Nutrition and Healthy Aging in the Community Workshop Summary (2012) / Chapter Skim
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1 Introduction
1 Introduction
Pages 5-14
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From page 5... ...
More than a decade ago Jensen was part of an Institute of Medicine committee that examined nutrition services for Medicare beneficiaries. In that report, the committee identified impressive gaps in coverage and knowledge related to nutrition services in the community setting for older persons.
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From page 6... ...
Johnson, July 1965 The Older Americans Act (OAA) was created in 1965 and signed into law 15 days before Medicare and Medicaid as one part of a three-part strategy in President Johnson's "War on Poverty." Medicare provided healthcare for older adults and people with disabilities, while Medicaid provided health care and supports for indigent individuals.
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From page 7... ...
Walker explained that the success of the program can be attributed to older adults' real sense of ownership of the program. Often at the local level it is not viewed as a federal program, but as a local community program.
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Walker indicated that statistics show participants in AoA programs take 10 or more prescription drugs on a daily basis. These older adults also have extensive limitations in terms of their activities of daily living and instrumental activities of daily living, resulting in low functional levels and, therefore, requiring physical assistance.
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From page 9... ...
Many of the current programs evolved from pilot projects or demonstrations, including the nutrition program, the concept of a regional area agency on aging, and the concept of a community-based service delivery network. After demonstrating that these programs were successful models that adequately responded to individuals' needs, they became permanent programs and features of the OAA Aging Network.
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From page 10... ...
Examples of such collaboration include working with the Centers for Medicare & Medicaid Services in the health care sector, and encouraging the local network to partner with hospitals and other health care systems to provide a more holistic approach and explore implementation of a personcentered approach. In the area of public health, AoA is partnering with the Health Resources and Services Administration to connect with community health centers and federally qualified health clinics.
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From page 11... ...
Yet, despite receiving five meals per week, 24 percent of HDN participants and 13 percent of CN participants did not have enough money to buy food for the remaining meals in that week. Seventeen percent of HDN participants indicate that they have to choose between purchasing food and purchasing their medications, and 15 percent of the HDN participants have to choose between paying for food, rent, and utilities (AoA, 2011b)
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From page 12... ...
His initial assessment yielded a nutrition risk score of 11 out of 19, with a score of 6 considered high nutrition risk. George was placed in the Meals On Wheels program, which included a daily telephone reassurance call to check on him and monthly nutrition education.
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From page 13... ...
Additionally, she applied for the Medicare Savings Program Specified Low Income Medicare Beneficiary, eliminating the copays on all 13 prescriptions and reimbursing the Medicare Part B insurance premiums that had been deducted from George's Social Security Income check. These benefits allowed George to have $110 to spend monthly on the nutrition supplement and other necessities.
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From page 14... ...
New York: United Nations Department of Economic and Social Affairs, Population Division.
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