative Total (Current $s): 14,048 47,227 77,431 113,068 160,536 179,735 202,087 206,079
Totals By Year (in constant $s):* 14,048 32,318 28,456 32,526 42,124 16,408 19,170 3,376 185,051
Cumulative Total (Constant $s): 14,048 46,366 74,823 107,349 149,473 165,880 185,051 188,426
Outcomes (percentages) 2003 2004 2005 2006 2007 2008 2009 2010 Grand Totals ('03 - '09)
Medicine 51.4% 39.1% 5.0% 55.5% 37.9% 17.7% 66.3% 45.4% 38.4%
Nursing 21.7% 12.9% 61.5% 1.7% 17.2% 42.6% 6.0% 44.6% 21.9%
Social Work 24.6% 27.7% 17.8% 25.8% 30.4% 0.0% 20.6% 0.0% 22.9%
IIS 2.3% 19.9% 7.9% 13.5% 14.4% 27.2% 5.4% 10.0% 13.5%
Aging & Health Other 0.0% 0.4% 7.7% 3.5% 0.2% 12.5% 1.8% 0.0% 3.3%
Totals: 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
Includes Projected Commitments through December 2010
*2003 Consumer Price Index Base
** Includes AFAR CoE National Program Office Grant ($8.4 million)
Aging and Health Program: Strategic Plan Update // 22
Medicine38%
Nursing22%
Social Work23%
IIS14%
Aging & Health Other3%
Medicine
Nursing
Social Work
IIS
Aging & Health Other
Medicine: $77,699Nursing: 44,180
Social Work: 46,244IIS: 27,348
Aging & Health Other: 6,616Total: $202,087
Aging & Health Grants Committed: 2003-2009
Aging and Health Program: Strategic Plan Update // 23
2003 2004 2005 2006 2007 2008 20090
5,000
10,000
15,000
20,000
25,000
Aging & Health Grants Committed: 2003 - 2009
Medicine Nursing Social Work IIS Aging & Health Other
Year of Trustee Authorization
Do
llars
(In
Th
ou
sa
nd
s)
Aging and Health Program: Strategic Plan Update // 24
Aging and Health Grant Payouts: 2003 - 2010 (in thousands)
Outcomes (in dollars) 2003 2004 2005 2006 2007 2008 2009 2010 Grand Totals('03 - '09)
Medicine 8,118 9,492 9,630 6,029 9,165 7,564 8,480 6,231 58,478
Nursing 7,044 6,424 6,567 5,550 6,407 4,952 6,441 3,802 43,385
Social Work 2,655 3,906 5,265 3,650 6,830 6,142 4,458 3,406 32,906
IIS 4,132 2,577 3,191 1,777 5,042 4,195 5,077 3,088 25,991
Aging & Health Other 451 429 813 1,070 1,142 832 666 620 5,403
Totals By Year (in current $s): 22,400 22,828 25,466 18,076 28,586 23,685 25,122 17,147 166,163
Cumulative Total (Current $s): 22,400 45,228 70,694 88,770 117,356 141,041 166,163 183,310
Totals By Year (in constant $s):* 22,400 22,236 23,993 16,498 25,368 20,241 21,546 2,361 152,282
Cumulative Total (Constant $s): 22,400 44,636 68,628 85,126 110,494 130,736 152,282 154,643
Outcomes (percentages) 2003 2004 2005 2006 2007 2008 2009 2010 Grand Totals ('03 - '09)
Medicine 36.2% 41.6% 37.8% 33.4% 32.1% 31.9% 33.8% 36.3% 35.2%
Nursing 31.4% 28.1% 25.8% 30.7% 22.4% 20.9% 25.6% 22.2% 26.1%
Social Work 11.9% 17.1% 20.7% 20.2% 23.9% 25.9% 17.7% 19.9% 19.8%
IIS 18.4% 11.3% 12.5% 9.8% 17.6% 17.7% 20.2% 18.0% 15.6%
Aging & Health Other 2.0% 1.9% 3.2% 5.9% 4.0% 3.5% 2.7% 3.6% 3.3%
Totals: 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
Payments Made Through August 31, 2010
*2003 Consumer Price Index Base
Aging and Health Program: Strategic Plan Update // 25
Medicine35%
Nursing26%
Social Work20%
IIS16%
Aging & Health Other3%
Aging & Health Grants Paid: 2003 - 2009
Medicine Nursing Social Work IIS Aging & Health Other
Medicine: $58,478 Nursing: 43,385
Social Work: 32,906IIS: 25,991
Aging & Health Other: 5,403Total: $166,163
NOTE: ALL DOLLAR FIGURES EXPRESSED IN THOUSANDS
Aging and Health Program: Strategic Plan Update // 26
2003 2004 2005 2006 2007 2008 20090
2,000
4,000
6,000
8,000
10,000
12,000
Aging & Health Grant Payouts: 2003 - 2009
Medicine Nursing Social Work IIS Aging & Health Other
Do
llars
(In
Th
ou
san
ds)
Aging and Health Program: Strategic Plan Update // 27
AACN – American Association of Colleges of NursingAAMC – Association of American Medical CollegesADGAP – Association of Directors of Geriatric Academic ProgramsBAGNC – Building Academic Geriatric Nursing CapacityBOOST – Better Outcomes for Older adults through Safe TransitionsCGNEs – Centers of Geriatric Nursing ExcellenceGSA – Gerontological Society of AmericaHPPAE – Hartford Partnership Program in Aging EducationIM – Internal MedicineMSTAR – Medical Student Training in Aging ResearchMSW – Master’s in Social WorkNYAM – New York Academy of MedicineOHSU – Oregon Health & Science UniversityPHI – Paraprofessional Healthcare InstituteSHM – Society of Hospital MedicineVNSNY – Visiting Nurse Service of New York
Acronyms