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A new vision of transportation

The 2019 ASA Awards p. 13 | Take a look at these winners!

p. 5 | A new column, Aging with Options, begins by exploring universal mobility.


Covering advances in research, practice and policy nationwide

MARCH–APRIL 2019 volume xl number 2

the bimonthly newspaper of the American Society on Aging

How are CBOs faring with healthcare contracts? New report reveals insights, data

In this issue

FORUM Seriously, again? The ongoing fight to save the ACA page 3 Care managers of the future: Georgia Southwestern State debuts a care management degree page 4

case studies in Aging Today that will help to prepare, educate and support community- based organizations and healthcare payers to provide quality care and services. To improve the health and well-being of individuals living in the community, healthcare providers and systems are in- creasingly developing partnerships with community-based organizations (CBO) to address the social and behavioral de- terminants of health. By paving the way for better integration of health, and so- cial and behavioral supports, these part- nerships improve the quality of life for older adults and people with disabilities. Business Institute Data Revealed New data from the Aging and Disability Business Institute, which is led by the National Association of Area Agencies on Aging (n4a) and Scripps Gerontology Center at Miami University, show that

By Beth Blair and Suzanne R. Kunkel E ditor’s note: The SCAN Foundation, The John A. Hartford Foundation, the Administration for Communi- ty Living, the Gary and Mary West Foun- dation, the Marin Community Foundation and the Colorado Health Foundation have united to fund a three-year grant to devel- op and establish the Aging and Disability Business Institute ( , housed within n4a. Under the grant, ASA and n4a are collaborating on a series of articles and

IN FOCUS Wellness as we age—a multi-pronged concept page 7 The 2019 Gloria Cavanaugh Award winner: a federal program prevents scams and fraud against elders page 14 What’s in a word? When that word is “retirement,” perhaps too much page 16

more and more CBOs recognize this trend and are readying themselves for partnerships with the healthcare sector. The results of a 2018 survey ( ybd34rbs ) show that the proportion of CBOs partnering with healthcare enti- ties has grown more than 3 percent over the past year, from 38 percent in 2017 to 41 percent in 2018. The survey responses provide insight into the needs of CBOs at a range of stages in the contracting pro- cess, while offering a glimpse of the chal-

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Beyond Zumba and karaoke: advance care planning comes to the senior center near you By Jacqueline M. McGinley and Deborah P. Waldrop T he Institute of Medicine identi- fies community-based organiza- tions, such as senior centers, as ideal settings to encourage older adults to do advance care planning by providing information that normalizes healthcare decision-making conversations ( tinyurl. com/h5frb48 ). Following the 2016 reau- thorization of the Older Americans Act, senior centers daily serve more than 1million older Americans in almost 11,000 locations. With services ranging from in- formation and referral to educational pro- gramming, these centers are increasingly being regarded as essential gateways for engaging older adult participants, who spend an average of 3.3 hours per visit to centers ( ). The traditional objective of advance care planning has been to have people make treatment decisions in advance so

Wellness and well-being— it’s all about connection

did not deter him from living. While do- ing his best to maintain his physical health, he also cultivated intellectual, so- cial, occupational, spiritual and emotion- al purpose—a life worth living. The Six Dimensions of Wellness The basis for such a life begins with focus- ing on the six dimensions of wellness, whichwere developed by past and present leaders of the NWI. These dimensions— physical, occupational, social, intellectual, Despite his physical limitations, Hawking had intellectual, social, occupational, spiritual and emotional purpose. spiritual and emotional—strongly influ- ence human well-being. Physical wellness is the dimension of- ten used to define wellness. Eating right and being active is the rallying cry. Young and old must get a yearly checkup by a primary care physician, a dentist and an optometrist. People with chronic condi- tions must manage them, and everyone

By Chuck Gillespie

W hen thinking about the terms wellness or well-being, mul- tiple definitions come to mind. Wellness, according to the National Wellness Institute (NWI), is an active process of becoming aware of and learn- ing to make choices that lead toward a longer and more successful existence—in other words, toward a life worth living. So, how to achieve wellness? Accord- ing to Gallup well-being research ( tinyurl. com/y8qpxjvk ), physical activity provides adults ages 65 and older with a 32 percent higher positive emotional outlook than for those who are not active. But to have a life worth living, it is critical to look be- yond physical wellness; Gallup research also identifies how there can be too much emphasis placed upon the physical di- mension of health and well-being. For example, Steven Hawking had been told in his 20s that he would never see age 30. In 2018, he died at age 76. In 2016, he noted that “however difficult life may seem, there is always something you can do and succeed at.” Hawking exem- plifies someone whose physical health

that healthcare providers can provide care that is consistent with their patients’ goals. The National Institute of Aging asserts that advance care planning involves Most survey participants cited “honest answers from doctors” as important in advance care planning. learning about possible healthcare deci- sions that may need to be made if an ill- ness progresses or a medical crisis occurs; considering these healthcare decisions in advance of a status change or emergency; and letting others know about these pref- erences through both conversations and documentation ( ).

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