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The John A. Hartford Foundation
Welcome to the Geriatric Nursing
Leadership Academy
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The John A. Hartford Foundation
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The John A. Hartford Foundation
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The John A. Hartford Foundation
Hartford Foundation Mission
Increase the nation’s capacity to provide effective and
affordable care to its rapidly increasing older population
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The John A. Hartford Foundation
Changing Demographics
% % %
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The John A. Hartford Foundation
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
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The John A. Hartford Foundation
Prescription Drugs, Chronic Care & Older Adults
0 chronic conditions 10 prescriptions*
*average
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The John A. Hartford Foundation
5+ chronic conditions 57 prescriptions
Prescription Drugs, Chronic Care & Older Adults
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The John A. Hartford Foundation
Chronic Illness = Skyrocketing Healthcare Spending• 5+ Chronic Diseases results in 1400% increase in
Health Care Spending
Source: Medical Expenditure Panel Survey
$800$1,900
$3,400
$5,600
$8,900$11,500
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
0 1 2 3 4 5+Number of Chronic Conditions
Aver
age
Per C
apita
Spe
ndin
g
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The John A. Hartford Foundation
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
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The John A. Hartford Foundation
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+
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The John A. Hartford Foundation
Hartford Strategy
MEDICINE NURSING SOCIAL WORK
INTEGRATING &
IMPROVING SERVICES
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The John A. Hartford Foundation
Hartford Strategy
INTEGRATING &
IMPROVING SERVICES
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The John A. Hartford Foundation
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
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The John A. Hartford Foundation
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
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The John A. Hartford Foundation
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