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Last Sunday The New York Times Magazine featured an article on global demographics, describing the birth rates in various countries and regions around the world. None of this information is new to those of us in the ageing field but it is good to see that the mainstream press is starting to look seriously at this issue.
As we’ve noted many times in our Global Ageing Network Blog, global ageing will be the defining demographic event of this century and will impact the world in many ways – financial systems, retirement, workforce and even climate change. The NYTimes is a good conversation starter – Let’s keep it going.
Much has been written in the US about the Green House movement, founded by Dr. Bill Thomas, creator of the Eden Alternative. The Green House model has been consistently featured in articles and as education sessions since its inception.
This recent article on Kiplinger.Com gives a good description of the model here in the US. If there are similar models of care in your country please share them with us.
Late in 2007 we wrote about the importance of care coordination for individuals moving from one level of health care to another. The OECD’s study highlighted four key areas for reform and gave an overview of practices in three countries – the US, Germany and England.
Now according to a recent report, the Australian Government has allocated AUS$300 million to provide transition services for elderly to help them regain heath and independence after discharge from a hospital. The program will provide a range of low intensity therapy services, including physiotherapy, dietetics and podiatry, as well as nursing support and personal care services.
This is a very important part of a comprehensive health care plan and is a good model for others to replicate.
The European Commission wants to see Europe developing as a hub for ICT for older people through the development of smart home technologies, electronic alarm systems and remote health facilities, for example.
It is hoped that smart devices, mobile technologies for monitoring vital signs and user-friendly interfaces for people with impaired vision or hearing will improve the quality of life of elderly people, their carers and families.
According to an article on VNUNET, the plan, proposed by the European Commission in June 2007, had already been approved by the European Parliament in March 2008 in a first reading. Twenty EU member states, as well as Israel, Norway and Switzerland would participate in this € 600 million joint research project called “Ambient Assisted Living” programme.
Between now and 2013, another € 400 million are allocated to research and innovation for the elderly people under the E.U.’s seventh Framework Programme for Research and Technological Development. “There is no reason for older people in Europe to miss out on the benefits of new technologies. The solutions and services resulting from this program will help them to remain active in society as well as staying socially connected and independent for a longer time,” said Viviane Reding, E.U. Commissioner for the information society and media.
The Care Home Olympics took place on Thursday, 19 June 2009, in Sheffield, England. Competitors tested each other’s skills in sports such as bowling, skittles, mini golf, target throwing and dominoes. Teams were made up of residents from 20 care homes, with the event starting with a chair-based, mass warm up and ending with dancing.
A prime goal of the Olympics was emphasizing the importance of physical activity. And of course having a chance to meet people and socialize are great benefits too.
And the Lord Mayor presented metals and prizes to the winning homes.
Go Team!!
There have been numerous articles and studies about the tidal wave of retirees swamping retirement pension systems as the baby boomers leave the workforce. Not only have the prognosticators declared that there will be a financial drain both in terms of increase in health care expenditures as well as in tapping of government pension systems, there will also be a workforce crisis as jobs go empty.
Not so, says Kevin Coyne of the Coyne Partnership. In a recent article in Business Week, Kevin and his business partner Shawn Coyne say that the Silver Tsunami will be more of a trickle – certainly in the US. According to their calculation more older Americans will choose to work beyond age 65 and there will be fewer retirees and more workers.
This is certainly a much rosier picture than we’ve seen elsewhere. Thoughts? Is this true in your country???
Have you ever wanted to learn more about housing policy in the United States? If so, we have some great resources for you.
Thanks to IAHSA Board Member Steve Protulis we are able to connect you to reports that have been compiled in response to inquiries by international delegations visiting the Department of Housing & Urban Development in Washington.
These visitors have many questions about applying U.S. practices in emerging markets, structuring an effective secondary mortgage market, and managing credit risk. Three reports compiled in response to these inquiries are now available in multiple languages and
can be downloaded, free of charge, from the web pages listed below:
o Evolution of the U.S. Housing Finance System: a
Historical Survey and Lessons for Emerging
Mortgage Markets,
www.huduser.org/publications/hsgfin/US_evolution.html
(in English, French, Spanish, and Russian).
o Mortgage Securitization - Lessons for Emerging
Markets, www.huduser.org/publications/hsgfin/Mortgsecurity.html
(in English, French, and Spanish).
o The Measurement and Management of Mortgage Credit
Risk in the United States: Implications for
Emerging Mortgage Markets,
www.huduser.org/publications/hsgfin/MortgCreditRisk.html
(in English, French, and Spanish).
Sunday is the 3rd Annual World Elder Abuse Awareness Day, launched three years ago by the International Network for the Prevention of Elder Abuse.
The purpose is to raise awareness of the issue of elder abuse and to encourage the adoption of a comprehensive strategy to prevent elder abuse and ensure quality of long-term care for older people.
Studies show that 4% of older people living in private households and 30% of older people in institutions are victims of elder abuse. Elder abuse can take various forms: physical, psychological or emotional, sexual, financial or neglect. Inadequate care is more often related to the incapacity of overburdened and stressed carers to cope with the increasing demands posed on them, rather than a real intent to exploit or harm vulnerable older people.
An example of what is possible is demonstrated by IAHSA member The Hebrew Home at Riverdale in NY, USA. They created the Weinberg Center for Elder Abuse Prevention, Intervention and Research, the first comprehensive elder abuse center in the US. The Center provides a coordinated system of crisis intervention that includes an emergency residential shelter and community based services for victims of elder abuse; a broad spectrum of community education and training programs to increase professional knowledge; a national replication training program; and a research component to profile victims.
Share with us other examples of innovative approaches for dealing with this terrible problem. And mark Sunday 15 June as ELDER ABUSE AWARENESS DAY.
According to a new national survey of working adults in the US, one in four employees currently cares for an older or disabled adult.
The study, conducted by work-life benefits firm Workplace Options, noted that of the employees caring for an older adult, nearly half have missed work time.
The role of the employer was also reviewed and 61% of the respondents said that they would utilize a service that assisted with care giving if it was provided by the employer free of charge.
It would be interesting to see if the situation is similar elsewhere in the world. Please add a comment to let us know what you see in your country.
A recent article in the Telegraph UK featured a story about using a fake bus stop as a simple yet effective way to prevent dementia patients from wandering off.
Directors at the Benrath Senior Centre in Duesseldorf, Germany, tired of relying on local authorities to round up roving patients, joined forces with a local care association and the public transportation department to erect a faux bus stop outside their facility.
The idea is that seniors who wander will recognize the familiar green and yellow bus stop and wait there to be taken home. Care givers retrieve the patients from the stop by telling them the bus will be along shortly, and then they invite them in for a cup of coffee, says Richard Neureither, Benrath’s director.
This offbeat concept has proven so effective that several other nursing homes around Germany have set up their own bus stops to snare seniors.
I saw a similar set up when I visited some IAHSA member facilities in Australia a few years back. In addition to the fake bus stop, they also had an automobile in the yard that dementia patients could sit in to recreate the sense of everyday traveling. What a good idea! And it works.
The Australians have done it again – providing leadership in the creation of a user-friendly website to help carers develop cultural awareness and build appropriate strategies for building a respectful, caring relationship with client who are Greek and who have limited knowledge of English.
Greek Care provides practical advice and information on how to work with Greek elders — communication strategies, activities, religious information, information about beliefs and values that impact on service delivery — as well as background information about Greek history, geography and tradition. There are many hints on how to enhance the practitioner-client relationship. Often they are quite simple strategies that will nevertheless engage your client and elicit satisfaction on their part.
In the past we’ve blogged about the Australian Centre for Cultural Diversity in Ageing – another example of the importance given to this complex issue.
Thanks to Tim Dixon, Deputy Editor of Australian Ageing Agenda for telling us about Greek Care.
Recent research at the University of Helsinki, Finland, indicates that if a person’s spouse passes away, the surviving spouse is more likely to enter a long-term care facility than those with a living spouse.
The study to be published in July in the American Journal of Public Health analyzed how the death of a spouse affects the likelihood of needing institutionalized care. According to an article in Reuters, the research team followed nearly 141,000 adults in Finland, age 65 and older, living with a spouse. They were followed for five years, and results showed the risk of entering long-term care was higher in those who lost a spouse as compared to those still living with their spouse.
One conclusion of the study was that targeted bereavement counseling would help reduce the need for institutional care.
During and after major disasters, the elderly are often forgotten in the rush to save everyone else. We saw it during the tsunami, during 911, during Katrina. And we’re seeing it again in China after the earthquake that struck on 12 May.
According to an article in the Washington Post, nearly 12,000 elderly Chinese lost their relatives in the quake and many more are separated from their families with their long time homes and belongings lost forever.
In a country known for its revering its elderly, China’s economic growth has altered traditional patterns between parents and their adult children as young people concentrate on making a living.
The provincial and central government officials have promised that all elderly left homeless will be taken care of. But with this disaster, as with others, attention to this population comes late. Help Age International is a world leader in helping countries provide for the elderly in times of need. The Chinese could benefit from their assistance.
During IAHSA’s 2nd European Conference in Vienna last week, there was a lot of talk about culture change – not only during the education sessions but also as a major theme for the networking breakout groups.
A primary tenet of culture change is creating an environment that honors person-centered care – where seniors in aged care facilities enjoy much of the privacy and choice they would experience if they were still living in their own homes.
In order to get an idea of how far Culture Change has progressed in the USA, the Commonwealth Fund conducted a research project to study nursing homes to determine the penetration of the culture change movement. The results were mixed with much room for improvement. However the researchers found that the more a nursing home adopts culture change the greater the benefits, in terms of staff retention, higher occupancy rates, better competitive position and improved operational costs.
IAHSA members around the world are embracing the culture change movement. Share your experiences with others by adding comments here.
The OECD recently released a report on the health workforce and migration policies in New Zealand, with a special focus on the international recruitment of doctors and nurses.
While the report focuses on New Zealand, primarily because NZ has the highest proportion of migrant doctors among OECD countries, the information should be of interest to all countries that are depending on immigration to support health care services.
Increasing international competition for highly skilled workers raises important issues such as sustainability and ability to compete in a global market. Better coordination and stronger collaboration could contribute to more effective and pertinent policies.
IAHSA will continue to monitor this important topic for our member’s benefit.
Last year we wrote about Nintendo’s new Wii game software that was all the rage at retirement communities. Residents had formed bowling leagues, held tennis tournaments and even boxing matches.
Now Nintendo is helping everyone get a bit more fit. As noted in today’s NYTimes, Wii Fit debuted in Britain last month and was the fastest selling game ever in that country. And it is expected to so as well when it is rolled out in North America next week.
Wii Fit uses the same console and TV as the game Wii, plus a sensitive “balance board” placed on the floor to present a few dozen activities, from push-ups to yoga, to more entertaining challenges like balance games and aerobic contests.
Go Wii.
Established in Ireland a few years ago, the TRIL Centre is a coordinated collection of research projects addressing the physical, cognitive and social consequences of ageing, all informed by ethnographic research and supported by a shared pool of knowledge and engineering resources.
The TRIL Centre’s mission is to discover and deliver technology solutions which support independent ageing, ideally in a home environment. This will improve the quality of life of older citizens while reducing the burden on carers and on the health care system. The Project is a collaborative effort combining Intel personnel and researchers from Irish universities and hospitals in multi-disciplinary teams.
IAHSA members learned about TRIL from Eric Dishman in Malta in 2007. Stay tuned for an update in London July 2009.
Numerous studies have been published about global ageing – the most important demographic event of the 21st Century. We’ve covered a number of studies on its impact on the workforce, migration, retirement systems, and health care, especially long term care.
Now we have a report from The Center for Strategic International Studies [CSIS] that focuses on its impact on national and global security.
The report, The Graying of the Great Powers: Demography and Geopolitics in the 21st Century, explores how population ageing and decline will constrain the developed countries to maintain security over the next few decades. It also examines the security implications of emerging demographic trends in different regions of the developing world. While some political scientists and security experts argue that the forces of demography are pushing the world toward greater peace and stability, the CSIS report concludes that they pose growing security threats—and that the period of greatest danger lies just over the horizon in the 2020s.
For international groups like IAHSA this is an important study, increasing our awareness of the differences and similarities between our member countries.
Tomorrow is Pangea Day, a day devoted to bringing the world together through film.
At 18.00 GMT, locations in Cairo, Kigali, London, Los Angeles, Mumbai, and Rio de Janeiro will be linked for a live program of powerful films, live music, and visionary speakers. The entire program will be broadcast – in seven languages – to millions of people worldwide through the internet, television, and mobile phones.
The 24 short films to be featured have been selected from an international competition that generated more than 2,500 submissions from over one hundred countries. The films were chosen based on their ability to inspire, transform, and allow us see the world through another person’s eyes.
Filmmaker Jehane Noujaim is the inspiration behind Pangea Day – her vision is to find a way to change the world. Jehane, IAHSA supports your efforts.
Seven years ago, Dr. Robyn Stone co-authored a white paper entitled Who Will Care for Us? Addressing the Long-Term Care Workforce Crisis in America.
This excellent paper challenged policymakers to take action on ways in which the USA can prepare for the coming baby boomer generation and the demands that they will make on the health care system in general, and the long-term care system specifically.
Now seven years later, the Institute of Medicine’s recent report, Retooling for An Aging America: Building the Health Care Workforce, echoes and expands on the issue, calling for bold initiatives designed to meet the growing needs of an expanding elderly population. Dr. Stone testified on the study before the US Congress saying, “The growing demand for long-term care, resulting from aging baby boomers and a much smaller pool of traditional caregivers, means the future will be immeasurably worse without decisive action by both public and private sectors.”
No one except our ageing service provider members seemed to be listening in 2001. Perhaps others will in 2008.
In a medical culture that encourages aggressive treatment at acute care hospitals to save all patients at all costs, including the elderly, the concept of ’slow medicine’ poses ethical and behavioral challenges.
Grounded in research at Dartmouth Medical School, ’slow medicine’ encourages physicians to put on the breaks when considering care that may have high risks and limited rewards for the elderly. It also educates patients and families how to make decisions about which treatments to have, or not.
As reported in a recent New York Times article, Kendal at Hanover, an IAHSA community in the USA, addresses the issue of end of life care up front with their residents so there is a good understanding of the options before an emergency arises.
Sharing information, techniques, and inspiration is vital to the improvement of professional services. That is the philosophy behind the U.S. Agency for Healthcare Research and Quality’s online repository for health-care innovations.
Examples of innovations described on the new exchange:
* Administrators for the Iowa Department of Public Health used tools and resources developed by the Network for the Improvement of Addiction Treatment to overhaul the department’s substance-abuse services.
* An intensive-care unit team shares its communications protocol for connecting staff, patients, and family members in setting daily goals for patients’ care and treatment. The regular communication helps ensure progress toward meeting treatment goals.
* A nursing-home care model, known as the “Wellspring Model,” is described, showing how nursing homes can come together in a learning collaborative to exchange staff performance data and conduct group training to enhance resident care.
An excellent resource for health-care providers, the site allows registered viewers to read articles and expert commentaries, sign up for the e-mail newsletter, browse the Innovations Exchange by subject, and participate in topic-specific discussions.
The Institute for the Future of Aging Services recently published a new report based on analysis of the 2004 National Nursing Home Survey [USA]. The report shows that 1 in 4 nursing home residents aged 65 and older has diabetes. The report also examined the association between diabetes and ethnicity, activities of daily living, source of admission, payment sources, length of stay, pressure ulcers, emergency department visits and medication usage.
Not only does this brief demonstrate the extremely high prevalence of diabetes in U.S. nursing homes, but it raises important issues related to planning for the special needs of this large segment of the nursing home population.
And even though it is based on US data, the lessons learned can be applied in many countries around the world.
According to new data published in the Human Resources for Health journal, the international migration of doctors and nurses has contributed to the critical shortage and inequitable distribution of health workers in many developing countries, resulting in a situation where people living in the most deprived areas do not have access to health services.
Some countries have introduced voluntary Codes of Practice (COP) for the ethical recruitment of international health workers. These intend to restrict aggressive recruitment from countries experiencing shortages of their own and also to protect the rights of migrant workers and support them in their job.
IAHSA views this issue as a top priority in our long term care workforce strategy. We will continue to follow this issue very closely as it has a tremendous impact on the availability of workforce for ageing service providers.
The deadline for submitting proposals for IAHSA’s 8th International Conference in London, England, in July 2009 is fast approaching. Don’t be left out!! You have until 1 May 2008 to submit your proposal.
Join your colleagues from the Global Ageing Network and share your innovative and exciting ageing service programs.
All the information you need can be found on the IAHSA website.
The Australians continue to take a leadership position in providing resources for helping address issues facing people providing services to multiple cultures.
This time it is Multicultural Mental Health Australia, who recently released a number of new mental health resources in over 20 languages. The topics covered include mental illness, anxiety, bipolar mood disorder, eating disorders and depression and many more.
This would be a good resource to share with your staff and families, especially if you have residents and staff from many different cultures and language bases.
Earlier this week, AAHSA posted this on their Future of Aging blog. Financing of long-term care in the US is a major issue and one in which the US is far behind other countries. Your thoughts and comments welcome.
The way we finance long-term care isn’t just a problem for older people. It affects all of us, including 20-somethings like me. That’s why our association is looking to get younger people’s opinion on caregiving and how our country pays for it.
Here are the five questions we’re asking young people (for now, that’s my mostly my friends) that I’d like any younger readers to take a moment to consider:
1. Do you worry about how you and your parents will pay for the care your older loved ones may need in the future?
2. Are you worried about how our country will cover the baby boomers’ health care costs as they age?
3. Do you worry about how you will pay for own health care when you get older?
4. Do you worry about how you would pay for care and assistance if you had
a major accident or illness?
and finally
5. Which of these four situations concerns you the most?
If you know a young person who’d be willing to share their insights, pass along the survey to them. Their responses will help us move our forward our plan to make affordable to care a little faster.
As IAHSA’s Global Ageing Network grows, we are blessed with the opportunity to serve as a catalyst for creating new communities of folks who share a common goal.
One such ‘new’ group is the brainchild of Professor Julienne Meyer from City University in London. Julienne and IAHSA are teaming up to take her ‘local’ network global.
By way of background, a few years ago Julienne and her colleagues in England created a UK research forum called the National Care Homes Research and Development Forum, composed of researchers who shared an interest in improving the quality of life for all associated with care homes for older people. The result of this collaboration was the creation of an innovative program called My Home Life - a new initiative aimed at improving the quality of life of those who are living, dying, visiting and working in care homes for older people.
Can we do the same thing on an international level? Of course we can!!!
We are using IAHSA’s 8th International Conference in July 2009 in London as the launching event for the International Research & Development Network.
If you or anyone you know is doing evidenced-based research on issues related to care for the elderly, please read the attached flier. This describes the activities related to the Network that are planned for London in July 2009.
Meanwhile if you have any questions, please get in touch with me at iahsa@aahsa.org or with Julienne at mhl@city.ac.uk.
Majd Alwan, Director of CAST, is a well known and respected researcher in robotics and elder care technologies. He is also a believer in the importance of using IAHSA’s Global Ageing Network as a vehicle for sharing knowledge about potential technological solutions to the challenges of global ageing.
He and Dr. Jeremy Nobel of Harvard University have written a compelling three-part report that outlines the state of the field in the United States with respect to the development of technologies for the ageing service field.
The report, funded by the Blue Shield of California Foundation, offers a vision for long-term care that includes using integrated information technology systems to support and enhance the health, safety and social connectedness of older people living in their own homes.
They identify several barriers to achieving this vision, but are confident that a combination of new knowledge, linked to effective collaboration among a variety of stakeholders, can overcome these obstacles to widespread technology adoption.
This is an important paper and most of the observations are applicable across the globe. Please share it with your colleagues.
For those of you interested in what’s going on in China – in addition to the Olympics and the issues surrounding Tibet – the Chinese Government has issued a paper describing its plan for dealing with its increasing elderly population. Entitled ‘The Development of China’s Undertakings for the Aged’, the paper outlines their official position on a variety of issues, including:
I. State Mechanism of Undertakings for the Aged
II. Old-age Security System
III. Health and Medical Care for the Aged
IV. Social Services for an Ageing Society
V. Cultural Education for the Aged
VI. Participation in Social Development
VII. Safeguarding Elderly People’s Legitimate Rights and Interests
In the ageing services world, we generally focus our discussions about technology on those advances that can be applied to the delivery of care for the elderly – such as remote monitoring devises, assistive devises, and tele-medicine, for example.
However all ageing service providers also need to be able to manage their organization’s internal operations using new technologies. According to an article in The McKinsey Quarterly, there are eight business technology trends that will help all organizations increase their effectiveness and efficiency.
These technology trends fall into three broad areas of business activity – managing relationships, managing capital and assets, and leveraging information in new ways.
Have you ever thought about using a robot as a baby sitter? Or having one give you a bath?
According to a study by a Japanese think tank, The Machine Industry Memorial Foundation, robots will be able to fill the jobs of 3.5 million people by 2025 in graying Japan, helping to avert worker shortages as the country’s population shrinks.
Japan has long been regarded as one of the ‘oldest’ countries, facing a 16% slide in its workforce while the number of elderly grows.
Rather than each robot replacing one person, the foundation said that robots could make time for people to focus on more important things. Like bathing?
It would take me a while to get used to having a robot give me a bath. How about you?
Can you measure happiness - especially as a function of age?
The European Centre for Social Welfare Policy and Research in Vienna, Austria, has developed a paper that looks into the relationship of ageing and happiness.
It seems that ageing per se does not result in a decline in happiness. But happiness is closely affected by changing preferences (by the decreasing importance of work, the increasing importance of religion, and the declining disutility of being single), and partly by changing circumstances. While changing preferences seem to increase well-being, changing circumstances seem to decrease it. Old days thus are happy above all due to changing priorities in life.
It seems logical to me.
I read BBC online every day to see what’s going on around the world related to ageing. Today I’ll share three articles focusing on research on ageing and ‘drugs’ - I call it The Good, the Bad and the Tasty.
The Good News: Blood pressure drugs help elderly – Imperial College London researchers announce that blood pressure drugs cut the risk of strokes and heart problems in the over 80s.
The Bad News: Medication ‘worsens’ Alzheimer’s’ – a research report from Kings College London says that anti-psychotic drugs have no long-term benefit for patients with mild symptoms and may even cause a deterioration in behavior.
And The Tasty News: Daily Caffeine Protects the Brain – in the past there have been conflicting reports on the benefits or detriments of caffeine. Now research published by the University of North Dakota suggests that coffee may cut the risk of dementia by blocking the damage cholesterol can inflict on the body.
You never know what will effect your life. Personally I avoid taking any medications at all. But I do love a good cup of coffee. Thankfully I don’t have to worry about that, for now at least.
What do you get when you meld Starbucks, Bally’s Fitness Center and Elderhostel? A Senior Center that is meeting the needs of today’s elderly.
Studies in the US have shown that the senior center of the 21st century needs to include a wider variety of activities, including a full array of programs that promote healthy ageing, continuing education and programs that attract all ages.
According to a recent NYTimes article, the use of senior centers in the US has been declining, primarily because the old models carry a stigma associated with ageing. The new multi-faceted models attract a wider community involvement and can serve as ‘the place to go’ for everyone, not just seniors.
Meet you at the Café for coffee and dance class!!!
The Centre for Cultural Diversity in Ageing, located in Victoria, Australia, is an online source of information on culturally appropriate aged care.
The Centre was developed to guide and promote best practice standards of care that address cultural diversity across all levels of service design and delivery.
They have developed a glossary of over 1000 terms used in ageing and translated them into 13 community languages. Even though some of the terms are tailored to the Australian ageing service system, I would think that the Glossary of Aged Care Terminology would be very useful for organizations needing to promote consistency of translations of aged care information.
Last week I read an article from the Chicago Sun Times about the growing need for creation of accessible housing for the ageing baby boomers in the US - the Post-WW2 generation that will become the largest segment in US history to age at one time.
As they age and begin to hit geriatric roadblocks, some will need special housing.
Making new housing accessible is required by law – making new construction specifically designed to be lived in or visited by people who have trouble with steps or use wheelchairs or walkers.
But the term ‘visitable’ was new to me. And I think a good addition to the vocabulary. It means that the building is inclusive to everyone. It allows a person with a disability to become integrated into a community – to be able to ‘visit’. And these ‘visitable’ homes are designed to allow for greater adaptations as the owners’ needs change.
Workers in ageing services have a challenging and often stressful job. This can sometimes lead to injuries or illness that require them to take time off.
The Return to Work Knowledge Base was developed by ResWorks to inform practitioners and insurers about the best worldwide research on return to work issues.
Access is free and the website contains articles covering medical factors, consequences of being out of work, workplace management models, attitudinal factors and return to work approaches.
Thanks to ACSA, an IAHSA affiliate in Australia, for letting us know about this important resource.
IAHSA is very lucky that we are very well represented at the United Nations by our two Ambassadors, Bill Smith, CEO, and Katie Weiss, Chair of the Board, both at Aging in America in New York City. Their regular attendance at meetings of the NGO Committee on Ageing and other UN events is very important in keeping us up-to-date on these global activities that can impact our members.
A recent presenter was Professor Robin Blackburn, author of Banking on Death or Investing in Life and Professor of Sociology at the University of Essex in England. Banking on Death offers a panoramic view of the history and future of pension provision. A work of unique scope, it traces the origins and development of the pension idea, from the days of the French Revolution to the troubles of the modern welfare state.
Thanks Bill & Katie. We’ll keep reporting on your UN activities to our blog readers
Consumers and ageing service providers are expecting a lot from new technologies - helping folks stay independent longer, enabling workers to concentrate on care giving rather then record keeping and reducing the number of medication errors, for example.
And if anyone can make it happen it is Dr. Majd Alwan, CAST* Director and world-recognized researcher in ageing service technologies.
In a recent interview with Nursing Homes Magazine, Dr. Alwan outlined CAST’s new direction in taking a more proactive role in assisting providers to identify their needs and review relevant technologies. CAST is also encouraging pilot research studies with outcome measures to validate the usefulness of various technologies.
“Key factors to success are ease of use, attention to staff training and good availability of technical support”, noted Alwan.
Bookmark CAST’s website – you’ll want to visit it often.
*Center for Aging Services Technologies
Unfortunately bad conditions are often the drivers for government to get involved in regulating private businesses. You’ve seen it in all types of industries and long term care is no exception.
And ageing services in Ireland is the latest example. The recently issued standards of care and welfare, announced by Ireland’s Health Information Quality Authority, were a result of an abuse scandal at a Dublin nursing home.
As the Irish Times reported, the 32 standards are aimed at keeping residents safe from physical, financial, material, psychological or sexual abuse and neglect. The new regulations are welcomed by Age Action Ireland as well as the association that represents nursing homes, Nursing Homes Ireland. However Tadhg Daly, CEO of Nursing Homes Ireland, noted that “It’s fair to say that regulations, no matter what sector, will have an increase in the cost both to the provider and also for those in our care.”
We all know that regulations do increase costs. And our hope is that they also result in an increase in quality. But sometimes ageing service providers need to create their own quality systems, such as Quality First in the US and My Home Life in the UK. Check them out and let us know what you think.
IAHSA’s Second European Conference
Our Future: Quality Ageing Services
22-23 May 2008
Vienna, Austria
It won’t be long before we join our European colleagues in Vienna at IAHSA’s Second European Conference. A key feature of an IAHSA event is networking and relationship building, an essential ingredient for building successful programs. Another key feature is to learn from the experts – those individuals noted for their leadership and creativity in addressing the challenges facing all of us. Our two keynote speakers embody the leadership characteristics needed in the field.
Dr. Kai Leichsenring sets the stage with An Overview of the Ageing Services & Senior Housing Landscape. A Research Associate at the European Centre for Social Welfare Policy and Research, Dr. Leichsenring is a noted expert in comparative social research in the areas of welfare, health policy and political science, especially with respect to older persons and people with disabilities.
The conference will close with Dr. Naomi Chambers speaking on Transformational Leadership in Ageing Services. A Senior Fellow and Head of Health Policy and Management at the Manchester Business School, as well as the President of European Health Management Association, Dr. Chambers has over 20 years operational experience in health services management.
It’s not to late to join your colleagues in Vienna - Register Today!
Tackling unemployment is a major concern in Europe. The European Employment Strategy (EES), initiated in 1997, was created to help European Union countries create more and better jobs. They recently issued a progress report on their effectiveness of the EES in meeting the employment goals for the EU.
According to AGE, The European Older People’s Platform, the EES needs to place more emphasis on helping older workers reconcile professional and private life, enabling them to take time off to care for dependant family members.
Other observations made by AGE include:
- European labor markets are not sufficiently responsive to the challenges of globalization and ageing
- Older workers still represent one of the largest untapped target groups for raising employment
- The lowest participation rates in lifelong learning throughout the EU continue to be those of older workers
As we’ve noted in earlier postings, many countries are looking to have a supply of older workers to help keep the economy going as their population ages and the number of younger workers dwindle. To make this happen governments will need to be more worker friendly and offer incentives to keep folks from retiring. The EES report shows that not to be the case in Europe, yet.
IAHSA Past Chair, Espen Aspnes is a Senior Advisor with SINTEF, a leading research organization in technological development. He recently visited South Korea to learn more about how that rapidly growing economy is dealing with the challenges of an ageing society. According to the Korea National Statistical Office, it will take only 19 years for the number of people over 65 to double from 7% to 14%. Compare that to 47 years in the UK and 76 years in Norway.
Given these daunting statistics, the Koreans are investing in technology in a big way. One of Espen’s colleagues, Changan Choi, market adviser at Innovation Norway in Seoul, issued a report on the trends and opportunities in the sector - with a major focus on technology. It is good to see how countries are sharing advancements. A good example of creating community across borders. Thanks, Espen, for sending this to us.
Overview of trends and opportunities in the medical and health sector
The approaching onslaught of over 70 million aging baby boomers could overwhelm the U.S. health care system and engulf the nation’s tenuous economy, according to a new study, “Will the Boom Bust Health Care?,” by management consulting firm Tefen USA.
Medical News Today reported that the study predicted some severe consequences:
-Health care quality will suffer, with wide variation in treatments and big differences in death rates and surgical complications.
-Federal spending on Medicare and Medicaid will skyrocket, forcing politicians to raise taxes or severely curtail a wide range of other government programs.
-State budgets will suffer under the crush of soaring Medicaid costs, compromising support for education and other local initiatives.
-The nation as a whole will have fewer and fewer dollars to spend on education, environmental protection, scientific research and national security.
“Despite what many people think, the solution is not a single-payer system,” said Barry Calogero, president, Tefen USA, and author of the study. “While socialized medicine provides some advantages from an access standpoint, it does not address the underlying cost and quality issues that threaten the functional integrity of health care in the U.S. The real solution to America’s health care challenges requires three components: implementing tort reforms, mandating the use of best practices and driving systemic process improvement.” The Tefen study provides insights and details on each of these three solution elements.
Design for retirement communities and senior housing is an ever growing field, as providers are becoming more sensitive to consumer needs as well as adopting principles for sustainability.
The American Institute of Architects recently released their 2007 Design f