healthy aging- a providers perspecve - university of california,...
TRANSCRIPT
![Page 1: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/1.jpg)
Healthy Aging- A Providers Perspec6ve
TechnologiesforHealthyAging
CAlIT2—UCIrvine
November11,2016
MargaritaPereyda,MD
![Page 2: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/2.jpg)
NATIONAL HIGHLIGHTS
2
v Individualsaged65andovernumbered46.2millionin2014.
v Between2004and2014thepopulaKonage60andoverincreased32.5%.v Personsreachingage65haveanaveragelifeexpectancyofanaddiKonal
19years.
v Olderwomenoutnumberoldermenbyabout5million.
v About29%(13.3million)ofnoninsKtuKonalizedolderpersonslivealone.
• PrincipalsourcesofdatafortheProfilearetheU.S.CensusBureau,theNaKonalCenterforHealthStaKsKcs,andtheBureauofLaborStaKsKcs
![Page 3: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/3.jpg)
NATIONAL HIGHLIGHTS- ECONOMIC STATE
3
v Medianmoneyincomeofallhouseholdsheadedbyolderpeopledeclinedby2.7%between2013and2014.
v Householdscontainingfamiliesheadedbypersons65+reportedamedianincomeof$54,838in2014.
v Themajorsourcesofincomeasreportedbyolderpersonsin2013were:• SocialSecurity(reportedby84%ofolderpersons)• incomefromassets(reportedby51%)• privatepensions(reportedby27%)• governmentemployeepensions(reportedby14%)• earnings(reportedby28%)
v SocialSecurityconsKtuted90%ormoreoftheincomereceivedby35%ofbeneficiariesin2013(21%ofmarriedcouplesand46%ofnon-marriedbeneficiaries).
v Over4.5millionolderadults(10%)werebelowthepovertylevelin2014.
![Page 4: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/4.jpg)
CALIFORNIA STATISTICS
4
![Page 5: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/5.jpg)
CALIFORNIA STATISTICS
5
![Page 6: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/6.jpg)
CALIFORNIA STATISTICS
6
![Page 7: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/7.jpg)
CALIFORNIA STATISTICS
7
![Page 8: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/8.jpg)
CALIFORNIA STATISTICS
8
![Page 9: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/9.jpg)
COMPARATIVE SLIDES LA AND CA
9
![Page 10: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/10.jpg)
COMPARATIVE LA AND CA DISABILITY
10
![Page 11: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/11.jpg)
11
![Page 12: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/12.jpg)
ORANGE COUNTY SNAPSHOT
✚ ThelargestpercentageofgrowthintheolderadultpopulaKonisinthe60-64agecohort.
✚ ThemedianhouseholdincomeofOrangeCounty’solderadultpopulaKonwas$47,992in2009.
✚ ThemedianpaymentfromSocialSecurityis$12,461,andthemaximumSupplementalSecurityIncomepaymentis$10,440.
✚ 44%ofolderadultsinOCareconsideredeconomicallyinsecure(fallbelowElderIndex).
✚ 79percentofolderadultsinOrangeCountyowntheirownhomes.
Source:OCGovernmentOfficeonAging
12
![Page 13: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/13.jpg)
13
AnIncreasinglyAgingPopula2onputsAddi2onalPressureonourNa2onal
ResourcesforProvidingCare
![Page 14: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/14.jpg)
14
U.S.HealthCareExpendituresweremorethan1002meshigherin
2014thanin1960
![Page 15: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/15.jpg)
15
![Page 16: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/16.jpg)
16
U.S.HealthCareCostshaveConsumedanIncreasinglyGreaterShareofourNa2on’sEconomic
Resources
![Page 17: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/17.jpg)
17
![Page 18: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/18.jpg)
18
![Page 19: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/19.jpg)
WITHIN TEN YEARS, PUBLIC PROGRAMS WILL COVER 56% OF ALL AMERICANS
19
72 91 93
50
62 727
1421
1 2 3
CHIP
Medicaid
Medicare
Exchange
Source:HMA,2014.
134Million(42%ofAmericans)
172Million(52%ofAmericans)
191Million(56%ofAmericans)
![Page 20: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/20.jpg)
MEDICARE AND MEDICAID UNDER A NEW ADMINISTRATION
20
TheAffordableCareAct,
MedicareandMedicaid
![Page 21: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/21.jpg)
WHAT IMPACTS HEALTH OUTCOMES?
21
HealthCare10%
EnvironmentalExposure
5%
Gene2cPredisposi2on
30%
SocialCircumstances
15%
BehavioralPaWerns40%
Source:Schroeder,StevenA.WeCanDoBecer–ImprovingtheHealthoftheAmericanPeople.NEnglJMed2007;357:1221-8
![Page 22: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/22.jpg)
SOCIAL DETERMINANTS OF HEALTH
22
TheSocialDeterminantsofHealth
Education
![Page 23: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/23.jpg)
LINK•AGE SURVEY 2013
✚ Papersurvey✚ Distributedto3782olderadultsaged55-100+✚ Another233(29%)completeditonline✚ Totalof1114individualsresponded:
✚ 76%werewomen✚ 67%wereovertheageof70✚ 70%oftherespondersreportedtheylivealone✚ 57%oftherespondershadannualincomesunder$25,000
✚ 60%werelivinginseniorhousingcommuniKes
23
![Page 24: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/24.jpg)
LEVERAGING TECHNOLOGY
24
LINK•AGESURVEY2013DATA
a
![Page 25: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/25.jpg)
LEVERAGING TECHNOLOGY
25
LINK•AGESURVEY2013DATA
![Page 26: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/26.jpg)
LEVERAGING TECHNOLOGY
26
LINK•AGESURVEY2013DATA
![Page 27: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/27.jpg)
PROVIDER PERSPECTIVE
✚ MEDICATIONMANAGEMENT/ADHERENCE✚ CARECOORDINATION/COMMUNICATIONANDCARETRANSITIONS✚ POPULATIONHEALTH/RISKMANAGEMENT✚ CAREGIVEREDUCATIONANDSUPPORT✚ ACTIVITYMONITORING/EMERGENCYRESPONSE
27
![Page 28: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/28.jpg)
OPPORTUNITIES FOR STAKEHOLDERS
✚ ConnectedSeniorsseebenefitsforimprovedsocialinteracKons✚ PayerswilllikelybeopentosafetyandwellnessopKons✚ CaregiversandProviders
✚ CommunicaKon✚ Training✚ TransiKonsofcare✚ CoordinaKonofcare
28
![Page 29: Healthy Aging- A Providers Perspecve - University of California, Irvinesites.uci.edu/calit2files/files/2016/11/Dr.-Pereyda-1-2.pdf · 2016-11-17 · CAlIT2—UC Irvine November 11,](https://reader034.vdocuments.mx/reader034/viewer/2022050606/5fad405efebf4d4cf02e3414/html5/thumbnails/29.jpg)
SUPPORT, TRAINING, AND CONSUMER INPUT
29