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T he I mpa c t o f the COVI D-19 Pa nde mic o n Olde r No rth Ca ro linia ns a nd the Pro g ra ms T ha t Se rve T he m April 9,2020 Ma ry Be the l Bo a rd Me mb e r/ Re tire d E x. Dire c to r, NC Co a litio n o n Ag ing T ra c y


  1. T he I mpa c t o f the COVI D-19 Pa nde mic o n Olde r No rth Ca ro linia ns a nd the Pro g ra ms T ha t Se rve T he m April 9,2020 Ma ry Be the l Bo a rd Me mb e r/ Re tire d E x. Dire c to r, NC Co a litio n o n Ag ing T ra c y Co lva rd Cha ir o f the Bo a rd, NC Co a litio n o n Ag ing Vic e Pre side nt o f Go ve rnme nt Re la tio ns a nd Pub lic Po lic y, Asso c ia tio n o f Ho me a nd Ho spic e Ca re NC

  2. Pre se nta tio n Ove rvie w • Ove rvie w o f Olde r Adult Po pula tio n in NC a nd the Pre va le nc e o f COVI D -19 • Se rvic e s fo r Olde r Adults in the Sta te (Co ntinuum o f Se rvic e s) a nd Ho w Pro vide r Ne two rks Are Re spo nding • Wha t Ne e ds Co ntinue to E xist a nd Cha lle ng e s • Re c o mme nda tio ns fo r Ge ne ra l Asse mb ly

  3. T he NC Co a litio n o n Ag ing • Me mb e rship o rg a niza tio n c o mprise d o f 75 a g e nc ie s a nd o rg a niza tio ns tha t in so me wa y re pre se nt No rth Ca ro lina ’ s a g ing po pula tio n a s we ll a s individua ls who suppo rt the Co a litio n’ s wo rk • Me mb e rs c o me to g e the r to g ive vo ic e to issue s tha t a ffe c t o lde r a dults in the sta te • F a c ilita te s ne two rking a nd info rma tio n e xc ha ng e a mo ng me mb e rs a nd pro vide s the struc ture a nd le a de rship fo r c o lle c tive a dvo c a c y, e duc a tio n, a nd pub lic po lic y wo rk

  4. Olde r Adult Po pula tio n in No rth Ca ro lina • Pe o ple 65+ ma ke up 16% o f the sta te po pula tio n (1,676,545) • 35% g ro wth 2010-2018 Mo re tha n 1 in 5 No rth Ca ro linia ns a re 60+ • Pe o ple 75+ ma ke up 7% o f sta te po pula tio n (680,021) • 26% g ro wth 2010-2018 E ffe c tive 2019, the sta te ha s mo re pe o ple 60 a nd o ve r tha n unde r • Pe o ple 85+ ma ke up 2% o f the a g e o f 18. I n 2018, 80 c o untie s sta te po pula tio n (186,059) in the sta te ha d mo re pe o ple 60 a nd o ve r tha n unde r 18. • 25% g ro wth 2010-2018

  5. Olde r Adult Po pula tio n in No rth Ca ro lina , Co ntinue d • He a lth (65+) • 29% ha ve One Chro nic Co nditio n • 55% ha ve T wo o r Mo re Chro nic Co nditio ns • L iving Arra ng e me nts (65+) • 27% L ive Alo ne • 81% Own T he ir Ho me s • 3% L ive in Gro up Qua rte rs • E c o no mic Sta tus (65+) • 9.2% a re Be lo w the Po ve rty L e ve l • 22% ha ve I nc o me b e twe e n 100%-199% o f the Po ve rty L e ve l

  6. CDC I de ntifie s Hig h Risk I ndividua ls fo r Se ve r I llne ss o r De a th fro m COVI D-19 Pe o ple Re side nts with Adults 65 o f lo ng - unde rlying te rm c a re o r o lde r he a lth fa c ilitie s c o nditio ns

  7. COVI D-19 Pre va le nc e a nd Pe rc e nta g e o f De a ths b y Ag e Gro up* Prevalence Deaths 0-17 yrs (0%) 18-24 yrs (0%) 25-49 yrs (7%) 0-17 yrs (1%) 18-24 yrs (8%) 24-49 yrs (42%) 50-64 yrs (13%) 65+ yrs (80%) 50-64 yrs (29%) 65+ yrs (21%) *I nfo rma tio n c urre nt a s o f April 8, 2019 11:00a m, So urc e : COVI D-19 NC Da shb o a rd

  8. Ge ne ra l Ob se rva tio ns o n the Re spo nse o f Olde r Adults a nd Pro vide r Co mmunity to COVI D-19 • Olde r No rth Ca ro linia ns a re she lte ring in pla c e • As o lde r a dults se lf-iso la te , the re is a g ro wing c o nc e rn a b o ut so c ia l iso la tio n • Olde r a dults a re ke y vo lunte e rs in ma ny huma n se rvic e pro g ra ms a nd the ir sc a ling b a c k o n c o mmunity vo lunte e ring is fe lt b y the pro vide rs • Ag e nc ie s a nd pro g ra ms tha t se rve o lde r a dults a re g o ing the e xtra mile to se e the ir ne e ds a re me t • T he c o mmunity is c o ming to g e the r. Ne w pa rtne rships a re b e ing de ve lo pe d a nd e xisting c o lla b o ra tive e ffo rts a re flo urishing . Ma ny pub lic / priva te pa rtne rships a re b e ing fo rme d

  9. Pro vide rs o f Se rvic e s to Olde r No rth Ca ro linia ns– Wha t We K no w T he fo llo wing slide s a re a n o ve rvie w o f se rvic e s fo r Olde r Adults in the sta te a nd ho w the y a re he lping during the pa nde mic . T he se a re pro vide rs a re me mb e rs o f the No rth Ca ro lina Co a litio n o n Ag ing

  10. L o c a l Ag ing Offic e s/ Co unc ils o n Ag ing • E ve ry c o unty in the sta te ha s a n a g e nc y o r o rg a niza tio n tha t is vie we d a s the fo c a l po int fo r a g ing se rvic e s • Mo st a re no n-pro fit b ut so me a re c o unty a g e nc ie s • Mo st ha ve c lo se d the ir o ffic e s to the pub lic b ut sta ff a re c o ntinuing to pro vide se rvic e s • Ma ny a re do ing no n-tra ditio na l se rvic e s suc h a s pic king up g ro c e rie s a nd pre sc riptio ns fo r se nio rs • T e le pho ne we ll c he c ks a re b e ing do ne o n se nio rs

  11. Se nio r Ce nte rs • T he re a re 171 c e nte rs in 96 c o untie s • Almo st a ll c e nte rs ha ve c lo se d • T ho se re c e iving sma ll a mo unt o f o pe ra tio na l funds fro m DAAS a re c o ntinuing to re c e ive the se funds b ut pro g ra mming ha s shifte d fro m o n-site to sta ff do ing re mo te ta sks suc h a s te le pho ne we llne ss c he c ks a mo ng o the rs

  12. Nutritio n Pro g ra ms • Mo st ho me de live re d me a ls pro g ra ms a re no w de live ring fro ze n o r she lf-sta b le me a ls o nc e a we e k. A fe w a re still pro viding ho t me a ls five da ys a we e k. F ro ze n me a ls a re mo re e xpe nsive • All o f the 330 c o ng re g a te nutritio n site s ha ve c lo se d. Pro g ra ms a re pro viding “g ra b to g o ” me a ls a nd de live ring me a ls to pa rtic ipa nts ho me s • DAAS ha s pro vide d wa ive rs if ne e de d so pro g ra ms c a n se nd o ut “no urishing ” me a ls e ve n if re c ipie nts do no t me e t 1/ 3 RDA • Sta ff a re do ing we llne ss c he c k c a lls • Vo lunte e r numb e rs ha ve de c re a se d, yo ung e r a dults a nd/ o r sta ff a re de live ring me a ls

  13. T ra nspo rta tio n Se rvic e s • Ma ny tra nspo rta tio n se rvic e s ha ve suspe nde d o pe ra tio ns, e spe c ia lly fo r g e ne ra l tra nspo rta tio n • Me dic a l tra nspo rta tio n c o ntinue s • Wa ive rs ha ve b e e n issue d to a llo w tra nspo rta tio n pro vide rs to tra nspo rt me a ls to se nio rs

  14. Se nio r Ga me s • T he re a re 52 lo c a l pro g ra ms tha t se rve a ll 100 c o untie s • T wo lo c a l g a me s ha ve c a nc e lle d a nd 50 ha ve po stpo ne d • Pa rtic ipa nts wa nt the lo c a l g a me s to ta ke pla c e . T his is a q ua lifying ye a r fo r na tio na l Se nio r Olympic s

  15. Adult Da y Se rvic e s Pro vide rs • T he re a re 94 pro g ra ms in the sta te in 50 c o untie s • Wa ive rs ha ve b e e n a ppro ve d fo r the c lo sure o f a b o ut 74 c e nte rs • Pro g ra ms strug g le fina nc ia lly to sta y o pe n a nd ma ny ha ve c lo se d in the la st de c a de . Pub lic re imb urse me nt is a b o ut ha lf o f the a c tua l c o st o f c a re • DAAS is a utho rizing pro vide rs to b ill a nd b e re imb urse d b a se d o n the da ily pa rtic ipa tio n c o unt a s o f Ma rc h 10 until June 30, 2020 • While c lo se d, pro vide rs a re re q uire d to sta y in c o nta c t with pa rtic ipa nts • Pro vide rs a re a ssisting o the r c o mmunity a g e nc ie s with the ir ne e ds

  16. Co unty De pa rtme nts o f So c ia l Se rvic e s • T he re is a DSS in e ve ry c o unty in the sta te • So me ha ve c lo se d the ir physic a l o ffic e s to the pub lic b ut the de pa rtme nt is still re spo nsib le fo r ha ving se rvic e s a c c e ssib le to the pub lic • K e y se rvic e s fo r a dults a re Me dic a id, F o o d a nd Nutritio n Se rvic e s (F NS - fo o d sta mps), Sta te / Co unty Spe c ia l Assista nc e , Adult Gua rdia nship a nd Adult Pro te c tive Se rvic e s • T he c e rtific a tio n pe rio d fo r F NS a nd Me dic a id ha ve b e e n e xte nde d • All fa milie s who re c e ive F NS will re c e ive the ma ximum a mo unt a llo we d fo r Ma rc h 2020 a nd April 2020 fo r the ir ho use ho ld size • With inc re a se d a nxie ty a nd stre ss due to COVI D-19, it is e xpe c te d tha t the re will b e a n inc re a se in APS re po rts. F unding fo r APS is a lre a dy stra ppe d

  17. Pro g ra ms fo r All I nc lusive Ca re fo r the E lde rly (PACE ) • T he re a re 11 PACE pro g ra ms in the sta te , with 12 c e nte rs, se rving fra il e lde rly with multiple me dic a l c o nditio ns in a ll o r pa rt o f 36 c o untie s • T he c e nte rs inc lude b o th a dult da y a c tivity a re a s a nd me dic a l c linic s. All 12 c linic s re ma in o pe n a nd se ve n o f the 12 ha ve c lo se d fo r da y c e nte r a c tivitie s, the re ma ining ha ve re duc e d a tte nda nc e a s muc h a s po ssib le • All pro g ra ms c o ntinue to pro vide se rvic e s in pa rtic ipa nts’ ho me s thro ug h ho me visits a nd te le he a lth

  18. Suppo rt fo r Pe rso ns with De me ntia a nd T he ir F a milie s • T his is a time fo r he ig hte ne d stre ss fo r pe rso ns with de me ntia a nd the ir fa milie s • Pro g ra ms a re pla c ing a lo t o f info rma tio n o n-line fo r fa milie s • On-line fa mily suppo rt g ro ups a re b e ing do ne • F a milie s with re la tive s in c a re fa c ilitie s a re inc re a sing ly a nxio us a b o ut no t b e ing a b le to se e the m

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