Aging Network

42 publications found.

The AgeSmart Inventory: A Multifaceted Tool to Understand Age Bias

09/19/2023

Ageism has been recognized as a global problem leading to poorer health, isolation, and workplace discrimination toward people based on their age. Consequently, there are several tools that measure levels and types of ageism with a focus on the quantification of degrees and types of ageism.

  • Aging Network

Lifting the Veil: How Networks Form, Operate, Struggle, and Succeed

08/29/2023

There are very few studies that document how networks form, operate, and succeed in these cross-sectoral collaborations. This qualitative study was designed to fill that gap.

  • Aging Network
  • Case Studies/ Qualitative Research
  • Technology

Balancing Mission and Momentum

02/23/2022

Area Agencies on Aging (AAAs) are entering a new phase marked by a heightened focus on social determinants of health. With a mission, a history, and a legislative mandate to serve as the local hub for a coordinated system of health- and independence-enhancing services, AAAs are well-positioned to address needs related to the social determinants of health. Contracting with healthcare partners to meet these needs is an opportunity to expand their role in the communities, protect their mission, and...

  • Aging Network
  • Home and Community Based Services

How do Area Agencies on Aging Build Partnerships with Health Care Organizations?

01/29/2022

Partnerships between health care and social service organizations may contribute to lower health care use and spending. Such partnerships are increasing, including Area Agencies on Aging (AAAs) working and contracting with health care organizations. Nevertheless, knowledge about how AAAs establish and manage successful collaborations is limited. We sought to understand how AAAs establish and manage partnerships with health care organizations. Results showed highly-partnered AAAs were...

  • Aging Network

Achieving population health impacts through health promotion programs offered by community based organizations

02/28/2021

Area Agencies on Aging (AAAs) have emerged as important delivery sites for health promotion programs, but the impacts of their expanded role in delivering these interventions remain unknown. This study found that AAA involvement in health promotion programs was associated with lower use of potentially avoidable nursing home use; the breadth of programs offered by AAAs and the implementation capacity of these organizations also played a role in reducing low-need nursing home use.

  • Aging Network
  • Home and Community Based Services

Strengthening Ties: Contracting Between Community-Based Organizations and Health Care Entities

12/01/2020

The Aging and Disability Business Institute (Business Institute), led by the National Association of Area Agencies on Aging (n4a), supports the business acumen of CBOs to enhance contracting with health care partners. Scripps Gerontology Center serves as the independent project evaluator for the Business Institute. A cornerstone of the evaluation is repeated national surveys about the extent and nature of CBO contracts with health care entities. This report summarizes findings from the third...

  • Aging Network

Local initiatives to fund services for older Americans: A growing option for states

11/19/2020

This report is part of a series of promising practices and emerging innovations from the AARP Public Policy Institute 2020 LTSS State Scorecard. It describes the use of alternative funding strategies, such as local property tax levies, to address the growing need for programs to better serve older adults. It also examines how communities in three different states are utilizing local funding streams to support services for older adults.

  • Aging Network
  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Fast-track innovation: Area Agencies on Aging respond to the COVID-19 pandemic

06/09/2020

Millions of older Americans depend on services provided by Area Agencies on Aging to support their nutritional, social, and health needs. Social distancing requirements and the closure of congregate activities due to COVID-19 resulted in a rapid and dramatic shift in service delivery modes. Area Agencies on Aging were able to quickly pivot due to their long-standing expertise in community needs assessment and cross-sectoral partnerships. The federal Coronavirus relief measures also infused one...

  • Aging and Developmental Disabilities
  • Aging Network
  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Linking health and social services through Area Agencies On Aging is associated with lower health care use and spending

04/01/2020

Area Agencies on Aging are increasingly partnering with health care organizations to address the health-related social needs of older adults and contribute to multisector coalitions that promote community health. Using survey data for the period 2008-13, this study examined the potential health impacts of establishing such partnerships.

  • Aging and Developmental Disabilities
  • Aging Network

Aging and Disability Business Institute: Final evaluation report

05/22/2019

The Aging and Disability Business Institute (Business Institute), led by the National Association for Area Agencies on Aging (n4a), was established in 2016 with a mission to build and strengthen partnerships between aging and disability community-based organizations and the health care system. The goal of the Business Institute was to increase contracting between CBOs and health care entities, thereby addressing social and behavioral determinants of health through integrated care. This report...

  • Aging Network
  • Home and Community Based Services
  • Program Evaluation

Building on the past, securing the future: Area agencies on aging and Older Americans Act reauthorization

05/04/2019

The upcoming reauthorization of the Older Americans Act (OAA) is an opportunity to acknowledge the expanding priorities for that landmark legislation, along with the forward motion of Area Agencies on Aging (AAAs) in their communities. Previous reauthorizations have done just that, simultaneously establishing new priorities, building on the evolution of AAA roles, and setting the stage for continued growth and impact. Seeking to provide research to inform the complex and multilayered political...

  • Aging Network
  • Health/Physical Activity
  • Home and Community Based Services

Mapping core concepts of person-centered care in long-term services and supports

01/29/2019

This study used an empirical concept mapping approach to identify core components of person-centered care (PCC) used in long-term services and supports (LTSS). The aim is to help providers and researchers develop a unified set of domains that can be used to assess and improve the quality of PCC in real-world settings.

  • Aging Network
  • Long-Term Care - Other

Assessing participant satisfaction and the impact of senior centers in rural Northwestern Ohio counties

01/04/2019

This study assessed satisfaction among current senior center users in the Northwestern Ohio area and measured the impact that centers have on the lives of participants. Specifically, it assessed satisfaction with four services (congregate meals, recreation, transportation, and supportive services). This study also attempted to capture some of the ways in which the centers impact their users (e.g., more social contact, better physical health, less concern, and worry).

  • Aging Network
  • Health/Physical Activity
  • Home and Community Based Services

Community-Based Organizations and Health Care Contracting: Building and Strengthening Partnerships

11/26/2018

Community-based organizations (CBOs) such as Area Agencies on Aging and Centers for Independent Living are well-positioned within their communities to improve social determinants of health (housing, nutrition, social and community engagement, and access to health care, services, and supports.)

  • Aging Network
  • Business/Economics of Aging
  • Home and Community Based Services

Cross-Sectoral Partnerships By Area Agencies On Aging: Associations With Health Care Use And Spending

02/01/2018

Cross-Sectoral Partnerships By Area Agencies On Aging: Associations With Health Care Use And Spending

  • Aging Network
  • Home and Community Based Services
  • Long-Term Care Facilities
  • Research Methods

Community-Based Organizations and Health Care Contracting

12/12/2017

In 2016, the National Association of Area Agencies on Aging (n4a) received a grant from the John A. Hartford Foundation to develop a National Aging and Disability Business Center.

  • Aging Network
  • Business/Economics of Aging

Participant Satisfaction and the Impact of Senior Center Services in Lucas County, Ohio

12/01/2017

This study addressed satisfaction with services and impact of senior centers among center participants in Lucas County, Ohio.

  • Aging Network
  • Health/Physical Activity
  • Home and Community Based Services

The Influence of the Transportation Environment on Driving Reduction and Cessation

06/24/2016

Driving is by far the most common mode of transportation in the United States, but driving ability is known to decline as people experience age-related functional declines. Some older adults respond to such declines by self-limiting their driving to situations with a low perceived risk of crashing, and many people eventually stop driving completely. Previous research has largely focused on individual and interpersonal predictors of driving reduction and cessation (DRC). The purpose of this study...

  • Aging Network

Are Ohio's Nursing Homes Ready for an Emergency?

12/22/2015

Study Identifies Strengths, Leads to Strategies for Improvement in Ohio Nursing Home Disaster PlanningOn any given day in Ohio's nursing homes, there are nearly 78,000 residents with physical or cognitive impairments. This means that nursing homes may be vulnerable during emergencies that require either evacuation or necessitate sheltering in place. A module regarding preparedness and planning in Ohio nursing homes was included in the 2013 Biennial Long-term Care Survey administered by the...

  • Aging Network
  • Long-Term Care Facilities

Identifying naturally occurring retirement communities: A spatial analysis

06/23/2015

Guided by the concept of “aging in place” and potential policy implications, the study analyzed naturally occurring retirement communities (NORCs; 40% or greater house owners and renters aged 65 years and older) and whether there were spatiotemporal patterns in Ohio between 2000 and 2010. Locating NORCs could aid governments to create “aging in place” sensitive policies to address issues of independence, social care, health care, volunteerism, and community participation.Journals of...

  • Aging Network
  • Care Management
  • Home and Community Based Services

The Road to Balance: Two Decades of Progress in Providing Long-Term Services and Supports for Ohio's Older Population

06/15/2015

This report documents two decades of progress in delivering long-term services in Ohio. In 1992, more than nine of the 10 older people in Ohio supported by Medicaid were in nursing homes. Today, the ratio is approaching 50/50. This study, now in its 22nd year, is designed to provide Ohio policy makers, providers and consumers with the information needed to make good decisions in an effort to ensure that Ohio has an efficient and effective long-term services and supports systemFull Report (PDF -...

  • Aging Network
  • Home and Community Based Services
  • Long-Term Care Decision Making
  • Long-Term Care Facilities
  • Long-Term Care - Other

2014 Title VI Survey Results

05/20/2015

This research record highlights the findings from a national survey of the Title VI Organizations (TO). Findings highlight TOs' connection to the larger tribal infrastructure, key features and services of the TO programs, innovative care delivery, elder abuse prevention and intervention, expanding services and sustainability, and training and technical assistance needs.

  • Aging Network
  • Home and Community Based Services

What the Paradox of Change Means for the Future of Aging Services

07/17/2014

The aging services sector must foster and embrace change, evolving to meet the demands of our modern world, lest it go the way of companies like Kodak and Blockbuster-neither of which anticipated or adapted to changes in the marketplace. But when organizations change, it must be with the right strategy. If the aging services sector evolves in the wrong way, generations will feel the impact. It must ask the right questions, be clear about where it needs to go and what the issues are, innovate,...

  • Aging Network
  • Business/Economics of Aging
  • Education
  • Legal/ Advocacy

The National Aging Network Survey 2013 Results

12/30/2013

The 2013 National Survey of Area Agencies on Aging builds on previous surveys to assess the evolving role of AAAs in the new health care delivery system. Findings from this survey highlight the changing population served by AAAs and how these agencies are building partnerships throughout the delivery system to better meet the needs of consumers as well as the ways they are leveraging multiple funding sources in order to provide more services to a larger consumer base.Full Report (PDF 1.1MB)

  • Aging Network

The Hundred-Year-Old Man Who Climbed out the Window and Disappeared [book review]

10/18/2013

This review brings to your attention current and/or award-winning novels that offer aging perspectives, and we hope you will consider their value for learning about aging. The invited reviewers include several well-regarded gerontologists with humanistic leanings, a cultural critic focusing on aging in comparative literature, and a geriatrician who writes an acclaimed blog on aging and health. Gerontologist, 53 (6), 1060-1070. doi: https://doi.org/10.1093/geront/gnt116Publication available...

  • Aging Network

Integrated Care and the Aging Network: The Next Frontier or the End of an Era?

07/01/2013

The strong push to integrate Medicare and Medicaid services has been driven by the federal government through the Centers for Medicare & Medicaid Services, and by states, in response to two major system concerns: quality and cost. But nationwide system change has been slow and inconsistent. This article lays out the many issues that have come forward as the aging services industry experiences this change. Much about how healthcare is delivered in our nation is yet to be determined: the...

  • Aging Network
  • Business/Economics of Aging
  • Legal/ Advocacy
  • Long-Term Care Policy and Financing

Bridging the Aging Network and Medical Community Survey: Care Transitions from Hospital to Home

12/30/2012

The survey was designed to provide descriptive information about the connections between the Aging Network and the health care community. This research brief provides key findings from the survey for the 103 AAAs involved in care transitions from hospital to home.*If you downloaded the report prior to 5/16/2014, the previous version of this report contained an error in Figure 2.Full Report (PDF 719KB)

  • Aging Network

Bridging the Aging Network and Medical Community: Survey Results

08/31/2012

Older adults often need a full complement of services and supports to help them live independently while maintaining their physical or mental health. Recent federal and state initiatives such as the Affordable Care Act (ACA) have expanded the opportunities for Area Agencies on Aging (AAA) to be partners in acute care and health care system coordination.With a grant from the Administration on Aging (AoA), the National Association of Area Agencies on Aging (n4a) partnered with the Scripps...

  • Aging Network

2011 Title VI Native American Programs Survey Results

03/01/2012

Summary of a survey conducted in 2011 of Title VI (Native American Organizations) to assess role of Title VI programs in offering services and supports to the elders in their communities. Over 80% of Title VI programs responded. Results describe demographic structure and characteristics, services provided and programs offered to ensure elders can age with independence in their homes and communities.*Note: An updated version of this document was made available on April 7, 2014. Figure 2 was...

  • Aging Network
  • Home and Community Based Services

Self-Directed Services

08/01/2011

Inherent in the principle of ‘enabling individuals to remain in their own homes’ is providing services with a self-directed option. Self-directed services and programs allow clients to choose, manage, and dismiss their workers. This research brief provides key findings from the survey as they relate to providing services and programs that are self-directed.Full Report (PDF 370KB)

  • Aging Network

Private Pay

08/01/2011

Building systems for private pay continues to be an area of potential growth in business planning and outreach for the network. However, the network appears to be in a period of transition regarding this potential area of development. This research brief provides key findings from the survey regarding AAA development of systems and services for private pay clients.Full Report (PDF 370KB)

  • Aging Network

Nursing Home Transition & Diversion

08/01/2011

AAAs provide a number of services that help individuals at risk for institutional care to remain in the community and to transition back to the community when long-term care facility placement is no longer necessary or desirable. This research brief provides key findings from the survey as they relate to nursing home transition and diversion.Full Report (PDF 350KB)

  • Aging Network

AAA 2010 Research Record

06/08/2011

This report discusses the evolving role of the aging network in a balanced long-term care system based on the results of the 2010 National Aging Network Survey.Research Record (PDF 14.6MB)

  • Aging Network

Right Place, Right Time, Right Care: An Evaluation of Ohio's Nursing Home Diversion and Transition

06/01/2011

In 2010 the Ohio General Assembly asked the Ohio Department of Aging to develop and implement a nursing home diversion and transition initiative. Research showed that 3800 Ohioans were diverted or transitioned during the project period and the majority were residing in the community six months later.Full Report (PDF 870KB)Research Brief (PDF 870KB)

  • Aging Network
  • Care Management
  • Home and Community Based Services

Ohio's Aging Network Efforts to Enhance Nursing Home Diversion and Transition

04/01/2011

This brief report provides preliminary results from an evaluation of Ohio's diversion and transition demonstration program.Research Brief (PDF 5MB)

  • Aging Network
  • Home and Community Based Services

AAA Caregiving Survey Results

06/30/2010

AAA Caregiving Survey Results summarizes the results of a mini survey of the nations 629 Area Agencies on Aging (AAA) on the support they provide to family caregivers. Over 57% of AAAs responded to the survey and the results highlight the characteristics of AAA caregiving programs, services offered, numbers of caregivers enrolled in AAA programs and the training and technical assistance needs of the AAAs.Research Record (PDF 600KB)n4a Report (PDF 400KB)

  • Aging Network
  • Home and Community Based Services

2009 Title VI Survey Results

05/30/2010

The survey was designed to access the role of Title VI Native American programs in  offering services and supports to the elders in their communities. In particular the survey explored how Title VI programs view their roles in the following areas: 1) Person-Centered Access to Information, 2) Evidence-Based Disease Prevention and Health Promotion, and 3) Enhanced Nursing Home Diversion Services.Survey Results (PDF 869KB)

  • Aging Network
  • Home and Community Based Services

AAA Workforce Survey Report

02/28/2010

This brief survey was designed to describe the capacity of the current AAA workforce and the activities undertaken by AAAs to build their future workforce capacity to meet the needs and service demands of older adults and caregivers within the Aging Services Network.Full Report (PDF 969KB) Survey Report (PDF 2.2MB)

  • Aging Network

Area Agencies on Aging: Advancing Access for Home and Community Based Services 2008 Area Agencies on Aging Survey

06/02/2009

The 2008 survey of Area Agencies on Aging was conducted by the National Association of Area Agencies on Aging (n4a) and Scripps Gerontology Center at Miami University under a grant from the U.S. Administration on Aging focused on assessing and building the capacity of the Aging Services Network to meet the challenges and opportunities posed by our nation’s rapidly aging population.Full Report (PDF 2.8MB)

  • Aging Network

Emergency Readiness and Response: Area Agencies on Aging Survey

03/09/2009

The 2008 survey on Emergency Readiness and Response was conducted by the National Association of Area Agencies on Aging (n4a) and Scripps Gerontology Center at Miami University under a grant from the U.S. Administration on Aging.Full Report (PDF 3MB)

  • Aging Network

National Association of Area Agencies on Aging 2007 Aging Network Survey Reports

04/30/2008

With a grant from the Administration on Aging (AoA), the National Association of Area Agencies on Aging (n4a) partnered with Scripps Gerontology Center to conduct the 2007 Aging Network Survey of all Area Agencies on Aging and Title VI Native American programs in the nation. The survey was designed to assess AAA and Title VI involvement in services and programs consistent with AoA’s Choices for Independence.Summary Report (PDF 404KB)Title VI Summary Report (PDF 405KB)Access to Long-Term Care...

  • Aging Network

Evolution of the Aging Network: Modernization and Long-Term Care Initiatives

03/11/2008

This article examines how the aging network has evolved since its inception, mandated by the Older Americans Act of 1965. It explores the broadened mission of the network and the progress being made to modernize long-term care. The article also includes findings from a national survey of area agencies on aging (conducted through a partnership between the National Association of Area Agencies on Aging and the Scripps Gerontology Center) that help describe the nature of the aging network and its...

  • Aging Network
  • Home and Community Based Services
  • Long-Term Care Policy and Financing