Preparing for the future for Nevada Seniors Jane Gruner, Aging and - - PowerPoint PPT Presentation

Preparing for the future for Nevada Seniors

Jane Gruner, Aging and Disability Services Division

• Dr. Peter Reed, Sanford Center on Aging, UNR

Kevin Schiller, Assistant County Manager, Washoe County

Nevada Demographics 2013

Nevada 65+ percentage of total population

• 2011:

12.5%

• 2030 projection:

20%

• Nevada – 3rd fastest through 2050

By County

County Pop 2011 Pop 65+ 2011 % 65+ 2007 % 65+ 2011 Pers/ sq. mile 2010 Carson City 55,439 9,425 15.8 17.0 382.1 Churchill 24,637 3,868 13.6 15.7 5.0 Clark 1,969,975 230,487 10.4 11.7 247.3 Douglas 46,886 9,893 18.0 21.1 66.2 Elko 49,491 4,306 7.4 8.7 2.8 Esmeralda 775 203 24.7 26.2 0.2 Eureka 1,979 265 14.9 13.4 0.5 Humboldt 16,735 1,724 9.5 10.3 1.7 Lander 5,841 701 9.1 12.0 1.1 Lincoln 5,311 993 23.3 18.7 0.5 Lyon 51,871 8,870 13.2 17.1 26.0 Mineral 4,593 1043 21.4 22.7 1.3 Nye 43,351 10,664 20.9 24.6 2.4 Pershing 6,734 956 9.2 14.2 1.1 Storey 3,896 771 10.7 19.8 15.3 Washoe 425,710 53,639 11.4 12.6 66.9 White Pine 10,098 1,535 15.2 15.2 1.1 Nevada 2,720,028 340,003 11.1 12.5 U.S. 311,587,816 41,441,180 12.6 13.3

Race and Ethnicity (65+)

United States (%) Nevada (%) Non-Latino: White 80 76.6 African American 8.4 5.8 Native American 0.4 0.7 Asian 3.4 6.6 Native Hawaiian or Pacific Islander 0.1 0.3 Other Race 0.1 0.1 Two or More Races 0.7 1.1 Hispanic or Latino (any race) 6.9 8.8

Veterans

• Veterans are concentrated around Vegas: In 2010,

almost two-thirds of the state’s nearly 150,000 veterans 55 or older lived in the Las Vegas- Henderson area.

Positive Findings/Trends

• Lower prevalence of obesity
• Relatively healthier finances
• Longstanding doctor shortage may be

easing

Continuing Challenges

• Problem gambling
• Divorce
• Suicide
• Tobacco
• Excess drinking
• Civic engagement
• Wide disparities in wealth

Emergent Concerns

• Transportation

– Lack of public transit may accelerate nursing home placement, particularly in the rural/frontier areas

• Increase in…

– AIDS among older adults – Alzheimer’s Disease – Elder abuse, neglect – Family caregiving

County Service Implications

• Awareness
• Availability
• Access

Information and Referral Transportation

Overview of Current Statewide Senior Services

• ADSD grants funding to community providers to provide essential services

such as (NRS and Older Americans Act, Public Law 109-365) :  nutrition  transportation  respite  legal services  homemaker services  caregiver support  information and referral  assistive technology  companion services  home repair

Senior Services continued

• State Health Insurance Assistance Program
• Senior Medicare Patrol
• Long Term Care Ombudsmen Program
• Elder Protective Services
• Home and Community based Waiver

Frail Elderly Community Options for the Elderly (COPE) Assisted Living

FUNDING STREAMS

• Funding flows to the state from the Older American’s Act

(federal) and is then granted out to community providers including counties.

• Grant Funding: Grantees bid competitively on

grants/RFP’s published by Nevada Aging and Disability Services Division, which is given authority by NRS 427A to develop and implement the “State Plan for Providing Services to Meet the Needs of Older Persons”

• Tobacco Settlement funds

FUNDING STREAMS

• State General funds
• Grants
• Money Follows the Person grant; Medicare

Improvements for Patients and Providers Act (MIPPA) grant

• Local Funding Senior Citizens 1 cent ad valorem Property

Tax Fund 1986 voter-approved ballot measure approximately 1.2 million annually

AREAS OF HIGHEST NEED

• TRANSPORTATION
• NUTRITION
• WORKFORCE
• OUTREACH, HOME BASED SERVICES
• INSTIUTIONAL DIVERSION
• FAMILY CAREGIVER SUPPORT

Federal Outlook

• Older Americans Act- Decrease over past 5

years with no current anticipated increase;

• Funding Opportunities for Veterans Related

Services;

• Potential Increases within Federal Match

Programming through Medicaid/Legislative Changes

• Affordable Care Act will not impact the areas
• f highest needs

Trends in Community Service Options

• Human Services Agency(Adult, Children, Seniors)
• Veterans in Need of Services Project
• Expanded Nutrition Services
• Incline Village Home Delivered Meals
• 2nd Home Delivered Meal Project
• Outreach and “Aging in Place”:
• Money Follows the Person grant; Medicare

Improvements for Patients and Providers Act (MIPPA) grant

• Volunteers

Creating a Vision

• Collaboration-Federal, State and Local Levels
• Public Awareness Of the Crisis and Need
• Public/Private Partnerships
• Create Flexibility (between systems)
• Cross Generational Programming (e.g. Boys and Girls

Club collaboration, Independent Living, Vocational Training)

CALL TO ACTION

• Collaboration! Collaboration! Collaboration!!!
• Regional and Statewide Framework to Address

Funding and Services;

• Legislative Platform;
• Integrated Program and Funding

Mission: To enhance the quality of life of older adults through translational research, education and community

• utreach.

– Gerontology Academic Program – Aging Research Collaborative – Clinical Services – Community Services:

• Medication Therapy Management*
• Chronic Disease Self Management*
• Senior Outreach Services
• Retired and Senior Volunteer Program

(Peter Reed, Director, psreed@unr.edu)

Contact information

Kevin Schiller, Assistant County Manager Washoe County Manager's Office 1001 E. 9th Street, #A201 Reno, NV 89512 Phone: 775.328.2000 Email: Kschiller@washoecounty.us Peter Reed, Director, Sanford Center for Aging Sanford Center for Aging University of Nevada, Reno 1664 N. Virginia St. Reno, NV 89557 Phone: 775.784.4774 Email: psreed@unr.edu

Jane Gruner, Administrator, Aging and Disability Services Division 3416 Goni Road, Bldg. D, #132 Carson City, NV 89706 Phone: 775.687.0515 Email: jgruner@adsd.nv.gov