Tennis and Your Later Years

Published in Pawtucket Times, July 25, 2014

Like bacon and eggs, AARP Rhode Island hopes to make tennis synonymous with AARP’s Life Reimagined initiative.  On Friday, July 11, Rhode Island’s largest aging advocacy group firmly tied its national initiative to the International Tennis Hall of Fame & Museum, seeing an immediate opportunity to be associated with one of the world’s most high-profile tennis events, one that matched its age 50 plus membership demographic.  The new relationship provided a unique opportunity for the Providence-based group to get the word out about its legislative advocacy and grassroots community work.

This July, AARP Rhode Island unveiled its sponsorship with the Hall of Fame Tennis Championships which drew 22,500 tennis fans from across the country to the International Tennis Hall of Fame & Museum in Newport, Rhode Island.  A live telecast of the tennis matches and the tennis organization’s Hall of Fame enshrinement ceremony, which honors the best of  the tennis world, was beamed to millions around the tennis world on The Tennis Channel.  AARP’s sponsorship include center-court signage at 30-second spots on this channel.

“When we heard that tennis is promoted as ‘the sport of a lifetime’ we knew we were on the same wavelength,” noted AARP State Director Kathleen Connell, who stressed “AARP is all about providing resources for a lifetime.”

Anne Marie McLaughlin, Director of Marketing at the International Tennis Hall of Fame & Museum, agrees with Connell’s keen assessment.  “Tennis is very much in sync with AARP’s Life Reimagined program.   Perhaps people are seeking new ways to connect with friends once they’ve  become empty nesters, or a new hobby to keep them active and healthy.  Tennis can provide so many benefits in these areas, and it’s a great activity for people who are looking to reimagine and explore their life.”

“We’re proud to partner with AARP Rhode Island to showcase the game’s many physical, social, and mental benefits to their members,” says McLaughlin who agrees with Connell’s take that tennis is a sport of a lifetime.  “It can be played and enjoyed by a 5-year-old or a 95-year-old and we are very excited to  partner with AARP Rhode Island to engage, and inspire their members,” she says.

“But, Connell warns that “You cannot generalize about the athletic abilities of people over 50, noting that demanding sports such as marathons, and distance swimming attract athletes in their 60s, 70s. 80s. and even older.  Tennis is a great sport for people over 50 because you can play at your own level with players of similar skill.  To live longer and remain healthy we know that being and staying active is critical.  AARP encourages people to find a sport or activity that can provide life-enhancing benefits, both physical and mental,” added the Middletown resident.

Creating New Opportunities in Your Later Years

As a sport, tennis is a great fit for people looking to reimagine their life after 40.  “Whether it’s a job transition, career change, starting a dream business, adapting to being an empty nester or making the switch to a retirement lifestyle, AARP Life Reimagined provides online assessment tools, guidance and resources to help people explore new opportunities, identify adaptable skills and set new goals,” Connell explained.

Connell says Life Reimagined.org is the go-to web address for feeling good about aging. “It’s about you and what you want to accomplish,” she says, noting that it helps put AARP’s “Real Possibilities” into action.

According to Connell, AARP is no longer an organization for older people, but one for all people who want the best out of life, regardless of their age.  Many AARP members are still working and do not plan to retire, others leave their jobs seeking new challenges or even establishing new businesses, she explains.

Over a year ago, AARP launched Life Reimaged, a free program designed to help 76 million Boomers easily navigate into new life experiences or reboot their professional lives into different directions.  For the sixties generation, continuing to work a full-time job, or even coasting into retirement is no longer an acceptable option.  But, AARP stressed that reinventing oneself is the way to go in your later stages of life.

The Life Reimaged website provides tools to help you make key decisions for your next direction and detailed resources to guide you through that journey, says Connell.  “Whether your career has hit an unexpected bump in your 50s, or you are looking to start your own business or head down a new path into retirement, AARP can help,” she said.

At the Hall of Fame Tennis Championships

AARP staff and over 50 volunteers were on hand at the Hall of Fame Tennis Championships from Monday, July 7 through the tournament finals on Sunday, July 13.  Being stationed at an AARP Life Reimagined booth, these individuals answered questions and distributed copies of AARP Magazine and other materials.  On Friday, July 11, (at AARP Day) Connell announced a new AARP membership benefit — a year-round discounted AARP member rate of $8 (instead of the standard $13 rate) for admission into the International Tennis Hall of Fame & Museum.  The organization’s museum is open daily and also offers special events including film and music.  Year-round tennis programming, including lessons and group play on the historic green courts are available, too.

Activities for AARP Day included a free 50+ tennis clinic led by legendary tennis coach and newly inducted Hall of Famer, Nick Bollettieri, followed by a book signing and Q&A session (see Bollettieri in action on AARP Rhode Island’s YouTube Channel, http://www.youtube.com/aarpri).  That day, over 70 people attended an-hour long panel discussion in air-conditioned comfort of the Casino Theatre at the Hall of Fame, about AARP’s Life Reimagined initiative.

At the Friday panel, Connell noted that “It was a real treat for fans to get a chance to hear Hall of Famers Nick Bollettieri, 82, (Class of 2014) and Owen Davidson, 71 (Class of 2010) talk about their careers.  AARP volunteer, Charles Dress, 76, of Warwick, also shared his thoughts about how tennis has played an important role in his later years, after retiring from a full-time career,”
said Connell.  The panelist all agreed that tennis was “a natural outlet for the life-long learners who want to work hard at improving their skills and staying mentally sharp.”

Meanwhile, at Friday’s tennis clinic Bollettieri, stressed to those attending, “age is only a number.”  Connell noted that this is in line with the messaging of AARP.  “His enshrinement into the Hall of Fame is fitting not only because of his place as the coach of some many tennis champions, but also because he is a magnificent ambassador for the game.  He inspires people with his energy and enthusiasm.  We were thrilled that he made his way to our tent to join AARP,” she says.

McLaughlin added that Bollettieri is “an amazing example of what Life Reimagined can represent.  At 82 years of age, Nick is still on court 6 days a wee for 10 hours a day…and likely on the golf course the 7th day.  He’s living proof that it’s possible and very positive, for someone to stay physically active in older years.  With this physical activity come great social and mental benefits as well.”

Before the Hall of Fame Enshrinement Ceremony, Bollettieri gave this columnist a few pointers on living life in your later years.  “Stay active and never, never, never, use the word retire,” he says, warning that once the word enters your vocabulary, you begin to decline.

Buying into AARP’s Life Reimagined initiative, Bollettieri advices, “Don’t retire, just change professions.”

Check This Out…

On September 4 and 5, AARP Rhode Island will host two free Life Reimagined “Checkups” at its Providence headquarters.  A Life Reimagined leader will facilitate the three-hour workshop that familiarizes people with the available Life Reimagined tools and resources.  These sessions include small-group exercise for people looking to make changes in their career direction or hoping to reinvent themselves in retirement.  The first session will be in the evening, the second session in the morning.  Register online at aarp.org/ri or call 401-248-2671.

For more information about the International Tennis Hall of Fame & Museum go to http://www.tennisfame. com.

Herb Weiss, LRI ’12, is a Pawtucket-based writer who covers aging, health care and medical issues.  He can be reached at hweissri@aol.com.

 

 

 

AARP Report Says Older Americans Value Livable Communities

Published n Pawtucket Times, May 16, 2014

If they had their druthers, the vast majority of people age 50 and older plan to remain living independently right at home in their communities “aging in place”, concludes a new report released last month by the AARP Public Policy Institute. The 43 page report which surveyed boomers and seniors found that both value secure neighborhoods, safety, good schools, safe streets for walking, access to transportation, parks and affordable housing as community amenities. With these resources in place, communities enhance personal independence and foster resident engagement in civic, economic and social life, qualities that AARP has traditionally used to describe the livability of a community.

“What older Americans and Millennials want in terms of their community is not all that different.” said AARP Executive Vice President for Policy, Debra Whitman. “What is livable differs for each of us, whether we want a warm climate or a dense city, for example,” she said. “But this report tells us that the fundamental elements of a community that will please America’s aging population will equally serve future generations [as well].”

Maintaining Independence in the Community

The new report, “What is Livable? Community Preferences of Older Adults,” unveiled April 25, 2014, is based on focus groups and a survey of more than 4,500 participants. These findings reaffirm the historic trend that most people ages 50 and older want to age in place. Adults ages 65 and older are even more likely (87 percent) to say they want to age in their current home or community than those ages 50 to 64 (71 percent).

A small portion of adults age 50 and older – about one in six – say they plan to move in the next three years. This thought is more common for members of minority groups, those with low-incomes, those who don’t drive, or those living in metropolitan areas, notes the report.

According to the AARP report, many factors play into the hierarchy of a person’s community preferences. Specifically, household income influences the importance of local government spending priorities on local schools, transportation, personal safety, and proximity to various amenities. Race and ethnicity also play a role as do health and one’s life stage. African-American and Latino respondents ranked affordable housing more highly than respondents in general, for example, while caregivers and people with disabilities rate the availability of specialized transportation more highly than those who are not in those categories.

Participants were also asked, “What community amenities do you want close to home?” Access to public transportation, food and green space topped the list, the researchers say.

Effectively Planning for Livable Communities

Jeff C. Davis, Principal Planner at the Rhode Island Division of Planning, notes that AARP’s report mirrors his state agency’s views as what is a livable community. State planners’ strategy is to identify and promote areas where Rhode Island should grow – places in the state that already have a core of residential and commercial development or are well suited to planned, future development; they are the places that will accommodate and nurture Rhode Island’s future growth while protecting its natural and cultural resources.

According to Davis, livable communities can be found in downtown places like Providence, Westerly, Newport and Warren and in villages like Wickford, Harrisville, Wakefield and Pawtuxet. “These places offer a mix of homes, shops, community services, jobs, and public open space, connected not just by roads, but bus routes, bike paths, and in some cases trains,” states Davis, stressing that the Ocean State is also “very fortunate that a lot of these places have beautiful architecture and access to water, whether rivers, ponds, or the ocean.”

Davis believes that zoning ordinances through the state make it difficult to recreate livable places, or to enhance existing centers with sensitive development. “Many of our older urban communities have the bones of a livable, walk able place, but need targeted reinvestment to come alive again with a mix of uses and housing,” he says.

“The state and our cities and towns need to continue to work together to make sure local zoning allows and encourages center development, finds ways to prioritize funding and other supports for these areas, and makes sure that we are planning physically and financially for inclusive and accessible places,” adds Davis.

Davis is seeking public input to make Rhode Island’s communities more livable. “We are currently working on a planning campaign called RhodeMap RI, and need feedback on ideas for growing Rhode Island’s economy and providing for healthy homes and great communities.”

“It’s All in Our Backyard”

“The one surprise in the AARP report is that health care was not a major concern,” says President and CEO Neil Steinberg, of the Rhode Island Foundation, the state’s largest and most comprehensive funder of nonprofit organizations. “We hear about it all the time. In fact, access to quality, affordable health care is one of our strategic priorities,” he says.

“Almost everyone probably can agree on what makes a livable community. They have vibrant arts and culture, concern for children and families, economic opportunity for all, a great educational system, a sound environment, quality health care, housing that doesn’t break the bank and programs that meet basic human needs,” states Steinberg..

“The fact that we do have livable communities is what keeps Rhode Islanders here generation after generation,” says Steinberg, noting that the state’s small size gives its residents a “statewide feeling of connectedness.”

“This sense of belonging may be the most important factor in defining a livable community,” adds Steinberg.

The Rhode Island Foundation which awarded more than $ 31 million in grants last year to help nonprofits tackle critical issues in the state, has implemented a very visible public awareness campaign that reminds people that the Ocean State is a special, very livable place, notes Steinberg. “It’s All in Our Backyard” is about pride of place. It is an effort to help Rhode Islanders connect with our state’s rich resources, he says.

“There are plenty of success stories right here,” Steinberg says, noting that Rhode Island has “global industry and cutting-edge innovation, thriving entrepreneurship and world-class universities, breathtaking landscapes and a major arts scene.”

Steinberg urges, “Let’s celebrate Rhode Island as the vibrant, stimulating place where we work and live.”

It’s a Mixed Bag

AARP Rhode Island State Director Kathleen S. Connell observes that neighborhoods widely differ in the state’s 39 towns and cities, and within larger cities. “That said, a fair assessment would be that there are examples of great strides toward more livable communities as well as places in Rhode Island that are in a state of neglect.”

“The good news is that where improvements are being made today the process is much different when it was a decade ago as far as taking into consideration the interests of a broader range of stakeholders,” Connell adds.

Connell says that “many of the state’s older neighborhoods qualify as “livable” insofar as they are blessed with open space, sidewalks, are near parks and bike paths and feature transportation infrastructure that is designed with consideration for all types of users and people of all abilities.” Many planners and members of zoning boards understand the concept of livable communities and work hard to maintain and expand livable features,” she notes.

“But as the AARP survey revealed, livable also [also] means good schools, responsive local government, safety, convenient public transportation and affordable housing,” adds Connell, noting that there are still “parts of the state where these things have yet to come together that can be improved and communities made more livable.”

Connell warns that making a community livable should not be just to benefit the older population. “It’s really about people of all ages who want to live comfortable, healthy and environmentally responsible lives,” she says, detailing examples that include more public, park-like space in a retail/business district. These are assets for Rhode Islanders of all ages.

“A greener environment can enhance the business climate and local economy and works for all citizens on that level, too,” states Connell. Bike paths benefit all age groups and curb cuts benefit young moms with baby strollers as much as they are helpful to folks who get around with the aide of walkers,” she says.

The AARP study’s findings show that both young and old gravitate to livable communities. These localities allow persons to be more active, stay fit, even connected, allowing aging boomers and seniors to live independently at home. Rhode Islander’s might just think about The Rhode Island Foundation’s message, “It’s All in Our Backyard.” While we have a little ways to go to be a completely livable state, we’re closer to that goal than some naysayers believe.
The full report “What is Livable? Community Preferences of Older Adults” can be found at http://www.aarp.org/research/ppi/liv-com2/policy/Other/articles/what-is-livable-AARP-ppi-liv-com.

For more information about the Rhode Island Foundation’s “It’s All in Our Backyard,” go to http://www.ourbackyardri.com.

For details about RhodeMap RI, and to take the State’s surveys on housing and economic development, go to http://www.rhodemapri.org/rhodemap-virtual-open-house.

Herb Weiss, LRI ’12, is a Pawtucket-based writer covering aging, health care and medical issues. He can be reached at hweissri@aol.com.

Meals on Wheels Should Be Expanded

 Published in Pawtucket Times, October 25, 2013

            A warm, nutritious meal combined with social interaction can go a long way to putting the brakes to a state’s spiraling Medicaid costs.  According to new study findings detailed in this months issue of Health Affairs by Brown University public health researchers, expanding programs like Meals on Wheels, would save 26 of 48 states money in their Medicaid programs, just by allowing a person to stay in their own homes. 

            Kali Thomas, Assistant Professor of Research in the Brown University School of Public Health, says that if every U.S. state in the lower 48 expanded the number of seniors receiving meals by just 1 percent, 1,722 more Medicaid recipients avoid living in a nursing facility and most states would experience a net annual savings from implementing the expansion.

Put the Brakes to Medicaid Costs

            According to the study’s findings, Medicaid cost savings would be different in every state.  For instance, Pennsylvania would see the greatest net savings – $5.7 million – as Medicaid costs for nursing facility care decrease more than costs rose for delivering the additional meals.  Meanwhile, Florida would see a net cost of nearly $11.5 million instead. Overall, 26 states would stand to see a net savings according to the Brown University Public Health analysis, while 22 would end up spending more.

            Every state would enable more seniors, who could live independently except for meals, to remain in their homes regardless of whether they are on Medicaid.

            Thomas, the study’s lead author, believes the study’s findings can provide guidance for state lawmakers and state policymakers as they hammer out budget funding for home-delivered meals programs, which are conducted under the Older Americans Act.

            “We wanted to provide a roadmap for people,” Thomas said.

             To calculate Medicaid savings, Thomas and co-author Vincent Mor, Brown’s Florence Pirce Grant Professor of Community Health, examined data, including how many seniors in each state receive home-delivered meals and how much it costs each state to provide those meals. She and Mor also took a look at nursing facility and Medicaid data to estimate the number of seniors that Medicaid maintains in nursing facilities who are “low-care,” meaning they may have the functional capabilities to live at home. Finally they looked at the per diem Medicaid pays in each state for seniors to live in nursing facilities.

 Keeping Seniors at Home

             The study findings allowed them to estimate the incremental cost of providing meals to 1 percent more seniors in each state, the number of additional seniors on Medicaid who would no longer need to live in nursing facilities, and how much less Medicaid would have to pick up for the higher level of care in each state.

            The researchers found that the 1 percent expansion nationwide would bring meals to 392,594 more seniors at a cost of more than $117 million. Because 1,722 seniors would no longer have to live in costly nursing facilities paid for by Medicaid, total program savings would total $109 million.

            The reason why the study’s findings indicate that additional food delivery costs outstrip Medicaid savings nationwide, even though most states would save money on a net basis, is that in some very large states with relatively few low-care seniors or relatively low Medicaid per diems, food costs outweighed the resulting Medicaid savings on a relatively large scale.

            “In states like California and Florida where a 1-percent increase in the 65-plus population is a lot of people, it will cost those states a lot more to feed them,” Thomas said.

            But, as she and Mor wrote in Health Affairs, “Our analyses suggest that 26 states with high Medicaid nursing home per diem reimbursement rates, a large proportion of low-care [nursing home residents on Medicaid], and a relatively small population of older adults, could save money.”

            Thomas said states projected to lose money can opt to focus their efforts in ways that are more precise than an across-the-board expansion.

            “We’re not proposing that all states simply increase the proportion of age 65 plus receiving meals by 1 percent,” she said. “But if they were to target these vulnerable people who are at risk for nursing home placement they would likely see more savings. This is a program that has the potential to save states a lot of money if it’s done correctly.”

            Policymakers should consider not only the fiscal implications of providing home-delivered meals, which the study quantifies, but also the impact on individual seniors, said Thomas, who has seen the benefits anecdotally as a Meals on Wheels volunteer in both Florida and Rhode Island.

            Thomas’s research, detailed in this month’s issue of Health Affairs, which was completed last December, is featured in AARP Rhode Island’s award-winning documentary Hungry in the West End. Creator and director John Martin of the AARP

             Rhode Island state office screened the documentary in August at the Meals on Wheels Association of America National Conference in Boston. You can watch Hungry in the West End online at www.aarp.org/hungry.

             Although the quality of life argument is easy to see, other researchers, like Thomas, are closely looking at how the Meals on Wheels program can lower Medicaid costs.

             Based on a study by the Washington, D.C. based Center for Effective Government released in April 2013, every dollar invested in Meals on Wheels today could save taxpayers up to $50 in Medicaid costs down the road.

 Other Benefits of Meals on Wheels  

             Ellie Hollander, President and CEO of the Meals on Wheels Association of America, observes that both Brown University and the Center for Effective Government studies specifically focused on Medicaid savings attributable to nursing homes, but do not take into consideration significant savings that would be realized through reduced Medicare costs as well, through fewer visits to physicians and the emergency room and less hospitalization or reduced readmissions.

             Hollander says, “We have long known that the value of Meals on Wheels goes beyond the social and moral imperative of helping to address the epidemic of senior hunger in America.  “The friendly visit and a safety check are a lifeline enabling seniors to live more independently and healthy in their own homes, which in turn avoids far more costly health care alternatives often paid through Medicare and Medicaid,” she says.

             “The Brown University research proves what our work has long suggested to us: the Home Delivered Meals Program not only makes a positive impact for the senior, it is a good investment for the state as well,” says Executive Director Heather Amaral, Meals on Wheels of RI.

            Another study is in the works to support Thomas’ efforts to closely look at the impact of nutritious home delivered meals.  According to Hollander, a $350,000 grant from the AARP Foundation and the Meals on Wheels Association announced on Oct. 6 will enable Thomas to begin her randomized controlled trial of 600 seniors representing a cross-section of rural, urban, low income and minority populations across the country and a majority of the grant will be used to feed these seniors.            

            In this upcoming study, 200 seniors will receive meals daily, 200 more will receive a delivery of frozen meals once a week and then another 200 will continue on the waiting list as before as a control group. The study will compare quality of life, isolation, and health care utilization among individuals before and after they begin receiving meals and across the three groups.

             Holland says, “Through our generous grant from AARP Foundation, and with Dr. Thomas and Brown University’s help, we will seek to monetize the value add of the “more than a meal” component of Meals on Wheels.”

A Call for Support

            On AARP.org, Kathleen S. Connell, Rhode Island AARP State Director, calls on state lawmakers to take a very hard look at how they fund the state’s Meals on Wheels program.  Connell urges Congress not to put the Meals on Wheels program on the budgetary chopping block as a way to chop the huge federal budget deficit.

            Connell says that “Leaders need to be reminded that Meals on Wheels recipients aren’t unemployed workers waiting to return to jobs that will accompany an economic recovery. They are older retirees living on limited fixed incomes. With the cost of prescription medicines, healthcare and utilities going up, they sometimes can’t afford to eat. Many commonly sacrifice on food because of money worries – real or feared.”

            Connell notes, “Meals on Wheels is a big deal [to seniors]. No one should take it for granted.”

            Herb Weiss, LRI ’12, is a writer covering aging, health care and medical issues. He can be reached at hweissri@aol.com.