HHS Strategic Plan, Fiscal Years 2007–2012 (Strategic Plan). Risk Reduction

11/22/2015

Chronic conditions currently limit activities for 12 million older people living in community settings in the United States; 25 percent of these individuals are unable to perform basic activities of daily living, such as bathing, shopping, dressing, or eating. Furthermore, falls are the leading cause of injury-related deaths and hospital admission among older people and account for between 20 billion and 30 billion health care dollars in the United States each year. These numbers will increase dramatically in the coming years with the aging of the Baby Boom Generation. AHRQ, AoA, CDC, CMS, and NIH contribute to research, demonstrations, the setting of national standards and guidelines, and the provision of grants and technical assistance to help older adults manage their chronic diseases and prevent falls and to encourage them to live healthy and active lifestyles.

For example, AoA funds an Evidence-Based Disability and Disease Prevention grant program and public/private partnership which deploys proven disability and disease prevention programs at the community level that empower older individuals to make behavioral changes that will reduce their risk of disease, disability, and injury. AHRQ and AoA, in collaboration with CDC, CMS, and NIH, are developing and testing a special Knowledge Transfer program targeted at State and local agency staff to promote and facilitate the utilization of evidence-based disease prevention programs for older people at the community level. CDC funds fall prevention research, research dissemination, and research translation and implementation that help decrease falls and increase stability in mobile older adults. CMS is demonstrating a health promotion and disease prevention program through the Medicare Senior Risk Reduction Demonstration to determine whether health risk reduction programs that have been developed, tested, and shown to be effective in the private sector can be tailored to the Medicare program to help beneficiaries improve their health and thus reduce the need for health care services.

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