Older Americans Act (OAA)

This report serves as a follow-up to the 1995 Institute on Medicine (IOM) report which argued for an ombudsman program to address the quality of care in long-term institutional settings. This study investigates the role and effectiveness of the State Long-Term Care Ombudsman Programs (LTCOPs) in improving care. Surveys with all states/territories reveal new findings on the structure of the program in different states as well as their own perceived effectiveness. Comprehensive data and analysis.

The Older Americans Act of 1965 created the National Aging Network with many states adopting Area Agencies on Aging at the local level. This brief is a summary of two surveys regarding states’ monitoring practices of their Area Agencies on Aging (AAAs) and states’ spending rules for their AAAs. All states with Area Agencies on Aging which were surveyed reported that they conduct some monitoring, and most differed in their rules concerning excess funds.

This report advocates for a stronger, more rigorous research approach in Title IV (Activities for Health, Independence, and Longevity-Program Innovations) of the Older Americans Act. Title IV authorizes the Assistant Secretary for Aging to fund training, research, and demonstration projects, which Congress did not fund in FY 2012. Recommendations include creating a new Chief Science Officer, establishing a national advisory council for aging services program research, and renaming Title IV.

This document sets forth the State of Vermont's plan on aging in accordance with Older Americans Act requirements. The plan describes the mission and strategies of Vermont's State Unit on Aging (SUA) to coordinate services for older adults. The Plan contains information on aging demographics, the mission for the duration of the plan, and sets out goals to empower older adults to be more independent, promote wellness, and expand home and community-based services.

Older Americans Adults (OAA) reauthorization presents a unique opportunity to make significant improvements to the advocacy provisions under the Act. This paper presents three dimensions and five principles that form the basis of advocacy under the OAA, and it offers seven recommendations to strengthen advocacy within the next OAA reauthorization. Virtually every program and funding stream created by the OAA requires that the entire aging network advocate on behalf of older Americans.

The Long-Term Care Ombudsman Program is a consumer advocacy program established by the Older Americans Act that aims to improve the quality of care for residents in LTC settings by investigating and resolving complaints made by, or on behalf of, such residents. This report provides an overview of the program, including its legislative history, administrative function, and FY2008 funding amounts by source.

Statistics show a significant percentage increase in older persons able to receive LTSS outside of nursing homes, however unnecessary institutionalization is still a routine problem. This report clearly delineates the limitations on progress, including differences in Medicaid structure around nursing home vs. HCBS waiver coverage. The authors recommend specific steps that federal and state governments should take to reduce unnecessary institutionalization.

First in a series, this brief presents findings from AoA’s National Survey of Older Americans Act Program Participants. Findings indicated that Title III participants were at a higher risk of entering a nursing home compared to others in their age group. The authors conclude that AoA, however, is effectively reaching those most at risk of institutionalization, and that Title III services play an important role in helping elderly adults remain living independently in the community.

The Benjamin Rose Institute on Aging sponsored PPAR’s Winter/Spring 2010 issue. It includes seven articles written by national experts describing recent and notable changes in LTC policy, with its increasing emphasis on HCBS services. An introductory essay provides a 30-year review of the evolutionary process of LTC. Consumer-directed initiatives, caregiver and workforce issues, maturation of the service delivery system, and a review of recent state-level initiatives are discussed.

This webcast was given for Area Agencies on Aging throughout the country. The text transcript, presentations, agenda, and link to the archived webcast are available.