The 130th Annual Meeting of APHA

Abstract #46885

Paul R. Katz, MD¹, Jurgis Karuza, PhD¹, Gerald M. Eggert, PhD², Brenda Wamsley, MSW³, Vernon Greene, PhD⁴, Bruce Friedman, PhD⁵, and Roy Ash, Maj USAF (ret)⁶. (1) Finger Lakes Geriatric Education Center, University of Rochester, Monroe Community Hospital, 435 East Henrietta Road, Rochester, NY 14620, 716-760-6354, pkatz1@rochester.rr.com, (2) Executive Director, Monroe County Long Term Care Program, Inc./ACCESS, 349 West Commercial Street, Suite 2250, East Rochester, NY 14445, (3) Executive Director, Center for Aging & Healthcare in West Virginia, 517 Market Street, Dils Building, Parkersburg, WV 26101, (4) Syracuse University, Maxwell School of Citizenship and Public Affairs, Syracuse, NY 13244, (5) Department of Community and Preventive Medicine, University of Rochester, 601 Elmwood Avenue, Box 644, Rochester, NY 14642, (6) Marietta, Ohio, PO Box 1066, Marietta, OH 45750

The two-year follow-up outcomes of the HCFA funded Consumer Directed Care Models Demonstration with frail community dwelling older adults will be presented. Specifically the outcomes of veterans and non-veteran participants will be compared and benchmarked. Out of a total of 1600 participants that were randomized into the study arms in NY, WV and OH, 278 were veterans. The mortality, health care utilization and functional health (i.e., SF 36) outcomes, satisfaction, and changes in health self-efficacy and health empowerment beliefs of the two groups will be examined. Further comparisons will focus on the difference in outcomes among the study’s intervention arms, that is, the health promotion nurse intervention, the Medicare voucher benefit intervention and the combination intervention. The health policy implications of implementing the consumer directed care approach, which empowers older adults to be more educated and proactive consumers of health care, will be explored, especially in VA populations. The importance and utility of benchmarking health outcome data with different populations will be considered.

Learning Objectives:

• at the end of the presentation the learners will be able to
• to indentify and compare the outcomes associated with consumer directed care models in veteran and non veteran community based frail older adult populations
• consider the applicability of consumer directed care models to older adult veterans

Keywords: Elderly, Veterans' Health

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.