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Healthy Aging- A Providers Perspec6ve Technologies for Healthy Aging CAlIT2—UC Irvine November 11, 2016 Margarita Pereyda, MD

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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,

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,

NATIONAL HIGHLIGHTS

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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,

NATIONAL HIGHLIGHTS- ECONOMIC STATE

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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,

CALIFORNIA STATISTICS

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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,

CALIFORNIA STATISTICS

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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,

CALIFORNIA STATISTICS

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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,

CALIFORNIA STATISTICS

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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,

CALIFORNIA STATISTICS

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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,

COMPARATIVE SLIDES LA AND CA

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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,

COMPARATIVE LA AND CA DISABILITY

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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,

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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,

ORANGE COUNTY SNAPSHOT

✚ ThelargestpercentageofgrowthintheolderadultpopulaKonisinthe60-64agecohort.

✚ ThemedianhouseholdincomeofOrangeCounty’solderadultpopulaKonwas$47,992in2009.

✚ ThemedianpaymentfromSocialSecurityis$12,461,andthemaximumSupplementalSecurityIncomepaymentis$10,440.

✚ 44%ofolderadultsinOCareconsideredeconomicallyinsecure(fallbelowElderIndex).

✚ 79percentofolderadultsinOrangeCountyowntheirownhomes.

Source:OCGovernmentOfficeonAging

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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,

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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,

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U.S.HealthCareExpendituresweremorethan1002meshigherin

2014thanin1960

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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,

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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,

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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,

WITHIN TEN YEARS, PUBLIC PROGRAMS WILL COVER 56% OF ALL AMERICANS

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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,

MEDICARE AND MEDICAID UNDER A NEW ADMINISTRATION

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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,

WHAT IMPACTS HEALTH OUTCOMES?

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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,

SOCIAL DETERMINANTS OF HEALTH

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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,

LINK•AGE SURVEY 2013

✚ Papersurvey✚ Distributedto3782olderadultsaged55-100+✚ Another233(29%)completeditonline✚ Totalof1114individualsresponded:

✚ 76%werewomen✚ 67%wereovertheageof70✚ 70%oftherespondersreportedtheylivealone✚ 57%oftherespondershadannualincomesunder$25,000

✚ 60%werelivinginseniorhousingcommuniKes

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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,

LEVERAGING TECHNOLOGY

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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,

LEVERAGING TECHNOLOGY

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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,

LEVERAGING TECHNOLOGY

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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,

PROVIDER PERSPECTIVE

✚ MEDICATIONMANAGEMENT/ADHERENCE✚ CARECOORDINATION/COMMUNICATIONANDCARETRANSITIONS✚ POPULATIONHEALTH/RISKMANAGEMENT✚ CAREGIVEREDUCATIONANDSUPPORT✚ ACTIVITYMONITORING/EMERGENCYRESPONSE

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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,

OPPORTUNITIES FOR STAKEHOLDERS

✚ ConnectedSeniorsseebenefitsforimprovedsocialinteracKons✚ PayerswilllikelybeopentosafetyandwellnessopKons✚ CaregiversandProviders

✚ CommunicaKon✚ Training✚ TransiKonsofcare✚ CoordinaKonofcare

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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,

SUPPORT, TRAINING, AND CONSUMER INPUT

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