Elder Affairs
John McCalley,
Director
Mission Statement:
The mission of the Iowa Department of Elder Affairs is to
provide advocacy, educational and prevention services to
elder Iowans so they can find Iowa a healthy, safe, productive
and enjoyable place to live and work.
Measures:
Senior
Living Trust assists older Iowans to live in their own
homes
Average Length of Time Independent
Status is Maintained
Providing assistance
to family caregivers
Home
delivered meals improve nutrition
Referrals for Elder Abuse Intervention
Expenditures for Medicaid HCBS
vs Medicaid nursing facilities
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Performance Plan - How we measure our progress
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Strategic
Plan - How we plan for progress
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Performance Report- How we report our progress
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Department Home Page - Learn more about this department
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Highlighted Measure:
Number of older Iowans assisted through Senior Living
Trust to continue living in their own homes
NOTE: FY07 target was reduced to reflect reduction in funding
available for services other
than case management.
Data Source: Department of Elder Affairs
Updated 5/1/08 |
NOTE: Data are cumulative |
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Why
this is important:
The Senior Living Trust assists low and moderate income
older Iowans by providing quality support services that
allow
them to
continue living in their own homes and defer
or eliminate the need for nursing home care. This effort
is an important piece of Iowa's effort to "re-balance"
the long term care system to provide greater resources
and emphasis on home and community based services rather
than nursing homes and other institutional settings. Under
this program the average annual cost is approximately
$600 per client versus a typical monthly cost of
over $3,000 in a nursing home setting. The program is funded
exclusively
with funds appropriated from the Senior Living Trust.
What we're doing about this:
Using funds from the Senior Living Trust, the
Department of Elder Affairs works through the
thirteen Iowa Area Agencies on Aging and their
community partners to provide over two dozen
different home and community based services
such as home delivered meals, adult day care
service, respite care, case management and transportation
to support continued independent living by
elder Iowans in their homes.
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Highlighted Measure:
Average number of months a client's independent living
status is maintained via the Case Management Program
for the Frail Elderly (CMPFE) prior to institutionalization
or death.
Data Source: Department of Elder Affairs CMPFE - SEAMLESS System
NOTE: This is a new measure for FY08 which focuses on the primary
purpose of the CMPFE program,
which is to help frail elderly
Iowans meet their preference
to remain in their own home,
while delaying or deferring
nursing home and other institutional
care with managed and coordinated
support service.
Updated 5/1/08
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NOTE: Data are cumulative for the Fiscal Year
and may vary from calendar quarter to calendar
quarter. |
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Why
this is important:
The CMPFE program provides individualized support services
which help frail elderly Iowans meet their preference to
remain in their own homes, while delaying or deferring
nursing home and other institutional care, which are normally
much more costly in terms of taxpayer costs.
What we're doing about this:
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Highlighted Measure:
The number of registered clients receiving
assistance from the National Family Caregivers
Support Program in Iowa.
Data Source: Department of Elder Affairs
Updated 5/1/08 |
NOTE: Data are cumulative |
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Why
this is important:
Family caregivers provide the vast majority of
the assistance that enables older people to live
independently in their homes and communities.
Family caregivers are an important component
of the home and community-based care system which in turn can delay or
defer
more costly institutional care for the older
adult family member.
What we're doing about this:
Elder Affairs is building support for family
caregivers to ensure services that sustain
a caregiver's role and maintain their
emotional and physical health.
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Highlighted Measure:
The
percentage of high nutrition
risk Home Delivered Meal participants
with multiple nutrition risk
assessments, who maintained or
improved their Nutrition Risk
Scores.
Data Source: Department of Elder Affairs
Updated 5/1/08 |
NOTE: Data are cumulative |
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Why
this is important:
The home delivered meal program was developed
to provide nutritious food to the home-bound.
Increasing this percentage shows that participants
with multiple risks are maintaining or
improving nutritional health with receipt
of their home delivered meals. By helping
older Iowans stay healthy in their own homes,
it helps delay nursing home placement.
What we're doing about this:
Healthy aging objectives will be completed by continuing
efforts of the Department of Elder Affairs in
administering the Older American Act nutrition
program. The Department provides technical assistance
to the Area Agencies on Aging regarding funding,
compliance with state and federal guidelines,
increasing efficiencies or service delivery,
communication of best practices, identifying collaborative
opportunities, and communicating the preventative
and health benefits of the nutrition program.
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Highlighted Measure:
Track the number of referrals
to Elder Abuse Initiative (EAI)
Projects for intervention and
assistance.
Data Source: Department of Elder Affairs - EAI data reports
NOTE: This is a new measure for FY08 which focuses on a primary
measure for the Elder Abuse
Initiative Projects, which
educate the public and community
resources for intervention
and prevention of elder abuse.
Updated 5/1/08
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NOTE: Data are cumulative for the Fiscal Year. |
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Why
this is important:
Elder Abuse is a grossly under recognized, under
reported social problem with an estimated 84%
of cases going unreported according to the Journal
of the National Academy of Elder Law Attorneys,
Fall 2003. For Iowa, this would mean that for
the 2,309 clients assisted via the Elder Abuse
Initiative in FY05-07, there is an estimated
12,122 elders who did not receive assistance.
These projects work within communities in limited
areas of the state to educate and inform communities
and resources that may impact the issues, with
the goal of identifying, intervening and eventually
reducing the incidence of abuse.
What we're doing about this:
These projects work within existing initiative communities
to educate and inform citizens and organizations in the
communities about the issues, the goals of identifying,
intervening and eventually reducing the incidence of elder
abuse. We also share information with policy makers at all
levels, who are willing to consider methods to further address
issues of elder abuse.
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Highlighted Measure:
The ratio of
expenditures for Medicaid HCBS
compared to those for Medicaid
Institutional for persons 65+.
Data Source: Department of Human Services, B1 Report
HCBS = Home and Community Based Services
Updated 5/1/08 |
NOTE: Data are cumulative |
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Why
this is important:
Increasing Medicaid expenditures for Home and
Community Based Services (HCBS) allows more 65+
Iowan's to remain in their own homes versus moving
to nursing facilities.
What we're doing about this:
The department is advocating for funding increases
and policies that emphasize non-institutional
services, which is what the majority of consumers
prefer.
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