State of the States in Support State Profile: Oregon Selected State Background Characteristics Population Total Pop. (millions) 3.6 293.7 Pop. 60+ (thousands) 619.8 48,883.4 % 60+ 17.2 16.6 National Ranking 60+ 24 % White (60+) 93.4 81.4 % African American (60+) 0.9 8.5 % Hispanic/Latino (60+) 2.0 6.1 % Asian (60+) 2.1 2.9 % Native Hawaiian/ Pacific Islanders (60+) % American Indian/ Alaska Native (60+) 0.1 0.1 0.7 0.5 % Two or More Races (60+) 0.9 0.6 Pop. 65+ (thousands) 459.8 36,294.0 % Pop. 65+ 12.8 12.4 National Ranking 65+ 25 Pop. 85+ (thousands) 69.9 4,859.6 % Pop. 85 1.9 1.7 National Ranking 85+ 20 Economic Indicators Per Capita Income $30,584 $33,041 Median Household Income $42,617 $44,473 Total State Expenditures Per Capita $4,771 $4,009 % Pop. 65+ Below Poverty 6.6 9.4 % Pop. 50+ Who Did Not Visit Doctor Due to Cost 10.1 8.1 Socio-Demographics Average Household Size 2.5 2.6 Average Family Size 3.0 3.1 % Pop. in Rural Area 23.0 16.9 Households with Persons 65+ (millions) % Persons Age 65+ Living Alone 0.33 25.2 29.1 29.8 % Pop. 65+ in Major Cities 31.3 40.1 % Households with Internet Access Informal Caregivers 61.1 54.7 # of Caregivers 420,000 34,000,000 # of Caregiving Hours (millions) Value of Caregiving (millions) % Grandparents Living with Grandchildren % with Responsibility for the Grandchildren 450 36,720 $4,600 $350,000 2.2 3.4 1.1 1.4 Where to Call to Arrange Help in the Home for Elderly Relatives or Friends % Relative or Friend 22.1 21.5 % Self 14.9 17.2 % Medical Support 19.3 21.6 % Religious Support 0.9 0.4 % Area Agency on Aging 3.4 2.0 % Other 6.0 4.5 % Don t Know 33.4 32.7 Updated November 2007. Data sources for characteristics are available at http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1185 1
State of the States in Support Selected State Background Characteristics Long-Term Care Medicaid Spending on Long-Term Care % Spending on Nursing % Spending on Home Health & Personal Care # of Certified Nursing % of Certified with Family Councils # of Certified Nursing Facility Beds (thousands) Certified Nursing Facility Occupancy Rate Average Cost Per Day in a Nursing Home Average Assisted Living Monthly Cost Average Daily Cost for Adult Day Services Average Hourly Cost for Home Health Care Average Hourly Cost for Personal/Home Care Nursing Facility Residents as % of 65+ Pop. # of Licensed Adult Day 25.0 46.0 71.2 37.3 133 15,209 39.1 43.2 12.0 1,579.9 66.9 85.5 $213 $213 $2,564 $2,969 $88 $61 $19 $19 $18 $18 1.8 3.8 20 3,407 Care Receivers % Pop. 21-64 Years w/disability 14.0 12.1 % Pop. 65+ w/disability 41.1 39.6 % 65+ by Type of Disability Sensory 17.5 16.0 Physical 31.0 30.2 Self-Care 9.8 9.3 Mental 11.9 10.9 Difficulty Going Outside Home 17.3 16.3 Medicare Prescription Drug Plans # of Companies Offering PDPs 20 # of PDP 45 # of Companies Offering Medicare Advantage Drug Plans 13 # of Home Health Aides 9,740 751,480 Median Hourly Wage Certified Nursing Assistant $11.07 $10.67 Home Health Aide $9.12 $9.34 Personal Care/Home Care Aide $10.12 $8.54 Updated November 2007. Data sources for characteristics are available at http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1185 2
State of the States in Support State System of Home and Community-Based Services (HCBS) Legislation Enacted Within the Last Three Years (2001-2003) that Addresses Family Caregiving Issues Task Force or Commission Specifically to Examine Issues Name of Task Force: Single Point of Entry for State System of HCBS Single Point of Entry Includes Access to State s Caregiver Support Program Uniform Assessment Tool for All HCBS Programs for the Elderly and Adults with Disabilities Assessment Includes Caregiver Component At Least One State Program with Consumer-Directed Option for s None Caregiver Coalition of Oregon State Program Information Administrative Structure Administering State Agency Department of Department of Department of Organizational Unit or Person Specifically Designated for Caregiving Programs or Activities Geographic Region Served Statewide Statewide Statewide Local Program Administrative Responsibility SUA County Health Dept. County Mental Health & DD programs University Extension programs Varies by community Funding & Caseload Major Sources of Program OAA, Title III-E Client contribution Funding Medicaid HCBS waiver State general fund FY 2001 Expenditures $1,396,517 n/a n/a FY 2002 Expenditures $1,578,189 0 n/a Local/county funds State general fund Francisco, CA: Alliance. 3
State of the States in Support Funding & Caseload (cont d) FY 2003 Expenditures $1,728,959 $264,997,488 n/a (total waiver) FY 2001 A/D Waiver Respite n/a Participants FY 2002 A/D Waiver Respite Participants 0 Eligibility Caregiver Age Requirement None None Care Receiver Age 60+ 18+ None Requirement Care Receiver Functional Status Requirement OAA guidelines ADL/IADL combination No functional status requirement Client Population Family caregiver Care receiver Family caregiver Assessment Program Assesses Both family caregiver and care receiver Care receiver Both family caregiver and care receiver Uniform Assessment Tool Includes Caregiver No Assessment Areas Addressed by Caregiver Assessment Ability of caregiver to provide care Willingness of caregiver to provide care Caregiver demographic information Care duration Care frequency Services All Caregivers Eligible for Program Have Access to Same Package of Services No No Francisco, CA: Alliance. 4
State of the States in Support Services (cont d) Services Provided Specifically to Family Caregivers Types of Respite Care Offered Caregiver Must Live with Care Receiver to Receive Respite Support Program (FC) Assistive technology Assistive technology Cash grant Consum. supplies Care mgt. Counseling Consumer health Consum. supplies applications Consumer health Counseling applications Emerg. response Emerg. response Family consult. Family consult. Family meetings Family meetings Home modification/ Home modification/ repairs repairs Homemaker/chore/ Homemaker/chore/ personal care personal care Legal and/or financial Legal and/or financial consultation consultation Transportation Transportation Weekend/camp Weekend/camp No response No Respite Cap Varies No cap No cap Uniform Respite Cap Across No Program Sites Entity that Formulates the Respite Cap Administering local agency Consumer Direction Consumer-Directed Options Family Members Can Be Paid to Provide Care Types of Services Families Can Be Paid to Provide Support Program (FC) A menu of services from Other A menu of services from which caregivers can which caregivers can choose choose A voucher or budget for A voucher or budget for respite and/or respite only supplemental services Families have a choice of respite providers No No Personal care Other Francisco, CA: Alliance. 5