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Health and the Aging
November 2011
Issue #1
In This Issue
HIV Aging and Consensus Project
HRSA Updates
Cultural Awareness Corner
Understanding Medicare
Advocacy and Policy
Knowing the ABC’s of Diabetes
Upcoming Events
November is…

National Native American Heritage Month, 2011

Presidential Proclamation

Behavioral Health

Diabetes in Native Americans

Domestic violence: A  Prevention and treatment programs for Native Americans

Health Disparities




National Runaway Prevention Month

The National Runaway Switchboard (NRS) and the National Network for Youth (NN4Y), announce the TENTH ANNIVERSARY of National Runaway Prevention Month (NRPM) for November. The goals of the 2011 campaign, Making the Connection are twofold:


1) to raise awareness of the issues facing runaway youth; and,


2) to educate the public about solutions and the role they can play in preventing youth from running.

Community Action Toolkit and a list of other ways to get involved, tips on engaging the media and sample templates to help prepare a campaign

Runaway Prevention Curriculum


National Family Caregivers Month 


This month honors the millions of family members, neighbors and friends who provide care for their loved ones during times of need. Each day, caregivers take on the ultimate responsibility of providing care to a family member or friend with a long-term, chronic or disabling condition.

The Administration on Aging (AoA) has long recognized these sacrifices. Through the Older Americans Act, AoA administers programs and services designed to support older adults and their caregivers. Included among them is the National Family Caregiver Support Program (NFCSP), which assists family and informal caregivers by providing them relief from their daily tasks and access to services, counseling and training and other supports.

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The Health and The Aging (HATA), a project of North American Management, is supported in part by a cooperative agreement grant awarded by the Department of Health and Human Services, Health Resources and Services Administration (HRSA). HATA provides training and technical assistance to strengthen the capacity of federally-funded health centers to increase access to health care, eliminate health disparities, and enhance health care delivery for the 39 billion or 13 percent of the residents of the United States were 65 years of age and older.

HIV Aging and Consensus Project: Recommended Treatment Strategies for Clinicians Managing Older Patients with HIV

By mid-decade the CDC predicts that nearly half of the expected 1.5 million in the USA living with HIV (Human immunodeficiency virus infection) will be age 50 and older. This aging of the epidemic is largely the result of effective ARV(Antiretroviral) treatments which have prolonged the life span of those with HIV disease. During the past decade, several organizations have convened groups to assess the state of knowledge and science at the nexus of HIV and aging, including a White House Office of National AIDS Policy Special Meeting on HIV and Aging in October 2010. The NIH has recognized the emerging issue by establishing intra- and extramural advisory boards in early 2011. As the lines of communication have grown between HIV care providers and geriatricians, common themes have emerged involving the health management of older person with HIV infection. Members of the Academy of HIV Medicine (AAHIVM) and the American Geriatrics Society (AGS) with the AIDS Community Research Initiative of America (ACRIA) have collaborated for the past two years to address the clinical management of older persons with HIV/AIDS.    To read the entire HIV and Aging Consenus Project, click here.




HRSA Integrates Social Media, Enhancing Access to Care 


Health Resources and Services Administration (HRSA) recently launched a new “Find a Health Center” app for smart phones to help you and your community members find nearby federally-funded health centers and the services they provide.

HRSA issues 2011 report on the health status, health behaviors and use of health care by U.S. women


The Health Resources and Services Administration’s (HRSA) Women’s Health USA 2011, the tenth edition of an annual data book identifying priorities, trends and disparities in women’s health, is now available.

The 2011 edition highlights several new topics, including secondhand tobacco smoke exposure, Alzheimer’s disease, preconception health, unintended pregnancy, oral health care utilization and barriers to health care. For the first time, the special population section of the report features data on the health of lesbian and bisexual women, as well as Native Hawaiian and other Pacific Islander women. Data on American Indian and Alaska Native women are also featured.

…Read More


Cultural Awareness Corner

A Patient-Centered Guide to Implementing Language Access Services in Healthcare Organizations 

With growing concerns about racial, ethnic, and language disparities in health and health care and the need for healthcare systems to accommodate increasingly diverse patient populations, language access services (LAS) have become more and more a matter of national importance.

The Office of Minority Health has sponsored the development of A Patient-Centered Guide to Implementing Language Access Services in Healthcare Organizations guide to help healthcare organizations implement effective LAS to meet the needs of their limited English proficient (LEP) patients, thereby increasing their access to health care.

LAS are especially relevant to racial and ethnic disparities in health care. A report by the Institute of Medicine (IOM) on racial and ethnic disparities in health care documented through substantial research that minorities, as compared to their White American counterparts, receive lower quality of care across a wide range of medical conditions, resulting in poorer health outcomes and lower health statuses. The research conducted by the IOM showed that language barriers can cause poor, abbreviated, or erroneous communication, poor decision making on the part of both providers and patients, or ethical compromises. The implementation of appropriate LAS in healthcare settings can serve to:

  • Increase access to care
  • Improve quality of care, health outcomes, and health status
  • Increase patient satisfaction
  • Enhance or ensure appropriate resource utilization

Click here to access the executive summary and guide.


Understanding Medicare  


Medicare provides insurance for people age 65 or older, people under age 65 with certain disabilities, and people of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

Medicare offers:

Part A Hospital Insurance – helps cover inpatient care in hospitals, including critical access hospitals, and skilled nursing facilities.

Part B Medical Insurance – Most people pay a monthly premium for Part B. Medicare Part B (Medical Insurance) helps cover doctors’ services and outpatient car, as well as some of the services of physical and occupational therapists.

Prescription Drug Coverage – Most people will pay a monthly premium for this coverage. This coverage helps lower prescription drug costs and protects against higher costs in the future.

Medicaid is available only to certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law. These groups are based on include your age, whether you are pregnant, disabled, blind, or aged; your income and resources, and whether you are a U.S. citizen or a lawfully admitted immigrant. The program does not provide health care services, even for very poor persons, unless they are in one of the designated eligibility groups.

Medicaid sends payments directly to health care providers. Depending on a state’s rules, a small co-payment may be required for some services.

(Centers for Medicare and Medicaid Services)

Medicare cover screening and counseling for alcohol misuse and depression

The Centers for Medicare & Medicaid Services (CMS) announced two new national coverage determinations that cover alcohol misuse screening and behavioral counseling for Medicare beneficiaries as well as screening for depression. These new coverage policies add to the existing portfolio of covered preventive services, most of which are now available to people with Medicare at no additional cost.

To read more, click here.

(Centers for Medicare and Medicaid Services)


Advocacy and Policy

White House Announces Health Care Jobs Initiatives for Veterans at Community Health Centers 

The departments of Health and Human Services, Defense, Labor, and Veterans Affairs will work to connect 8,000 veterans to job openings at community health centers over the next three years, the White House announced last month. As part of the Community Health Center Veterans Hiring Challenge, HHS will ask health centers to start reporting on the number of veterans they employ. In addition, the Health Resources and Services Administration will give priority when awarding physician assistant training grants to colleges and universities that train veterans as physician assistants. The agency also will identify programs that offer expedited curricula and enhanced recruiting, retention, and mentoring services for veterans and encourage others to replicate them. During the week of Veterans Day, HRSA will begin helping more than 21 institutions with active veteran programs share best practices with accredited physician assistants programs.



Knowing the ABC’s of Diabetes 


The two most common forms of diabetes are type 1 and type 2. Currently, there is no way to delay or prevent type 1 diabetes. Type 2 diabetes can be prevented or delayed through daily physical activity and a healthy diet.

The ABCs of diabetes 

A is for the A1C test (A-one-C)

It shows you what your blood glucose has been over the last three months. The A1C goal for most people is below 7. High blood glucose levels can harm your heart and blood vessels, kidneys, feet, and eyes.

B is for Blood pressure.

The goal for most people is 130/80.

High blood pressure makes your heart work too hard. It can cause heart attack, stroke, and kidney disease.

C is for Cholesterol. (ko-LES-ter-ol)

The LDL goal for most people is less than 100.

The HDL goal for most people is above 40.

LDL or “bad” cholesterol can build up and clog your blood vessels. It can cause a heart attack or a stroke. HDL or “good” cholesterol helps remove cholesterol from your blood vessels.

(Source: www.nihseniorhealth.gov)




Study Finds Prevalence of Diabetes Has Doubled Over Previous 30 Years

National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2·7 million participants.

Danaei et al., The Lancet, v. 378, Issue 9785 (July), p. 31-40, 2011

…Read More

American Indian Health

Community-Based HIV Testing among American Indians in Pine Ridge, South Dakota, 2008-2009. 
Friend, T.; Reilly, B.; Giberson, S.; Redd, J. The IHS Primary Care Provider, v. 36, #4 (April), p. 65-67, 2011

…Read More

Implementation of a Mandatory Employee Influenza Vaccination Program in a Rural Tribal Health Care Facility.

Farrell, D.; Kraft, M.; Oski, J. The IHS Primary Care Provider, v. 36, #6 (June), p. 117-121, 2011 (Articles; Newsletter Article) 31114

Innovation in Indian Healthcare: Using Health Information Technology to Achieve Health Equity for American Indian and Alaska Native Populations.

Carroll, M.; Cullen, T.; Ferguson, S.; Hogge, N.; Horton, M.; Kokesh, J. Perspectives in Health Information Management, v.8, (January), 1d, 2011


Health and the Aging
North American Management Health and Family Services
Visit us online at www.healthandtheaging.org