AAI. Center on Aging-Northeast. Overview. Arkansas Aging Initiative and Schmieding Home Caregiving Program. March 31, 2010 Exhibit D

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1 March 31, 2010 Exhibit D Jonesboro Center on Aging-Northeast Beverly Parker, RN, MS Director of Education Overview Arkansas Aging Initiative and Schmieding Home Caregiving Program

2 Review of Infrastructure CHART plan funded seven regional centers on aging under Tobacco Settlement of 2001 The Arkansas Aging Initiative, established under the auspices of the DWRIOA, to develop and manage the seven regional centers Model was created to improve quality of life of older Arkansans by improving healthcare in rural areas of the state. True outreach, as centers cover all counties, established along AHEC boundaries

3 Regional Centers on Aging Dual Components Senior Health Clinic Provider Based Outpatient Clinic Owned and operated by local/regional hospital Interdisciplinary Team Approach Geriatric Education Program Continuing education in geriatrics for professionals Students and faculty in health care / social services Older adults and families Community Each center was developed through local partnership: UAMS The Donald W. Reynolds Institute on Aging AHEC-NE St. Bernards Healthcare

4 SCHMIEDING CENTER Bella Vista Springdale Harrison Mountain Home Jonesboro Fort Smith West Memphis Hot Springs Pine Bluff Helena Texarkana El Dorado Community Education Improving quality of life among older adults and their families. Professional Education Improving healthcare provided to older adults. Resource Center Providing up to date information and referrals to community resources.

5 Community Education Programs targeting health promotion and disease prevention Screenings and Health Fairs Information on specific diseases and aging issues Caregiver support and education Positive aging Planning for future needs Jimmie Lou Fisher speaks on identity theft Caregiver support Fitness activities When a Family Member Has Alzheimer s Dementia: Answers to Questions you Don t Know to Ask Early Alzheimer s: Dealing with the Diagnosis A Family Survival Guide: Caring for an Aging Parent Professional /Paraprofessional Education improving geriatric care by targeting healthcare and social science professionals/students. Provide clinicals and experiential learning in geriatric care. Student rotations in senior clinic Impact practice of professionals caring for older adults through dissemination of evidence-based practice. Carry out statewide education initiatives. Expose medical professionals and area students to national trends in geriatric medicine. Dr. J. McSweeney, expert on women s heart disease. Dr. J. Flaherty, national expert on Delirium as the 6 th Vital Sign Hospital quality team on Care of Hospitalized Older Adults Students interact with older adults during the Healthy Ager Project. Continuing education for physicians, nurses, pharmacists, LTC Administrators, etc. Alzheimer s Disease Dementia Delirium Behavioral issues Challenges in Longterm Care

6 Resource Center Informational Library Website www. centeronagingne.com Computer/Internet Access such as Medicare Part D Assistance Provides comprehensive geriatric interdisciplinary care Geriatricians Advanced Nurse Practitioner Master Social Worker RN Case Manager, C Only medical clinic in region for memory evaluation, medication review, memory testing, social assessment, and ongoing care Caring for patients throughout the continuum of care. Award winning geriatric care Received 2008 and 2009 Quality Improvement Awards and the Innovator Award from Arkansas Foundation for Medical Care

7 Schmieding Center for Senior Health and Education of Northwest Arkansas Partnership of UAMS RIOA and AHEC Northwest, Northwest Health System, Schmieding Foundation and local community Operational since January 1, 1999 Outreach sites Bella Vista Harrison Mountain Home

8 The Schmieding Story His mission was to improve home caregiver training No program to train caregivers specifically to care for people in the home Has become nationally recognized At home there is always hope» Lawrence Schmieding Uniqueness of operation Began with a grassroots need Replication of home environment for the training Curriculum built around tiered educational program Students can be those wanting a job in home caregiving or family members caring for an older adult

9 Background and Statistics Most adults plan to remain at home as they grow older (AARP, June 2009). In 2009, seven (7) out of every ten (10) caregivers interviewed were caring for someone 50 years of age or older. (National Alliance for Caregiving, 2009). The proportion of home and community-based workers is projected to continue to increase over the next decade with home and community based direct-care workers outnumbering facility workers by nearly two (2) to one (1).(PHI, Fact sheet #1, 2008) Projections by the Bureau of Labor Statistics call for an additional one (1) million new direct-care positions by (PHI, 2008) Seventy eight percent (78%) of caregivers feel they need more help or information (National Alliance for Caregiving, 2009). Tiered Program Types of Training Certified Elder Pal Personal Care Assistant Home Care Assistant Alzheimer s/dementia Family/Friends Physical skills Caring for the person with Dementia

10 JENNIFER M. PALMA Going through the Schmieding program was so beneficial to me... The program is tailor-made for someone who truly wants to give quality care to those in need. BARBARA CARPER Because the Schmieding Home Caregiver Training Program was so hands-on and thorough, I have all the confidence in the world that I can take care of the elderly in the most effective and loving way. PAUL E. CASEY, CNA The Schmieding training gave me a way to help other senior citizens while providing me with a job that I dearly love...helping people. Their training made passing the board exam for being a certified nursing assistant a breeze. Donald W. Reynolds Foundation Visited the Schmieding Center for Senior Health and Education in 2007 Recognized the need for more home caregivers Funded a 9 month planning grant in 2008 to the for investigating statewide readiness In 2009, awarded $3 million to start 4 Schmieding caregiver sites Jonesboro Pine Bluff Texarkana West Memphis Funding provided for 3 years

11 Funding for 3 years Each site to become a replication Schmieding Caregiving Program Specific Curriculum to certify students Requires dedicated home atmosphere for training area Dedicated staff trained in the Schmieding method - 1 full time -2 part time Training equipment and materials Marketing and teaching of classes Grand opening of the Schmieding Home Caregiver Training in Jonesboro April 6 th

12 South Central Center on Aging Partnership of UAMS, AHEC Pine Bluff, Jefferson Regional Medical Center Schmieding Replication April Oct 2010 Pine Bluff Texarkana Regional Center on Aging Partnership of UAMS, AHEC Southwest, CHRISTUS St. Michaels Health System Schmieding Replication to start July-Jan 2011 Sevier Little River Howard Pike Clark Texarkana Hempstead Miller Lafay ette Nevada

13 Delta Center on Aging Partnership of UAMS, and Delta AHEC, Crittenden County Memorial Hospital Education Outreach in Helena Crittenden County Memorial Hospital for a Senior Health Clinic Delta/West Memphis Oct.-April 2011 West Memphis Helena In summary Because of the Arkansas Aging Initiatve and the Schmieding home caregiver program, Arkansas is positioned to lead the way in improving care of older adults who want to stay at home. Request Legislative Subcommittee work to advance the momentum of and Schmieding Replication, building on successes and assisting with sustainability.

14 Mission Statement The Center on Aging-Northeast exists to be the regional resource for older adults, families, health care professionals, and the community; advocating wellness, education and quality care. Northeast Arkansas boasts one of seven regional centers on aging created by Tobacco Settlement Funds to increase access to geriatric health care and education.