Health Reform for an Aging America

When: March 12, 2009 (9:00 AM Eastern)

Topics Aging, Health Care Workforce, Health Services, Coverage, and Access, Public Health, Quality and Patient Safety, Select Populations and Health Equity
Activity: The Future Health Care Workforce for Older Americans
Board: Board on Health Care Services

Controlling Health Care Costs:
With costs representing the major threat to our system in the long term, shouldn’t the system be optimized to treat the minority of patients who use the most resources? These patients are more often old, frail, and have multiple chronic conditions. A smarter health care system needs to be designed to train all health care professionals to better treat older adults and would encourage many health care professionals to specialize in the treatment of these most vulnerable and costly patients.

Expanding Coverage and Prioritizing Primary Care:
When health care coverage is expanded to include more Americans, the question will be whether we have enough of the providers we need – ones competent to treat the increasing numbers of seniors with multiple chronic medical conditions that require specialized skills. Prevention, a whole-patient approach to wellness, and coordination with social and health care supports are goals of optimal care in the patient-centered medical home, and they typify the geriatric approach to primary care.

Promoting New Models of Care:
The U.S. health care system needs to focus much more attention on the best models of care for older adults. With high quality models of care identified, the challenge is to disseminate these effective models to benefit more of our aging population, and to find methods of paying for them.

Addressing Long-Term Care Quality:
As advances in medical technology continue to allow us to prolong life and treat chronic disease, the need for high quality long-term care settings will only grow in importance for the patients and their families who increasingly rely on them. Health care professionals should be trained in long-term care settings where their patients are increasingly be cared for, and direct-care workers need standardized education and training to provide a uniformly high level of care for patients.

9:00 am
Welcome and Introduction

Judith A. Salerno, Executive Officer, Institute of Medicine

John W. Rowe, Chair, IOM Committee; Columbia University

9:15 am
First Hand Testimonials

Moderator: Miriam A. Mobley Smith, Chicago State University College of Pharmacy

M. Mayes DuBose – Geriatrician from South Carolina

Catherine Knechtli – Family Caregiver for her husband, Bernard, from California

Tracy Dudzinski – Direct Care Worker from Wisconsin

9:45 Discussion

9:55 am
Creating A Better Health Care Workforce for an Aging America: Improving Workforce Recruitment and Retention

Moderator: Joseph E. Scherger, University of California, San Diego

10:00 Loan Forgiveness for Improving Recruitment into Geriatrics

Victor A. Hirth, University of South Carolina School of Medicine

10:20 GACA expansion for the Retention of Care Providers for Older Adults

Joan Weiss, Health Resources and Services Administration

10:40 The Importance of Improved Reimbursement for the Care of Older Adults

Peter Hollmann, Blue Cross Blue Shield of Rhode Island 

11:00 Improving the Direct Care Workforce through Better Wages and Benefits

Dorie Seavey, PHI 

11:20 Discussion

11:35 LUNCH

12:10 pm
Reforming Training to Improve the Quality of Geriatric Care

Moderator: Joshua Wiener, RTI International

12:15 Integrating Geriatric Knowledge into Health Professions Curricula

Patricia J. Volland, New York Academy of Medicine 

12:35 Training Health Care Professionals in Long Term Care Settings

Paul R. Katz, University of Rochester Medical Center 

12:55 Minimum Standards for Direct-Care Worker Training

David Rolf, SEIU Healthcare 

1:15 Discussion


1:30 pm
Supporting Informal Caregivers

Moderator: Paul C. Tang, Palo Alto Medical Foundation


1:35 Professional Support for Informal Caregivers

Susan C. Reinhard, AARP 

1:55 Support for Informal Caregivers

Kathleen A. Kelly, Family Caregiver Alliance 

2:15 Discussion

2:30 Break

2:50 pm
Health Care Reform and the Success of New Models of Care for Older Adults

Moderator: Terry Fulmer, New York University College of Nursing

2:55 New Models of Geriatric Care

David B. Reuben, David Geffen School of Medicine at UCLA

3:15 Medicare reform to promote novel models of care for older adults

Chad Boult, Johns Hopkins Bloomberg School of Public Health 

3:35 Discussion

3:50 pm
Health Care Reform for an Aging America: Current Efforts and Next Steps

John W. Rowe, Chair, IOM Committee; Columbia University

3:55 Existing Legislation and Making Health Reform for an Aging America a Reality

Anne Montgomery, U.S. Senate Special Committee on Aging 

Cara Goldstein, U.S. Senate Special Committee on Aging

4:15 Collaborating for a Better Geriatric Workforce – the Eldercare Workforce Alliance

Steven Dawson, PHI (View Slides)

Nancy Lundebjerg, American Geriatrics Society

4:35 Discussion

4:55 Closing Comments to Adjourn

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