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America’s Health Rankings ® Senior Report: A Call to Action for Individuals and Their Communities May 29, 2012

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America’s Health Rankings ® Senior Report: A Call to Action forIndividuals and Their Communities

May 29, 2012

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Today’s Agenda

Introduction

Senior Health in the U.S.

Methodology and Senior Health

Rankings

What We Can Do

Discussion

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America’s Health Rankings® Senior Report

A Comprehensive Assessment of Senior Health

Offers a comprehensive analysis of senior health on a national and state-by-state basis across 34 measures of senior health

Report seeks to promote discussion around the health of Americans 65 years and older while driving communities, governments, stakeholders and individuals to take action to improve senior health

In compiling the report, researchers worked with a panel of leading public health scholars

Report draws data from more than 12 government agencies and leading research organizations, including the U.S. Department of Health and Human Services, the U.S. Department of Commerce, the U.S. Department of Labor, The Dartmouth Atlas Project, the National Foundation to End Senior Hunger and the Commonwealth Fund

Senior Health in the United States

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Key National Takeaways Rapid growth of senior population (53 percent increase from 2015 to 2030)

The 2012 America’s Health Rankings® found Americans are living longer but sicker lives

About 80 percent of seniors are living with one chronic condition, while 50 percent of seniors have at least two chronic conditions

More obese individuals moving into age group

Low health status of individuals moving into age group– Nationally, the self-reported health status of the middle-aged population has decreased

slightly from 1995 to 2010, with 1.7 percent fewer adults aged 50 to 64 reporting very good or excellent health

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Senior Health Across the U.S.The Senior Report takes a holistic look at senior health and reveals a mixed picture of health from state-to-state, particularly among the following key measures:

Obesity:– Obesity affects 25.3% of U.S. adults 65 and older, according to the Senior report – Obesity rates among those aged 50 to 64 years increased 7.5 percent from 1995 to 2010,

indicating that the next wave of seniors is at even higher risk than today’s seniors for obesity– A 2008 Health Affairs study estimated that the U.S. spends $147 billion on obesity or

obesity-related health issues for the entire U.S. population– The prevalence of obesity among seniors varies from a low of 16.9 percent in Hawaii and

18.1 percent in Nevada to a high of 29.3 percent in Alaska and 29.5 percent in Michigan

Physical Inactivity: – Just under one-third (30.3 percent) of seniors in fair or better health report doing no physical

activity or exercise (such as walking, gardening, jogging, calisthenics or golf)– The prevalence of physical inactivity among seniors ranges from a low of 20.5 percent in

Colorado and 21.3 percent in California to a high of 41.2 percent in West Virginia and 41.3 percent in Tennessee

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Senior Health Across the U.S., Cont.

Poverty– The report finds that 9.3 percent of U.S. adults aged 65 and older live at or below the

poverty threshold– The percentage of seniors living at or below the poverty threshold ranges from a low of 5.1

percent in Alaska and 6.2 percent in Utah to a high of 12.3 percent in New Mexico and 13.5 percent in Mississippi

Low-Care Nursing Home Residents– This measure looks at the percentage of nursing home residents who might be able to live in

an alternate environment with community support– The report finds that 12.2 percent of nursing home residents nationwide might be able to live

in an alternate environment– The percentage of low-care nursing home residents ranges from a low of 1.1 percent of

nursing home residents in Maine and 4.7 percent in Hawaii to a high of 25.0 percent in Oklahoma and 26.7 percent in Illinois

Report Contents and State Rankings

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ModelBehaviors- Smoking- Chronic Drinking- Obesity- Underweight- Physical Inactivity- Dental Visits- Pain ManagementCommunity – Macro- Poverty- Volunteerism- Highly Rated Nursing

HomesCommunity – Micro- Social Support- Food Insecurity- Community SupportPolicy- Low-Care Nursing

Home Residents- Creditable Drug

Coverage- Geriatrician Shortfall

Clinical Care- Dedicated Health Care

Worker- Recommended Hospital

Care- Flu Vaccine- Health Screenings- Diabetes Management- Home Health Care- Preventable

Hospitalizations- Hospital Readmissions- Hospice Care- Hospital Deaths

Outcomes- ICU Usage- Falls- Hip Fractures- Health Status- Able-Bodied- Premature Death- Teeth Extractions- Mental Health Days

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Senior Rankings1 Minnesota2 Vermont3 New Hampshire4 Massachusetts5 Iowa6 Hawaii7 Connecticut8 Colorado9 Utah

10 Maryland11 North Dakota12 Delaware13 Maine14 Nebraska15 Oregon16 Washington17 Pennsylvania18 Kansas19 South Dakota20 Wisconsin21 Virginia22 Arizona23 New York24 Idaho25 California

26 Michigan27 New Jersey28 Ohio29 North Carolina30 Florida31 Rhode Island32 Indiana33 Missouri34 Wyoming35 Montana36 South Carolina37 Illinois38 New Mexico39 Texas40 Alaska41 Tennessee42 Nevada43 Georgia44 Alabama45 Kentucky46 Arkansas47 West Virginia48 Louisiana49 Oklahoma50 Mississippi

Commentaries Senior Report – Working Together to Care for an Aging Nation Jennie Chin Hansen, RN, MSN, FAAN, CEO of the American Geriatrics Society

Preparing for the Future as Millions of Baby Boomers Continue to Age Gail Gibson Hunt, President and CEO, National Alliance for Caregiving

Rx for Health – Invest in America’s Senior Centers to Promote Health and Prevent Disease

James Firman, EdD, President and CEO; Richard Birkel, PhD, Senior Vice President, National Council on Aging

Senior Hunger: A National Problem, A Local Problem Enid A. Borden, Founder, President and CEO; Margaret B. Ingraham, Executive Vice President, National Foundation to End Senior Hunger

The Environment of Care: A Community’s Journey to Become America’s Healthiest Hometown

Elliot Sussman, MD, MBA, Chairman; Joseph Hildner, MD, Chief Medical Officer, The Villages Health; Stephen Klasko, MD, MBA, CEO, USF Health and Dean, Morsani College of Medicine

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State SummaryRanks for all metrics

Strengths and Challenges

4 to 6 highlights

Disparities discussion

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Infographics

A Call to Action

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How to Put the Rankings to Use Use America’s Health Rankings® Senior Report as a news hook to discuss strengths/challenges

of your and other states and to highlight programs and activities geared toward seniors

Use the Rankings to help people understand the importance of key interventions

Help promote the America’s Health Rankings® “take action” library and your own websites and programs to translate knowledge into action

Direct inquiries to resources on AmericasHealthRankings.org. These include PDF and e-book versions of the Senior Report, state-specific infographics, custom-report tools, and Spanish-language content

Leverage successful models and advocate for change as individuals, a community and public health professionals

United Health Foundation is committed to being a part of the solution, providing a full array of tools to help empower your missions to improve public health

Thank You!

Shelly Espinosa (general)

[email protected]

952-936-1889

Scott Weier (media)

[email protected]

202-295-0170

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/AmericasHealthRankings

@AHR_Rankings

Learn More:Contact Us:

@DrReedTuckson

americashealthrankings.org

Tom Eckstein (data)

[email protected]

651-222-5257

Sarah Milder (data)

[email protected]

651-222-6782