Oregon State Unit on Aging

OAA Disease Prevention/Health PromotionAssessment Tool2018

Due February 16, 2018. Please submit only to .

AAA: Date of Assessment:

Contact person for assessment questions: Contact phone number:

Part 1: AAA Review

Please complete the following section for programs funded by the AAA using OAA Title III funds. Page numbers refer to Oregon’s Disease Prevention and Health Promotion Program Standards found on the Oregon SUA website.

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Disease Prevention & Health Promotion Standards
1.As required by the Older Americans Act as of October 1, 2016, IIID funds are onlyused to support programs that meet ACL’s evidence-based requirements. (p.3) / Yes / No
2.The Older Americans Act strongly encourages AAAs to contract with community partners for delivery of services unless provision of services by an AAA is necessary to ensure an adequate supply of services, or services can be provided more economically by the AAA. Does the AAA contract with community agencies/partners to deliver IIID health promotion programs? / Yes / No / If the AAA self-provides programs supported with IIID health promotion funds, please indicate why:
3.List each evidence-based supported by IIID funds. For each program please indicate if the AAA directly provides the program using their own staff/volunteers, or if the AAA funds another organization to provide the program. Please also indicate if the AAA uses any other funds in addition to IIID to support each program (e.g., state health promotion funds, IIIB, funds from healthcare partners).
List each evidence-based program your AAA supports with OAA Title IIID funds: / AAA provides program / Funded partner provides program / Other funds also being used? / Please provide names of partners implementing each program, and any additional funding used to support each program.

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AAA/ADRCOutreach and Support for Disease Prevention & Health Promotion / Yes / No / Additional information
4.Does the AAA use Title IIIB or other funding to support any other non-evidence-based health promotion/disease prevention? (eg health screenings, medication reviews). If so, please briefly note what types of activities and the funding source.
5.The AAA works to provide health promotion programs and outreach to elders living in medically underserved areas or who are at greatest economic need. (p. 1)
6.The AAA/ADRC has working relationships with other community partners to support health promotion and healthy aging. (p. 2) / Please explain:
7.The ADRC resource database includes information that is updated at least annually on community programs and resources that support healthy aging. / Please explain how this is accomplished:
8.AAA/ADRC staff routinely refer consumers to appropriate community programs and preventive services to support healthy aging, documenting referrals in RTZ. (p. 5) / Please explain how this is accomplished:

9. Any additional comments on how the AAA address disease prevention and health promotion?

Part 2: Plans to Address Any Identified Gaps

Please identify any areas where your AAA or program partners are not fully meeting the standards, need assistance to meet the standards, or need to take further steps to reach a program goal.

Issue where AAA is not yet meeting standards, or facing challenges / Proposed plan or steps the AAA will take. / Lead or responsible person / Goal date for completion

Part 3: Areas of Program Success

Please identify any areas where your AAA has been successful in achieving or exceeding its goals while fully meeting the standards, and identify the main factor(s) in achieving success.

Area of success / Brief description of particular program success and sustainability / Main factor(s) leading to particular success (be brief and specific)
1.
2.
3.

Due February 16, 2018. Please submit only to . Thank you!

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