Culture of Health Elderly Population Draft Framework

Culture of Health Elderly Population Draft Framework

Elderly Population Group Member List

Andrea Lang – LSS – Erin Johnson

Good Samaritan society? Nancy Freitag

Dept of health? Patricia to email director

Making Health a Shared Value: How can individuals, families and communities work to achieve and maintain health?

Driver 1: Mindsets and Expectations: Awareness of how our individual health affects others- and how the health of our communities influences our own- is key to building a culture of Health. Do our policies reflect our communities needs and values? These measures reflect how we as individuals, families and communities, and as a nation- think about health and well-being.

Examples: Value on Health Interdependence, Value on well-being, public discussion on health promotion and well-being.

What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.

What are ND’s gaps (geographic and programmatic) for this driver?

• Ageism
• Denial of cognitive changes in late life
• Interest in decreasing burden to adult children
• Lack of understanding of geriatric expertise and its value
• Lack of providers’ knowledge and skills in geriatric principles of care

#4 and #5: Federal funding through workforce program – improving geriatric education; family members through health professionals. Opportunities to redesign HCS to implement geriatric principles into primary care.

Ongoing efforts to provide interprofessional education in geriatrics through post-graduate training programs in family medicine, internal medicine, NP programs.

Making Health a Shared Value: How can individuals, families and communities work to achieve and maintain health?

Driver 2: Sense of Community:Residents of socially connected communities are more likely to thrive. Research suggests that individuals who feel a sense of security, belonging, and trust in their environment have better health. People who don’t feel connected to the community are less inclined to engage in health-promoting behaviors or work together for positive change. These measures indicate to what extent people feel a part of their communities.

Examples: Sense of community, social support.

What is happening in North Dakota for this driver? Is there work being done in this area now?Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.

What are ND’s gaps (geographic and programmatic) for this driver?

• PACE – limited geographically? Special requirements
• Rural and frontier conditions influence availability of services.
• People don’t necessarily understand the importance of community for the elderly. Social isolation occurs as people lose the ability to drive.
• ND folks do not necessarily like to participate in “programs” or ask others for ongoing help.
• Cultural gap – how you approach tribal communities – unique needs
• Transportation – difficult to participate in programs when can’t drive, resistance to using other types of transportation.
• Portland, OR has free public transportation – how do they do this?
• Don’t want to wait for public transportation
• Confusion/worried about using transportation services
• Senior rider in Grand Forks through area transit – reluctance to sign up (financial?)
• Senior center offers half price tickets for eligibility criteria

HRSA grants, pop. 300-400, bone builders “we exercise and then we go have pie”

Various ages and functional abilities –do we have programs

Making Health a Shared Value: How can individuals, families and communities work to achieve and maintain health?

Driver 3: Civic Engagement- Civic engagement creates healthier communities by developing the knowledge and skills to improve quality of life. Voting and volunteering are among the many measures of an engaged population. In both cases, people’s actions show they care about the outcomes of their community or their nation, and they want to cultivate positive change. These Measures reflect whether individuals feel motivated and able to participate and make a difference.

Examples: Volunteer engagement, voter participation,

What is happening in North Dakota for this driver? Is there work being done in this area now?Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.

What are ND’s gaps (geographic and programmatic) for this driver?

• Inability to drive prevents elderly from voting.
• Lack of engagement may inhibit awareness.

Fostering Cross-Sector Collaboration to Improve Well-being: Are Individuals, institutions and communities doing all they can to prevent illness and promote health?

Driver 1: Number and Quality of Partnerships: Research indicates that building relationships among partners is the most challenging aspect of creating change. Measures look at how organizations are working together to improve health and well-being.

Examples: Health department collaboration with community organizations, school districts, workplace health promotion

What is happening in North Dakota for this driver? Is there work being done in this area now?Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.

What are ND’s gaps (geographic and programmatic) for this driver?

• Many of these are community based and not statewide. Websites have great info and links for elderly but there is no funding for marketing to advertise.
• Many gaps are geographical – most resources concentrated in larger cities and eastern part of state.

Fostering Cross-Sector Collaboration to Improve Well-being: Are Individuals, institutions and communities doing all they can to prevent illness and promote health?

Driver 2: Investment in Cross-sector Collaboration: In addition to measuring the quality and quantity of cross-sector collaborations, it is important to track investments that support these partnerships. Corporate and federal contributions have the power to influence our nation’s health, both directly and indirectly. Measures help identify whether there is adequate financial support to enable cross-sector partnerships.

Examples: US Corporate Giving, Federal allocations for Health Investments,

What is happening in North Dakota for this driver? Is there work being done in this area now?Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.

What are ND’s gaps (geographic and programmatic) for this driver?

• Availability of food sources to rural and elderly
• Geographic limitations; access to services

Fostering Cross-Sector Collaboration to Improve Well-being: Are Individuals, institutions and communities doing all they can to prevent illness and promote health?

Driver 3: Policies that Support Collaboration: Policies play a key role in encouraging and maintaining collaboration across sectors, as well as creating incentives for different sectors to contribute what they can to the cause of improving our nation’s health. Measures highlight some of the policies that have the potential to catalyze widespread improvement in health and overall well-being.

Examples: community relations and policing, youth exposure to TV ads, climate adaption and mitigation, support for working families

What is happening in North Dakota for this driver? Is there work being done in this area now?Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.

What are ND’s gaps (geographic and programmatic) for this driver?

• Not everyone has the Family Medical Leave Act as a benefit. Need shelters for older abuse victims.
• Family caregivers-do we have healthy families? They are relied on for caregiving.
• Elderly who live alone have no one to help them. Some don’t want help in the home because they don’t want anyone to see how they live and/or force them out of the home.
• Poverty: some families rely on 1 social security check for the entire family
• Increase awareness that family members could be paid to caregiving services
• Should we include law enforcement. They are very important in the rural communities. Law enforcement often knows intimate details of people and/or their families that health care workers could benefit from knowing in order to help in careplanning.
• Spirit Lake spoke about having conversations with patients and county services in order to keep people in their homes. Noted there is a lack of resources/staff to go to communities to have the conversations regarding providing resources to keep people in their homes safely.

Creating Heathier, More Equitable Communities: The places where we live, learn, work and play contribute to our ability to become and stay healthy.

Driver 1: Built Environment: Health-promoting environments are safe, affordable and provide access to exercise and nutritious food. Feeling safe in our neighborhoods will also allow us to take full advantage of the space around us. Measures gauge whether our physical environments support well-being.

Examples: housing affordability, access to healthy foods, youth safety

What is happening in North Dakota for this driver? Is there work being done in this area now?Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.

What are ND’s gaps (geographic and programmatic) for this driver?

• Assisted living facilities are costly so not available to lower income people and not all smaller communities have them.
• Many transportation issues. All programs depend on transportation.
• Healthy food is more expensive, need to shift that so it is more available.
• We learned that there is Property tax relief for homes with someone with disabilities but many don’t know that.
• Difficult for elders to use the above services in the winter.
• Ability or knowledge in how to cook, meal planning, or how to grocery shop
• With loss of one spouse, decrease in Social Security payments
• Someone mentioned (maybe with quality improvement?), there are diabetes self-management education classes that collaborate with other organizations for healthy food options.

Creating Heathier, More Equitable Communities: The places where we live, learn, work and play contribute to our ability to become and stay healthy.

Driver 2: Social and Economic Environment: Our social environment influences a community’s sense of trust and cohesion. Factors like enduring racial and socioeconomic segregation have an impact on community health. Research points to strong connections between our environment, economic prosperity and health. Measures identify social and communal factors that influence wellness.

Examples: residential segregation, early childhood education, public libraries

What is happening in North Dakota for this driver? Is there work being done in this area now?Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.

What are ND’s gaps (geographic and programmatic) for this driver?