Kansas Association of
Area Agencies on
Aging & Disabilities
k4ad
The Graying of America – Implications for County Governments
Kansas Association of Counties 41st
Conference – November 15, 2016
Janis DeBoer, k4ad Executive Director
Implications: Two considerations

No silver bullet. But, two questions to consider.

Integration –


Provide full access to the benefits of community living.
Offer services in the most integrated settings.
1. Does this program, service or funding request lend itself to
integration?
Connectivity –


Avoid isolation.
2. Does this program, service or funding request lend itself to
connectivity?
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Livable Communities…AARP Conference
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8 80 Cities…
Gil Penalosa, Director and Chair of the Board
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Vision: We exist to create safe and happy cities that
prioritize people’s well-being. We believe that if everything
we do in our public spaces is great for an 8 year old and
an 80 year old, then it will be great for all people.

http://www.880cities.org/index.php
https://www.youtube.com/watch?v=V4zkq7yG7L0

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You’ve seen the Kansas maps…

Let’s look at some national data.

Older Americans 2016: Key Indicators of Well-Being (Older
Americans 2016) is a 204-page report that provides a
comprehensive, easy-to-understand picture of America’s
older population.
The 2016 version is the 7th chartbook prepared by the
Federal Interagency Forum on Aging-Related Statistics
(Forum).

http://www.agingstats.gov/docs/LatestReport/OA2016.pdf

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The 2016 Chartbook includes indicators:
 Indicators
are categorized into six broad
groups:
 1. Population
 2. Economics
 3. Health Status
 4. Health Risks and Behaviors
 5. Health Care
 6. Environment
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POPULATION…
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Population continued…
 In
2014, 46 million people age 65 and
over lived in the United States, accounting
for 15 percent of the total population.
The older population grew from 3 million
in 1900 to 46 million in 2014. The oldest
old population (those age 85 and over)
grew from just over 100,000 in 1900 to 6
million in 2014.
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Population continued…
21 %
The “Baby Boomers” (those born between 1946 and
1964) started turning 65 in 2011, and the number of
older people will increase dramatically during the 2014–
2030 period. The older population in 2030 is projected to
be twice as large as their counterparts in 2000, growing
from 35 million to 74 million and representing nearly 21
percent of the total U.S. population.

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Population continued…

The U.S. Census Bureau projects that the
population age 85 and over could grow from 6
million in 2014 to 20 million by 2060. Some
researchers predict that death rates at older
ages will decline more rapidly than is reflected
in the U.S. Census Bureau’s projections, which
could lead to faster growth of this population.
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ECONOMICS…
 In
1966, 29 percent of people age
65 and over lived below the
poverty threshold. By 2014, the
proportion of the older
population living in poverty had
decreased dramatically to 10
percent.
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LBJ signs the Older Americans Act,
Medicare and Medicaid into law…1965
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Economics continued…
 For
persons age 65 and over, twothirds of income in 2014 was from
retirement benefits including Social
Security which accounted for about
half of average total family income.
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HEALTH STATUS…
 Americans
are living longer than ever
before. Life expectancies at both age 65
and age 85 have increased. Under current
mortality conditions, people who survive
to age 65 can expect to live an average of
19.3 more years. In 2014, the life
expectancy of people who survive to age
85 was 7.0 years for women and
5.9 years for men.
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Health Status continued…

In 2014, 22 percent of the population age 65 and over
reported having a disability as defined by limitations in
vision, hearing, mobility, communication. cognition, and
self-care. Women were more likely to report any disability
than men (24 percent versus 19 percent).
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Health Status continued…

Disability increases with age. In 2014, 42 percent of
people age 85 and over reported any disability,
compared with 17 percent of people ages 65–74.
People age 85 and over also had higher levels of
disability than people ages 65–74 in all the individual
domains of functioning.
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HEALTH RISK and BEHAVIORS…
 In
2014, 70 percent of people age 65 and
over reported receiving a flu shot in the
past 12 months;
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HEALTH CARE…
 Most
older Americans have health
insurance through Medicare. Medicare
covers a variety of services, including
inpatient hospital care, physician services,
hospital outpatient care, home health
care, skilled nursing facility care, hospice
services, and (beginning in January 2006)
prescription drugs.
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Footnote:
Medicare’s coverage of Long
Term Services and Supports is limited

Important to know: Medicare’s coverage of Long Term
Services and Supports is very limited. It is short-term.

Long Term Services and Supports are provided primarily
by:





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Informal care by caregivers
Older Americans Act
Medicaid for nursing facility care and home and community
based services
State programs such as the Senior Care Act
County programs
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The Chartbook includes a special feature
on…CAREGIVERS
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Caregivers continued…

90 %
Despite efforts to stay healthy and avoid disease,
many older adults will eventually develop some
degree of limitations and need paid or unpaid
help with basic daily living activities. Family
members or friends provide the majority of this
assistance, without pay, as informal caregivers,
including help with everyday tasks such as bathing,
dressing, preparing a meal, or managing money. At
least 90 percent of older adults receiving help with
daily activities receive some informal care, and about
two-thirds receive only informal care.
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ENVIRONMENT…
 In
2013, 33 percent of the
noninstitutionalized Medicare population
age 65 and over had limited their driving
to daytime because of a health or physical
problem. The percentage of people who
had limited their driving to daytime was
greater for those age 85 and over (55
percent) than for those ages 65–74
(25 percent).
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Environment continued…

Furthermore, 19 percent of the noninstitutionalized
Medicare population age 65 and over had given up driving
altogether, about 24 percent had trouble getting places,
and 34 percent had reduced their travel because of a
health or physical problem.
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Footnote
(again):
Medicare’s coverage of
LTSS is very limited

Long Term Services and Supports funding is provided
primarily by:
Informal care by caregivers
 Older Americans Act
 Medicaid for nursing facility care and home
and community based services
 State programs such as the Senior Care Act
 County programs

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105 Counties in Kansas

Eleven Area Agencies on Aging operate across the State of
Kansas.
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Let’s talk about Kansas services, currently…

Caregiver programs – statewide

Nutrition programs – statewide

Transportation – counties are very involved

In Home programs - Senior Care Act, Medicaid Home and Community Based Frail
Elderly Waiver – statewide

Information and Referral services – statewide

Options Counseling - statewide

Senior Centers

PACE – Program for All Inclusive Care for the Elderly – almost statewide
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Integration? Yes.
Connectivity? Yes.
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Let’s talk about the future…


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Livable communities – parks, walking paths, 8 80 rule.
Smart Homes – appliances, lights on/off, robots.
Technology – smart phones, texting, social media.
Virtual Villages – age in place, stay connected.
Vouchers for nutrition programs – HyVee and others.
Self management – health behaviors, flu shots, fitbits,
telehealth.
Uber for the elderly?
No silver bullet.
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Kansas Elder Count 2002 –
Needs Assessment
 History.
 Wallchart.
 Chartbook.
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Implications - Two Considerations:
 1. Does this program, service or funding
request lend itself to integration?

2. Does this program, service or funding
request lend itself to connectivity?

Contact information -Janis DeBoer, k4ad,
Executive Director, 2910 SW Topeka Blvd.,
Topeka, KS 66611, 785.267.1336
[email protected]
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