This is the last in a series of six Health AGEnda posts on the 2014 Annual Report.
Editor’s Note: The John A. Hartford Foundation’s 2014 Annual Report features five profiles of Hartford Change AGEnts whose work is representative of the kinds of practice and policy change the initiative is making. Read Harnessing the Power of Hartford Change AGEnts for more on the Change AGEnts Initiative. Today, we meet Renée Markus Hodin, Carol Regan, and Gregg Warshaw, MD, of Community Catalyst, who are working to bring the perspectives of older adults and aging-expert health professionals to efforts to improve care for the vulnerable population eligible for both Medicare and Medicaid. The John A. Hartford Foundation Board of Trustees recently approved a three-year, $1.5 million renewal grant to expand Community Catalyst’s work. This post concludes our special Health AGEnda series spotlighting the stories and videos of Hartford Change AGEnts profiled in the Annual Report.
As a geriatrician, Gregg Warshaw, MD, has watched with mounting frustration as older adults are bounced back and forth between nursing homes and hospitals—decisions often driven by the different financial models used by Medicare and Medicaid.
The Trustees of the John A. Hartford Foundation approved three grants totaling more than $3.28 million last week that we believe will lead to fundamental, long-term changes in the way care is delivered to older adults.
We renewed and expanded our work to ensure that the voices of older adults and aging-expert professionals are influencing debates about health care delivery through advocacy; we are supporting the development of quality measures and performance standards that support integrated, patient-centered, goal-based care that helps people to achieve their priority outcomes; and through the collaborative ReFraming Aging Initiative, we will counter the pervasive negative beliefs about aging that are barriers to improving the care of older people.
Under our Policy and Communications portfolio, the Board approved a three-year, $1.5 million renewal grant that will expand the partnership between aging-expert health care professionals and consumer advocates in the Voices for Better Health initiative. This project of Community Catalyst, a nonprofit, Boston-based health care advocacy organization, is working to ensure that integrated health plans for dually eligible Medicare/Medicaid individuals deliver high-quality care to this low-income, vulnerable population.
Whether we receive care, provide care, or coordinate care for a loved one, everyone benefits from improving the quality of jobs for America’s 2 million current home care workers and the millions more we’ll need to care for the growing number of older adults in the coming decades.
That’s why the recent ruling by the U.S. Court of Appeals for the D.C. Circuit affirming the extension of federal labor protections to home care workers is an important victory not only for fairness, but for improving the quality of care for older adults and people living with disabilities.
The decision, handed down on Aug. 21, arrives as care needs for the country’s aging generation are expanding rapidly. PHI, the nation’s leading authority on the direct-care workforce, estimates that the demand for home care workers will increase 50 percent by 2022.
Dr. Joseph Gaugler
Editor’s Note: Health AGEnda recently spoke with Dr. Joseph Gaugler, professor at the University of Minnesota School of Nursing and co-editor (along with Robert Kane, MD) of the new book Family Caregiving in the New Normal. This unique work addresses challenges and offers cost-effective solutions via a comprehensive “roadmap” for family caregivers, clinicians, and policymakers. It also includes chapters from members of the Hartford Change AGEnts Dementia Caregiving Network, a multi-sector, interdisciplinary team of leaders with expertise in practice, policy, and research related to caregiving and dementia whose mission is to achieve improvements in services, supports, and care for those with dementia and their family caregivers.
What is the “New Normal” for family caregivers?
Glenda Jimmo is a name you should know.
Mrs. Jimmo, who is blind and had her leg amputated due to diabetes, was the lead plaintiff in a lawsuit brought against the Centers for Medicare and Medicaid Services (CMS) in 2011 by the Center for Medicare Advocacy on behalf of beneficiaries and seven national organizations representing people with chronic conditions. Mrs. Jimmo requires a wheelchair and needs weekly home health services for her complex conditions. However, she was denied Medicare coverage for services on the grounds that she was unlikely to improve.
This rule of thumb—that Medicare services for skilled nursing or therapy should be discontinued when a patient “plateaus” or will no longer improve—is wrong.
Dr. Suzanne Landis has devoted her life to improving care for older adults.
Suzanne Landis, MD, MPH, drives an older, sensible car. She is an understated person often found standing in the back row of group photos. But don’t let her modest demeanor fool you.
She is one of the most giving and effective people I know. Dr. Landis, who practices geriatrics in rural Western North Carolina, leads the Center for Healthy Aging at the Mountain Area Health Education Center.
Most of our John A. Hartford Foundation staff have come to the banks of the Potomac River in National Harbor, MD, this week for the annual scientific meeting of long-time grantee and partner, the American Geriatrics Society (AGS). It’s always a great opportunity to catch up with valued friends and colleagues, learn about the latest advances in aging and health research, and celebrate those who have made important contributions to the field.
This year is no exception. In fact, it is gratifying to see how many of those being honored by AGS this week have been part of the Hartford Foundation community, through grants, scholarships, fellowships, and partnerships.
Steven R. Counsell, MD