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Arthritis Council / Peer Sharing Webinar - Shared screen with speaker view
Lisa Erck [she/her], NACDD
• Link to October webinar: https://actiononarthritis.chronicdisease.org/working-with-state-units-on-aging-to-advance-arthritis-public-health-strategies-october-5-2021/
Lisa Erck [she/her], NACDD
Action on Arthritis - https://actiononarthritis.chronicdisease.org/monthly-webinars/
Kate Lorig SMRC
those are two different questions
Shannon Skowronski
I’m happy to be here today! I work within the Office of Nutrition and Health Promotion Programs in ACL’s Administration on Aging. Our office oversees the Older Americans Act (OAA) Nutrition and Evidence-Based Health Promotion and Disease Prevention Programs, along with anything and everything healthy aging. One of my roles at ACL is to serve as the point person at ACL’s Washington DC office for the OAA Title IIID, which means I work - in collaboration with ACL’s Regional Offices - to provide technical assistance and resources for these grantees (State Units on Aging).
Damon Terzaghi, ADvancing States
Damon Terzaghi, ADvancing States: We are the nonpartisan association for state aging and disability government agencies. For the past 8 years, I have led our public policy and work on long-term services and supports. We work on all types of OAA issues, including Title III-D policy and programming.
James Stowe | MARC
Hi all - I lead an Area Agency on Aging in the Kansas City metro region - we're a department within a Regional Council of Governments. We collaborate with regional and statewide networks of evidence-based program providers and serve as a Network Lead Entity, under Administration for Community Living definitions.
Deborah Stone-Walls, USAging
Hi Everyone! I moved to the DC area about 5 months ago to join the staff of USAging after living on Maui for 25 years. While in Maui, I served as the Executive on Aging for the Maui County Office on Aging. During my time at MCOA, implementing evidence-based programming was a highlight for me.
Heather Murphy (she/her), NACDD
So what is Title III-D Funding? Title III-D of the Older American’s Act was established in 1987. It provides grants to states and territories based on their share of the population aged 60 and older for programs that support healthy lifestyles and promote healthy behaviors. Evidence-based disease prevention and health promotion programs reduce the need for more costly medical interventions. Priority is given to serving older adults living in medically underserved areas of the state and those who are of greatest economic need.Here is a link to more information about the evidence-based interventions that Title III-D funds support. https://acl.gov/programs/health-wellness/disease-prevention
Heather Murphy (she/her), NACDD
Here is a link to more information about the American Rescue Plan Act of 2021. https://acl.gov/sites/default/files/2021-05/ARP%20Programs%20FAQ_5_3_2021.pdf
Shannon Skowronski
OAA Title IIID webpage: https://acl.gov/programs/health-wellness/disease-prevention
Jennifer Raymond
Many of the AAAs are also receiving increased (small) IIID dollars under ARPA to do new/different work. Collaboration with Arthritis partners seems to fit into that category!
Deborah Stone-Walls, USAging
We're at 617 right now, so very close, Damon!!
James Stowe | MARC
You're right, Jennifer. The timing is great to explore new programming, and new ways of approaching programming.
Heather Murphy (she/her), NACDD
Thanks Jennifer! I'll re-share the link posted earlier for info on ARPA. American Rescue Plan Act of 2021. https://acl.gov/sites/default/files/2021-05/ARP%20Programs%20FAQ_5_3_2021.pdf
Heather Murphy (she/her), NACDD
Here is a link to online resources by state that provides information about local service options: http://www.advancingstates.org/initiatives/information-and-referralassistance/state-contactsHere is a link to information from ADvancing States about aging policy and programs: http://www.advancingstates.org/aging
James Stowe | MARC
One place to look is who is publishing the State's Plan on Aging and setting strategy and direction for aging services and Older Americans Act services
Damon Terzaghi, ADvancing States
Deborah Stone-Walls, USAging
USAging represents and supports the national network of Area Agencies on Aging and advocates for the Title VI Native American Aging Programs that help older adults and people with disabilities live with optimal health, well-being, independence and dignity in their homes and communities.
Deborah Stone-Walls, USAging
Damon Terzaghi, ADvancing States
I agree with James' point about the state plan on aging. We have not described that yet, but each state is required to establish a plan on aging as a condition of receiving OAA funds. Our compendium of state plans is available online at: http://www.advancingstates.org/initiatives/aging-policy-and-programs/map-state-plans-aging
Lisa Erck [she/her], NACDD
Damon, What type of other funding streams exist within the aging network to help advance arthritis public health approaches?
Christie Zunker, CDC Contractor
Nice to hear from Deborah about the partnership with public access tv. My mom is 75 and doesn't have internet or cell phone, but she does watch TV.
Adam Burch, NH DHHS
Are there some specific examples of evidence based interventions that are paid for by commercial insurance or Medicare?
Jennifer Raymond
In addition to the state plan on aging references above, each AAA does a regular community needs assessment and an "area plan". That plan highlights local gaps/priorities and might help an arthritis partner show their value.
Damon Terzaghi, ADvancing States
I would say that there are a plethora of options and it is important to look at a wide range of potential funding sources. If we think about the dollar amounts referenced in the III-D discussion, it is important to note that it is the smallest part of the OAA and the dollars get stretched pretty thin. Other parts of the OAA itself can include title III-B supportive services or maybe family caregiver support (III-E) depending on the needs of the caregivers. My colleague Jennifer R., who I have seen on this chat, also has been successful at working to secure Medicaid coverage for some of their EBPs - provided that the individual is Medicaid eligible. Other funding sources we have seen used for some of these supports include state-only programs that exist in many parts of the state, social services block grants, CDC, SAMHSA, etc.
WA - Amy Ellings (she/her/hers), WA State Dept of Health
I don't feel like I have time to figure out how to make it happen in our state. So many pieces!
Nadia Mazza (she/her), NCCHW
Staff turnover at AAAs - difficulty establishing long term partnerships
Lakin Davis
Engaging the community
Amy Michael (she/her) Minnesota
Working in silo's with different initiatives
Nancy Mears-University of Delaware Cooperative Extension
staff capacity
Celsa Bowman (Healthy Aging Program)
Many of Utah's AAA's use their funding for programs that are not CDC arthritis grant supported AAEBIs.
Shannon Skowronski
Medicare does have billing codes for certain services, such as diabetes self-management education training, medical nutrition therapy, chronic disease management support, brief screening/intervention/referral to treatment.
Melissa Dale
Limited staff and resources
James Stowe | MARC
Working in concert with broader service arrays and varied evidence-based courses, usually networks of nonprofits, can help you focus on your strengths while expanding overall reach.
Deborah Stone-Walls, USAging
Trained volunteers that have personally benefitted from the EBP are often not only great ambassadors, but also can rise to leadership in implementing the programs.
Damon Terzaghi, ADvancing States
We cannot have a single conversation these days without staffing issues coming up - the shortage is real across the entire aging network at the local/state/AAA level. I don't know that there is a panacea to address this issue, but leveraging outside organizations to help with the programs and help maintain the knowledge-base
Katie Potestio (she/her), NYSDOH
@Celsa the expanded list of CDC-approved AAEBIs opens opportunities for better alignment with the Arthritis Program in NY. For example, Tai Chi for Arthritis is one of the most popular AAA offerings but we haven't focused on that with our CDC work
Celsa Bowman (Healthy Aging Program)
Thanks, Katie! We were excited to see this, and will definitely pitch TCA.
Deborah Stone-Walls, USAging
Engaging with faith-based organizations also creates built-in participation and buy-in of parishioners.
Shannon Skowronski
In addition to OAA Title IIID, ACL funds grants for Chronic Disease Self-Management Education and Falls Prevention. These grants support service delivery, as well as sustainability via the development of the types of sustainable hubs James referenced. Please stay tuned to grants.gov for future funding opportunities for these programs! State Units on Aging, but also AAAs, public health, non-profits are eligible to apply.
Shannon Skowronski
grantee list: https://acl.gov/programs/health-wellness/chronic-disease-self-management-education-programs
Shannon Skowronski
and falls prevention: https://acl.gov/programs/health-wellness/falls-prevention
Michele Mercier
Brilliant comment, Jennifer!
Damon Terzaghi, ADvancing States
It is important to remember that all state plans must have a robust public engagement period as a component of their development, so it creates a natural avenue for engaging with your state when that process begins
Kate Lorig SMRC
We are still looking for people offering CDSMP Virtual, DSMP virtual, CPSMP telephone, Walk with Ease mail, Enhanced Fitness virtual programs to enter people into a national evaluation. Very little work for you. Please contact me kate@selfmanagementresource.com
Lisa Erck [she/her], NACDD
A recording of today’s webinar along with a summary document will be available on the Action on Arthritis website soon.
Lisa Erck [she/her], NACDD
Lisa Erck [she/her], NACDD
Next webinar will be on March 2, 2022, at 2:00 p.m. Please remember to register in advance for this webinar: https://chronicdisease.zoom.us/meeting/register/tZUscOGprDosGtNe6JaVFBIwDa7nTmAk6mfGAfter registering, you will receive a confirmation email containing information about joining the meeting.
Lisa Erck [she/her], NACDD
March 1, 2022 2 p.m. ET
Nadia Mazza (she/her), NCCHW
Thank you!
Nancy Mears-University of Delaware Cooperative Extension
thank you
Michele Mercier
Thanks everyone, great session!
Jennifer Raymond
Thanks everyone!