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HomeMy WebLinkAboutResolutions - 2013.07.17 - 20901MISCELLANEOUS RESOLUTION #13181 July 17, 2013 BY: General Government Committee, Christine Long, Chairperson IN RE: BOARD OF COMMISSIONERS — AREA AGENCY ON AGING 1-B — FY 2014-2016 MULTI YEAR PLAN To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS the Area Agency on Aging 1-B has been supporting services to Oakland County residents since 1974; and WHEREAS the Area Agency on Aging 1-B has assessed the needs of older county residents and developed a plan to provide assistance that addresses identified need; and WHEREAS the proposed plan has been submitted for review by the public, and has been subjected to a public hearing; and WHEREAS the comments at the public hearings on the proposed plan were mostly favorable and constructive changes in the plan were made as a result of some comments; and WHEREAS the Oakland County Board of Commissioners appoints two representatives to the AAA 1-B Board of Directors, a county commissioner and a county resident who is at least 60 years of age; and WHEREAS the Michigan Office of Services requires that county boards of commissioners are given the opportunity to review and approve an area agency on aging's annual implementation plan. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby approves the Area Agency on Aging 1-B Fiscal Year 2014-2016 Multi Year Plan for the purpose of conveying such support to the Area Agency on Aging 1-B and the Michigan Office of Services to the Aging. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution. GENERAL GOVERNMENT COMMITTEE Motion carried unanimously on a roll call vote with Gosselin absent. SNAPSHOT OF THE FISCAL YEAR 2014-2016 AREA PLAN As designated by the Older Americans Act of 1965, the Area Plan outlines the planning, program, and funding priorities for the Area Agency on Aging 1-B. Public input as well as County and State level approval of the plan is required. A full copy of the plan is available at: www.aaalb.com/news-events/publications/aip/ older adults and adults with disabilities live in the 1-B region of Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties. f-r,,ral Year 2014 i network of services to more than 28% of the state's 1 older adults, and specifically targets underserved populations such as: • Persons of low-income, • Persons from cultural/ethnic minority groups, • Lesbian, Gay, Bisexual, Transgender (LGBT) older adults, • Veterans, & other vulnerable populations STRATEGIC PRIORITIES FOR FISCAL YEARS 2014 — 2016 (October 1, 2013-September 30, 2016): • Business expansion and funding diversification, including implementation of a PACE program and the Aging and Disability Resource Collaborative (ADRC) • Build and strengthen key community partnerships with hospitals, insurance providers & other health care organizations • Increase utilization of and access to programs for the Hispanic/Latino older adult population • Work with the aging services provider network to develop desired program outcomes & demonstrate value for dollars invested • Strengthen community programs in the area of housing, mobility/transportation, elder abuse prevention and professional training. • Expand access to health & wellness programs for older adults & programs for adults with disabilities Priority Services Funding - Fiscal Year 2014 In the past several years, there has been a 50% increase in the number of older adults living at 150% of poverty, while funding for older adult programs has decreased by nearly 30% $9,000,000 $8,000,000 $7,000,000 $6,000,000 $5,000,000 $4,000,000 $3,000,000 $2,000,000 $1,000,000 $- Home-Delivered Information and In-Home Care Care Meals Assistance Managament More than WHO WE ARE The Area Agency on Aging 1-B (AAA 1-B) is a non- profit organization responsible for coordinating a AAA 1-B uses federal, state, and local county match dollars totaling $20 Million to support older adult programs & The Area Agency on Aging 1-B enhances the lives of older adults and adults with disabilities in the communities we serve. www.aaa1b.com Toll Free (800) 852-7795 Area Plan Contact: Andrea Mulheisen (248) 262-9924 Sincerely, c-IX-6&Z-zzejig Tina Abbate Marzolf Chief Executive Officer rea sPeney on Aging 1.13 Advocacy Action • Answers on Aging County Access Centers July 1,2013 Oakland/Main Office 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Phone: 248-357-2255 800-852-7795 Fax: 248-948-9691 'Livingston/Washtenaw 3941 Research Park Dr. Suite B Ann Arbor, MI 48108 Phone: 734-213-6704 . Fax: 734-213-6806 Macomb 39090 Garfield Suite 102 Clinton Twp., MI 48038 Phone: 586-226-0309 Fax: 586-226-0408 Monroe . 14930 LaPlaisance • Suite 130 Monroe, MI 48161 Phone: 734-241-2012 Fax: 734-241-6877 St. Clair 501 Gratiot Blvd. Suite 2 Marysville, MI 48040 Phone: 810-388-0096 Fax: 810-388-0122 Commissioner Michael Gingell, Chairperson Oakland County Board of Commissioners County Service Center, Bldg 12 East 1200 N. Telegraph Pontiac, MI 48341 Dear Commissioner Gingell: Enclosed please find a copy of the Area Agency on Aging 1-B (AAA 1-B) FY 2014- 2016 Multi Year Plan. This Plan was adopted by action of the AAA 1-B Board of Directors on June 28, 2013, and was submitted to the Michigan Office of Services to the Aging for approval. The AAA 1-B Board of Directors' review and approval process involves two appointees from each Region 1-B county Board of Commissioners, a member commissioner and an older adult representative. As you may know, the AAA 1-B Board of Directors consists of a majority of county commission appointees. The plan has also been reviewed and approved by the AAA 1-B Advisory Council, and has been the subject of a public hearing, where favorable comments on the plan were received. This document is being sent to you in accordance with a directive from the Michigan Office of Services to the Aging, which allows each county Board of Commissioners to adopt a resolution of approval for the plan. A model resolution is enclosed for your convenience. State policy stipulates that if a county chooses to take such action, it must be completed by July 31, 2013. Please forward any adopted resolution, or minutes of the meeting where such action is taken, to the AAA 1-B, Attention: Deanna Mitchell. Thank you for your consideration of this request. If you have questions or require assistance relative to the plan, please contact Andrea Mulheisen, Director of Network Development, at (248) 262-9924. aw Enclosures c: Kathy Crawford, member, Oakland County Board of Commissioners and AAA 1-B Board of Directors Jan Dolan, member, AAA 1-B Board of Directors Helen Hanger, Senior Committee Coordinator Website: www.aaa1b.com sa Office of Services to the Aging 2014-2016 ANNUAL & MULTI YEAR IMPLEMENTATION PLAN AREA AGENCY ON AGING 1-B Areas Served Livingston, Macomb, Monroe, Oakland, St. Clair, Washtenaw 29100 Northwestern Hwy., Suite 400 Southfield, MI 48034 248-367-2266 1-800-852-7796 248-948-9691 (Fax) Tina Abbate Marzolf, Director www.aaa1b.org Office of Services to the Aging Field Representative Steve Betterly, 517-373-4089 betterlys@michigarigov Printed On: 7/1/2013 ANFUJAL & MULTI YEAR IMPLEMENTATION PLA N %SF 2014-2016 ,2 of Services to the Aging Area Agency On Aging 1-B FY: 2014 Table of Contents County/Local Unit of Government Review 2 Plan Overview 3 Public Hearings 7 Scope of Services 8 Planned Service Array 10 Targeting 12 Regional Service Definitions 14 Access Services 20 Other Service Provisions 23 Program Development Objectives (State) 25 Advocacy Strategy 34 Leveraged Partnerships 37 Community Focal Points 43 Other Grants and Initiatives 65 Budget & Other Documents 67 Appendices Printed On: 7/1/2013 ANNUAL a MULTI YEAR IMPLEMENTATION PLAAS 2014-2016 Office of Services to the Agrna Area Agency On Aging 1-B FY: 2014 County/Local Unit of Govt. Review AAA Response: A county government review of the AIP is required by OSA. In April, the AAA 1-B contacts each county Board of Commissioners (BCC) office to determine their July meeting dates and deadlines for submission of materials. The AAA 1-B Advisory Council and Board of Directors approve the AIP during their June meetings. Upon Board approval, the AAA 1-B mails a copy of the AIP and a draft resolution to the chairperson of each county's BOC, with a letter requesting approval by August 1. The letters are sent via certified mail with a signature requested to confirm delivery. A copy of the materials are also sent to each BOC's clerk/administrative assistant to ensure the AIP is placed on the July meeting agenda. A county commissioner serving as the designated Board member of AAA 1-B and the AAA 1-B staff person attends each BOC's July meeting to answer any questions and encourage the approval of the AIP. In the past all 6 county boards of commissioners have appproved the plans. No action taken by a BOC is considered approval. The AAA 1-B notifies OSA by August 2 of the status of the county level approval of the AIR Printed On: 7/1/2013 2 ANNUAL a, M ULTI YEA IMPLEMENTATION PLAHS 2014-2.01.6 tce of services cu the AMna Area Agency On Aging 1-B FY: 2014 Plan Overview AAA Response: The Area Agency on Aging 1-B (AAA 1-B) is a non-profit organization that is responsible for planning and coordinating a network of services to more than 28% of the states adults who are older and/or disabled. More than 620,000 older persons and adults with disabilities reside in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties. We are dedicated to: 1) advocating on issues of concern; 2) allocating federal and state funds for social and nutrition services; 3) ensuring access to a network of long term care services; 4) developing new older adult and independent living service programs; 5) coordinating activities with other public and private organizations; and 6) assessing the needs of older adults and adults with disabilities and linking them with home and community-based long term care services. We prioritizes activities that allow people to maintain their independence with dignity and place a special emphasis on assistance to frail, low-income, disadvantaged, and cultural/minority elders and adults with disabilities. The AAA 1-B was created in 1974 in response to amendments to the Older Americans Act (OAA), which called for the creation of regional planning and allocation agencies to bring structure to the delivery of social and nutritional services. The OAA and the Michigan Legislature provide funding to the Michigan Office of Services to the Aging and area agencies on aging that can be allocated to provider organizations in accordance with an Area Agency on Aging approved Annual Implementation Plan. This Annual Implementation Plan proposes to support either financially or through program development efforts, the following array of home and community based/long term care social services that allow people to maintain independent living, and provide conflict-free access to needed services: Adult Day Health Service* Assistive Devices & Technology Care Management* Case Coordination & Support Chore Community Living Program Services*" Congregate Meals*" Elder Abuse Prevention Evidence Based Disease Prevention Grandparents Raising Grandchildren Hearing Impaired & Deaf Services Home Delivered Meals*" Home Injury Control Information & Assistance" Legal Assistance Long Term Care Ombudsman Medication Management Out-of-Home Respite Public Education Resource Advocacy^ Printed On: 7/1/2013 3 ANNUAL St MULTI YEAR IMPLE1ENTATIO0 PLANS 2014-2016 Office of SerVi the Aging Area Agency On Aging 1-B FY: 2014 Transportation Vision Services Volunteer Caregiver *Indicates the five services receiving the most funding "Indicates the five services with the most anticipated participants This plan includes robust program development objectives. Highlights of these objectives include increased and targeted evidence-based health and wellness programs, increased outreach to the Hispanic/Latino population, and implementation of strategies to use more locally grown produce in the nutrition programs. Multiple strategies will be implemented to increase access to services for adults with disabilities, in alignment with the Aging & Disability Resource Center (ADRC), and to expand awareness and outreach related to serving the Lesbian, Gay, Bisexual and Transgender (LGBT) older adult population. Efforts to increase respite options for caregivers and to increase awareness of elder abuse prevention and detection will build upon the activities implemented over the past 3 years. Ongoing efforts to address unmet needs in the areas of housing and mobility/transportation are also included. AAA 1-B is putting a significant emphasis on goals related to increasing efficiencies and effectiveness of aging services, such as strategies focused on waitlist reduction, service response time, funding diversification, expansion of professional training programs and development, tracking and analysis of outcomes for all funded services. Specific objectives are also planned for increasing access to services such as Information & Assistance, Medicare Medicare Assistance Program (MMAP), Care Management and the Community Living Program. Achieving our objectives over the next three years will require the dedication of the AAA 1-B staff, Board of Directors, Advisory Council, Aging Network service providers and consumers working collaboratively together. Our Fiscal Year 2013-2015 Strategic Plan aligns closely with the objectives described in this area plan, and will guide the agency in a focused way to move forward. Progress on the plan activities will be monitored quarterly and reported regularly to the agency's Board of Directors, Advisory Council, state office on aging and through annual updates provided to the public in the subsequent year's Area Plan. The strength and ongoing development of partnerships are key to the success of the activities outlined in this plan. AAA 1-B is involved in a variety of regional and local human service or aging focused collaborative, that work to close the service gaps for those in need of assistance. Partnerships will help keep our programs moving forward financially through shared resources and diversification of funding while expanding service choices for older adults, such as the senior millage campaigns, the Care Transitions work funded through CMS and our PACE partnership with United Methodist Retirement Communities. We are exploring a variety of partnerships to help expand our programs and skills into new arenas, such as integrated care and other health care or private markets. Regional and state wide partnerships help to ensure the successful growth in areas of unmet needs, such as our Regional Elder Mobility Alliance to address transportation and mobility issues, our LGBT Collaborative to raise awareness and understanding of the often isolated LGBT older adult, and our work with AAA's across the state to ensure we are ready for integrated care. Finally, our ADRC of Southeast Michigan requires the AAA 1-B and three local Centers for Independent Living (CIL) partners, to work together with an array of providers to close gaps and ensure older adults and adults with disabilities have access to resources and information they need to make informed decisions. Printed On: 7/1/2013 4 ANNUAL fk MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Aging Area Agency On Aging 1-B FY: 2014 Over the past several years, AAA 1-B has experienced significant state and federal funding reductions while managing an increase in over 94,000 older adults (2010 census). We have also experienced a nearly 50% increase in the number of older adults living at 150% of poverty. Despite these hard facts, we have worked with our provider network to prioritize services, stretch dollars, create efficiencies, identify other sources of revenue, and keep our administrative costs at less than 5% to ensure our growing older adult population continues to have access to vital services. We have maintained minimal waitlists in our high priority services, such as home delivered meals and in-home services, which directly impact health and welfare. We've added extensive program and services to help individuals manage chronic diseases through the Title-IIID funded Evidence Base Disease Prevention/Health Promotion programs. including some of the activities already mentioned, AAA 1-B has developed a strategic plan and objectives within this Multi-Year Plan that are focused on creating efficiencies and garnering additional resources over the next 3 years, such as: Creating Efficiencies - Work with community partners, such as our Resource Advocates, to expand the reach of the Community Living Program which has traditionally been done soley by the AAA 1-B Care Managers - Target CLP services to at least 75 Care Transitions participants - Maintain low to no wait lists for all priority in-home services by serving at least 1600 older adults and caregivers - Develop uniform outcomes for all OSA funded services - Work with the provider network to identify service delivery techniques to minimize waitlists and provide services within a 24 hour response period - Also see the "leveraged partnerships" section of this plan Developing Resources - Secure grants or other external resources to support the myride2 mobility management program and the LGBT program related efforts - Raise at least $25,000 to expand the Community Living Program to adults with disabilities (under age 60), to which the program is currently not avaiable - Explore public/private partnerships for programs, specifically Evidence Based Health services and Congregate meals - Work with the provider network to help them maximize and diversify funding, including coordination of grant writing workshops, sharing best practices for cost-sharing, utilization of group purchasing, and establishment of a chore co-op to maximize the "buying" power for lawn and snow services - Develop volunteer recruitment strategies for MMAP and Evidence Based programs - Maintain success of the CMS supported Care Transitions program and extened beyond April 2014 - Investment in the development of a PACE program in Washtenaw county with the goal of reinvesting excess revenue into OSA programs - Secure the agency and the provider network a "piece" of the Michigan integrated care agreement - Continued advocacy and support of the development and/or expansion of local senior millages Also see the "leveraged partnerships" section of this plan State funding losses of more than 25% and sequestration has had a significant impact on our programs, particularly with congregate meals, out-of-home respite and chore services in 2013. With sequestration anticipated to continue and the demand for services expected to grow due to the expansion of the older Printed On: 7/1/2013 5 ANNUAL ik WILT' YEAR IMPLEMENTATION PLAN Of fice of Servtces to the Aging Area Agency On Aging 1-B 2014-2016 FY: 2014 adult population, the difficult decision to continue these 3 service reductions as well as the reduction of vision services and elimination of Health Benefits Education were made in order to protect some of the highest priority services. We know that we will need to: 1) use our funding priorities, 2) continue to create efficiencies in service delivery, and 3) identify new funding opportunities, through integrated care and sources outside of the traditional state and federal agencies to keep our programs viable and ensure the rapidly growing aging of the population can age successfully. This Multi-Year Plan reflects these strategies for FISCal Year 2014-416. Printed On: 7/1/2013 6 _ - C %CO of Services to the AfIng Area Agency On Aging 1-B MiNUAL 8t. MULTI YEAR IMPLEMENTATION PLANP. 2014-2016 FY: 2014 Public Hearings AAA Response: Date Location Time I Is Barrier Free No of Attendees 05/30/2013 AAA1B: 29100 Northwestern F 09:30 AM Yes 13 02/15/2013 St. Clair County Council on Ag 10:00 AM Yes 70 02/19/2013 Clinton Township Senior Cent( 09:30 AM Yes 33 03/04/2013 Hartland Senior Center, Howe 10:30 AM Yes 40 03/05/2013 Monroe Ctr for Healthy Aging, 10:30 AM Yes 130 03/19/2013 Bloomfield Twp Senior Center. 10:00 AM Yes 47 05/31/2013 Turner Senior Resource Cent€ 09:30 AM Yes 25 Narrative: Community Forums on the Needs of Older Adults were held in five out of the six counties that the Area Agency on Aging 1-B services. The sixth event was cancelled due to inclement weather. The purpose of these forums was to provide older adults, family caregivers, agency representatives, elected officials and other interested parties with an opportunity to discuss the needs and concerns of older persons. See the enclosedCommunity Forums Synopsis for the results. County specific reports are available also at www.aaa1b.com The draft plan was made available on the AAA 1-B website on May 6, 2013. Public hearings on the draft MYP were held on May 30, 2013 at the AAA 1-B Southfield office and on May 31, 2013 at Turner Senior Resource Center in Ann Arbor. The hearing in Ann Arbor was coordinated in conjunction with the Washtenaw Blueprint on Aging. To allow people to participate in a variety of ways, a conference call option was also available for the May 30 hearing. People unable to attend in person or by phone were able to submit testimony in writing, which is included in this plan as Appendices. All events were held at wheelchair accessible locations. Strategies to encourage attendance including partnering with county specific organizations, raffle prizes, publicizing to the aging network and senior advocates, and publicizing on the AAA 1-B website. Notice of events was sent at least 30 days prior to each event. The draft plan was made available 3 weeks prior to the public hearings. Between the 5 community forums and the 2 public hearings, over 300 people provided input into the development of the Multi-Year Plan, including providing an integral role in the development of AAA 1-B's program development activities and service priorities. Printed On: 7/1/2013 7 Area Agency on 2MAging 1-B 4/11/13 Advocacy • Action • Answers on Aging A Snapshot of the Older Adult needs in the AAA 1-8 Region: 2013 Community Forums Synopsis Community Forums on the needs of Older Adults were held in February and March of 2013 in five o u t o f t h e six counties that the Area Agency on Aging 1-B services. The purpose of these forums was to pr o v i d e o l d e r adults, family caregivers, agency representatives, elected officials and other interested par t i e s w i t h a n opportunity to discuss the needs and concerns of older persons. The five forums were held in Livingst o n , Macomb, Monroe, Oakland, and St. Clair Counties. A forum was scheduled in Washtenaw County but w a s cancelled due to weather conditions. The feedback provided at the forums was utilized to prepare the F i s c a l Year 2014-16 Area Plan on how and what older adult and caregiver services and programs, as well as pr o g r a m s for adults with disabilities, will be provided throughout the region. Forum participants were invited to provide testimony on unmet needs, and influence the establishme n t o f priorities for older adult services. Participants age 60 or older were also asked to complete a survey l i s t i n g what services he/she believes should be a priority in the communities the Area Agency on Aging 1-B s e r v e s . A total of 320 individuals attended the five forums including 169 older adults and 70 agency repr e s e n t a t i v e s and community members. Of the 169 older adults, 144 completed the surveys that were col l e c t e d a t t h e conclusion of the forum. The older adults of the counties whom completed the service priority survey identified that these fou r s e r v i c e s should be spared any cuts if funding decreases: Adult Day Service, Home Delivered Meals, Informat i o n a n d Assistance and Legal Services. In response to what services the participants thought could be eli m i n a t e d i f funding is cut, participants chose these following services: Grandparents Raising Grandchildren, L o n g T e r m Care Ombudsman, Public Education and Homemaking. A majority of the forum participants believe that Housing and Transportation/Mobility are top prior i t i e s f o r AAA 1-B's planning and program activities, with 77% and 71% of participants respectively. The sur v e y f i n d i n g s also showed the following planning and program activities as priorities: Services for People with Disabi l i t i e s (67%), Caregiver Support (61%), Elder Abuse Prevention and Awareness (48%), Mental Health/B e h a v i o r a l Health (48%), Advocacy (34%), Wellness Programs (39%), Professional Training (13%) and Lesbian, G a y , Bisexual, Transgender (4%). A major trend that arose during the forums was that the participants were concerned abo u t f u n d i n g . Reportedly, decreases in funding are affecting programs and services offered to older adults in all coun t i e s . There are concerns with keeping up with the growing older adult population with no increase in fun d i n g . T h e forum participants identified this as a major issue, as it is affecting two major services that o l d e r a d u l t s consider a necessity - nutrition and transportation. Nutrition was an extensive discussion topic among Livingston, Macomb and Monroe Counties. It was r e p o r t e d that funding.is continuing to decrease, yet home delivered meals and congregate participation numbers are increasing. If less funds become available to the counties and they don't have local funding supports, they f e e l they might not be able to sustain these levels therefore resulting in a decrease in the meal services. 4/11/13 Transportation was identified as a top priority for AAA 1-B by the older adult community forum participants in all counties. It was reported that it has improved but there continues to be an increasing demand due to t h e growing aging population. Many reported that transportation assistance helps socialize seniors and keep them healthy. Housing was also identified as a top priority by older adult community forum participants. Forum testimony stressed the importance of older adults remaining in their homes. St. Clair County participants reported a need for housing resources and more availability regarding housing options. Legal Services was also brought to attention at the Monroe, St. Clair and Macomb County Forums. Participants shared personal stories about how this service has been beneficial to them and others in the community. All counties reported on the older adult survey that Legal Services is a medium-high priority. Many community forum participants reported that they want more older adults in the community to be aware of the services and resources available to them. Many reported that programs such as the Resource Advocacy Program, Public Education and Information and Assistance are important to inform the community a b o u t what services and resources are beneficial for older adults. Participants also shared the importance of t h e s e programs to ensure that older adult county residents are able to have the choice to remain in their homes. The Area Agency on Aging 1-B greatly appreciates the participation of older adults, caregivers, s e r v i c e providers and other community representatives in the community forums. We also want to thank our forum partners and hosts: • Bloomfield Township Senior Services (Oakland County) • Clinton Township Senior Adult Life Center (Macomb County) • Hartland Senior Center (Livingston County) • Livingston Leadership Council on Aging • Mercy Memorial Hospital System (Monroe County) • Monroe County Commission on Aging • The Blueprint on Aging (Washtenaw County) • The Council on Aging, St. Clair County • Turner Senior Resource Center (Washtenaw County) A report specific to each county can be found on the AAA 1-B website at www.aaa1b.com . The Fiscal Year 2014-16 Area Plan will be available for public review on the AM 1-B website by May 15, 2013 and a final version available in August 2013. ANNUAL & MULTI YEAR IMPLEMENTATION PLANS 2014-2016 (mice of Servites to the Aging Area Agency On Aging 1-B FY: 2014 Scope of Services Describe the AAAs process for identifying unmet needs within the PSA:(i)identify the data sources used to determine needs;(ii)identify major unmet needs for the PSA;and(iii)describe the AAAs priorities for addressing identified unmet needs within the FY 2014-16 MYP. AAA Response: AAA 1-B uses a variety of means to determine unmet needs, including but not limited to: Community Forums, stakeholder surveys with advocates and providers, satisfaction surveys with participants, regular feedback from service providers, Ad Hoc study committees, waitlist data, information and assistance caller needs data, 2010 census data as well as national, regional and local research and other data sources. Many of these data sources are available on our website (www.aaa1b.com/news-events/publications/) for public review, including the reports of the Ad Hoc Study Committees which are convened annually from the Advisory Council of AAA 1-B as well as other partners, specifically to study areas of unmet needs or areas of high interest for older adults. Five community forums were held throughout the AAA 1-B region in 2013, and are discussed in the Public Hearings section. At each community forum, data was collected through and open comment and feedback period between forum participants, AAA 1-B staff and other forum partners. All older adults that attended the forum were also asked to complete a survey rank service and program development priorities. Overall comments supported the array of services funded and focused on in this plan. Home delivered meals, in-home services, information and assistance and care management remain high priorities. Areas of need varied by county, with common themes of need for more funding to deal with the increased aging population, prevention of waitlists for priority services, and increased awareness and education needed so that people are aware of the services available in their county. Housing and mobility/transportation were top concerns as well for planning and program development. AAA 1-B also conducted an electronic survey in 2013 with the service providers and advocates in the region to garner their input on service and program development priorities. Feedback from the 112 respondents to this survey was similar to that provided by the older adults in the community forums. Providers and advocates also supported in-home services and home delivered meals as top priorities, with planning and program development focused on housing, transportation, caregiver programs and support for people with disabilities. AAA 1-B's updated service priorities, included in this plan, address the needs heard in the forums and from the service providers. Our program development activities are focused in the priority areas as well, with specific objectives on housing, increasing access to services for adults with disabilities, mobility management, respite, strategies for diversifying funding and waitlist reductions strategies. Our leveraged partnerships further support the unmet needs and priorities of the region through our ADRC partnership, millage support, mobility alliances, and areas to diverisify funding sources. Region 1-B has the largest portion of older adults in the state with over 540,000 older adults (28%) reported in the region in the 2010 census. Despite ongoing reductions in federal, state and local funds, we remain committed to ensuring the widest array of services are available in the region to best meet the needs of all the older adults we serve. Printed On: 711/2013 8 ANNUAL & MULTI YEAR IMPLEMBITATION PLANS Area Agency On Aging 1-B FY: 2014 When a customer desires services not funded under the AIP/MYP of where they live,describe the area agency response.Indicate the PCP protocols that have been put into place for such circumstances. AAA Response: Any older adult or caregiver seeking services through AAA 1-B generally accesses services by speaking with a AAA 1-B Resource Specialist in our call center or working through an ADRC partner agency. Resource Specialists conduct an intake/brief assessment over the phone to help determine what programs or services a person may need or is eligible to receive. While MA 1-B is fortunate to offer a wide variety of services through OSA funds, local match, senior millages, grants and other fund sources in the area, in circumstances where the person is in need of an unfunded service then all attempts are made to provide the person with a list of options. Our Resource Center database contains thousands of resources to help older adults and caregivers obtain the services they need. Our data system also tracks unmet needs and we use this data as part of our program development activities. Often an older adult in need of services through AAA 1-B is placed into the Community Living Program and within days speaks with a Community Living Consultant (CLC), whom is a telephonic care manager. The CLC is a licensed Nurse or Social Worker trained to help the older adult develop strategies for finding alternatives to services that may not be available to meet their needs and/or develop strategies to best use their own funds in a manner that will stretch their funds the furthest. The CLC can also help the older adult identify other means for accessing services, such as suggesting ways for friends or family members to help or determining what they may be eligible to receive under their long-term or health insurance coverage. If an older adult is in need of a service that is not available through AAA 1-B or in their community at a free or reduced cost, then the CLC can work with them to determine if other services can be provided in order to free up funds for the otherwise unmet need. For example, an older adult may need regular rides to dialysis (a common unmet need) but can't afford to pay someone 3 days a week. The older adult is paying however for a Personal Emergency Response System (PERS) and for housekeeping two times a month as her arthritis makes cleaning a challenge. The CLC can help arrange for a AAA 1-B funded PERS and a few hours of homemaking a month set up which allows more of the older adult's funds to be utilized for the transportation. The CLC can also connect the older adult with our mobility management service, myride2, to find a lower cost resource for transportation. Printed On: 7/1/2013 9 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS •"1 " 11 A n 1- GU Lti 10 Office of Services to the AUina Area Agency On Aging 1-B FY: 2014 Planned Service Array Access In-Home Community Provided by Area Agency • Care Management • Case Coordination and Support • Information and Assistance • Outreach • Disease Prevention/Health Promotion Contracted by Area Agency • Outreach • Transportation • Chore • Home Injury Control • Homemaking • Home Delivered Meals • Medication Management • Personal Care • Personal Emergency Response System (PERS) • Respite Care • Adult Day Services • Dementia Adult Day Care • Congregate Meals • Disease Prevention/Health Promotion • Assistance to the Hearing Impaired and Deaf • Legal Assistance • Long-term Care Ombudsman/Advocacy • Vision Services • Programs for Prevention of Elder Abuse, Neglect, and Exploitation Local Millage Funded • Outreach * • Transportation * • Chore * • Home Care Assistance * • Home Injury Control * • Homemaking * • Home Delivered Meals * • Personal Care " • Respite Care * • Friendly Reassurance * • Adult Day Services * • Congregate Meals * • Nutrition Education * • Assistance to the Hearing Impaired and Deaf * • Home Repair * • Legal Assistance * • Senior Center Operations * • Senior Center Staffing * • Counseling Services * • Specialized Respite Care * • Kinship Support Services * • Caregiver Education, Support and Training * Participant Private Pay • Care Management • Transportation • Chore • Home Care Assistance • Home Injury Control • Homemaking • Home Health Aide • Medication Management • Personal Care • Personal Emergency Response System (PERS) • Respite Care • Adult Day Services • Dementia Adult Day Care • Congregate Meals • Home Repair • Legal Assistance • Counseling Services Printed On: 711/2013 10 2014-2016 ANNUAL & NULTI YEAR IMPLEMENTATION PLANS 0 a Office of Services to the Aumg Area Agency On Aging 1-B FY: 2014 Funded by Other Sources • Care Management • Chore • Adult Day Services • Disaster Advocacy and - Home Injury Control • Congregate Meals Outreach Program • Homemaking • Nutrition Education • Outreach • Home Delivered Meals • Disease Prevention/Health • Transportation • Home Health Aide Promotion • Personal Care • Health Screening • Home Repair • Senior Center Operations • Senior Center Staffing • Vision Services • Counseling Services • Kinship Support Services • Caregiver Education, Support and Training * not PSA-wide Printed On: 7/1/2013 11 AliNUAL ik MULTI YEAR IMPLEMENTATION PLANS 2014-2016 office of Serv nces to the AMng Area Agency On Aging 1-B FY: 2014 Targeting Describe the Area Agency's targeting strategy,for services to be provided under the Area Plan for the MYP cycle including planned outreach efforts for underserved populations. AAA Response: Throughout this plan, AAA 1-B describes it's committment to reaching underserved populations through our program development objectives, advocacy strategy and the leveraged partnerships section. AAA 1-B is also fortunate to work with several key cultural organizations as subcontractors and community focal points to increase serving to ethnic minorities. AAA 1-B, in accordance with the Older Americans Act, requires that all subcontractors target underserved populations such as older adults whom are low-income and/or cultural/ethnic minorities. Providers do so by setting annual goals for the underserved populations they plan to target, based on the most recent (2010) census data for the region. Providers are encouraged to reach at least double the percentage of the target group relative to the percentage that group represents in the communities served by the provider. In addition to submitting a targeting plan with goals, providers are required to submit objectives and activities related to how they will put their targeting plan into action. The AAA 1-B FY 13-15 Strategic Plan puts a significant emphasis on reaching the Hispanic/Latino population. This population continues to grow in our region yet historically has not been well reached. Subcontractors with high populations of Hispanics/Latinos, based on 2010 census, will be encouraged to target this population. AAA 1-B plans to increase outreach to the Hispanic/Latino population by establishing relationships with Hispanic/Latino cultural organizations, coordinating cultural competency trainings for their staff and aging network professionals, and developing strategies to provide more programs and services in Spanish. AAA 1-B also places an emphasis on reaching the low-income population through our Outreach, Public Education and Resource Advocacy services which put an emphasis on serving areas with a high population of low-income and minority older adults. In addition to the work being done with the Older Americans Act identified underserved populations of low-income and cultural/ethnic minority older adults, AAA 1-B is also committed to increasing access to services for other underserved populations, such as the often isolated Lesbian, Gay, Bisexual and Transgender (LGBT) older adult population and Adults (18+) with Disabilities. Strategies for reaching these populations are discussed in the Leveraged Partnerships section as well as the Program Development objectives throughout this plan. Identify the specific goals or targets that have been developed for service contracts for the MYP cycle. AAA Response: Printed On: 7/1/2013 12 ANNUAL at flULTI YEAR IMPLEMENTATION PLANS 2014-2016 Office of Services to the AOMQ Area Agency On Aging 1-B FY: 2014 1) Between 10/1/13 and 9/30/16, the number of Hispanic or Latino older adults utilizing Older Americans act services will at least triple. 2) At least 12% of all older adults reached through contracted services will be low-income by the end of Fiscal Year 2016. 3) Achieve 100% of program development activities related to cultural competency training, including the LGBT population. Printed On: 7/1/2013 13 2014-2016 ANNUAL 1k MULTI YEAR IMPLEMENTATION PLANS Office of Service tO the Agin Area Agency On Aging 1-B FY: 2014 Regional Service Definitions Service Category Fund Source Unit of Service O Access ii In-Home O Community RI Title III PartB 0 Title III PartD O Title VII 0 State Alternative Care RI State In-home El State Respite O Other RI Title III PartE 15 minutes of CLPS 0 State Access Service Definition Community Living Program Services (CLPS) promote an individual's health, safety, independence and reasonable participation in the community. CLPS can be provided in the participant's residence or in community settings as necessary in order to meet support and service needs sufficient to address nursing facility level of care needs. Minimum Standards A. Assisting, reminding, cueing, observing, guiding and/or training in the following activities: 1) meal preparation; 2) laundry; 3) routine, seasonal and heavy household care maintenance; 4) activities of daily living such as bathing, eating, dressing, personal hygiene; and 5) shopping for food and other necessities of daily living. B. Assistance, support and/or guidance with such activities as: 1) money management; 2) non-medical care (not requiring RN or MD intervention), 3) social participation, relationship maintenance, and building community connections to reduce personal isolation; 4) transportation from the participant's residence to community activities, among community activities, and from the community activities back to the participant's residence; 5) participation in regular community activities incidental to meeting the individual's community living preferences; 6) attendance at medical appointments; and 7) acquiring or procuring goods and services necessary for home and community living, in response to needs that cannot otherwise be met. C. Reminding, cueing, observing and/or monitoring of medication administration. D. Provision of respite as required by the participant's caregiver. Respite care may also include chore, homemaking, home care assistance, home health aide, meal preparation and personal care services. When provided as a form of respite care, these services must also meet the requirements of that respective service category. Note: Social/emotional support of participant may be offered in conjunction with assistance provided. Costs associated with room and board are not included. E. Minimum Standards for Agency Providers: 1. Each program shall maintain linkages and develop referral protocols with each Community Living Consultant (CLC), CCS, CM, MI Choice Waiver and LTCC program operating in the project area. 2. All workers performing Community Living Program Services shall be competency tested for each Printed On: 7/1/2013 14 °thee 0 reices to the Ariaig Area Agency On Aging 1-B FY: 2014 AfiNUAL flt MULTI YEAR IMPLEMENTATION PLANS 2014-2016 task to be performed. The supervisor must assure that each worker can competently and confidently perform every task assigned for each participant served. Completion of a certified nursing assistant (CNA) training course by each worker is strongly recommended. 3. Community Living Program Services workers shall have previous relevant experience or training and skills in housekeeping, household management, good health practices, observation, reporting, and recording client information. Additionally, skill, knowledge, and/or experience with food preparation, safe food handling procedures, and identifying and reporting abuse and neglect are highly desirable. 4. Semi-annual in-service training is required for all Community Living Program Services workers. Required topics include safety, sanitation, emergency procedures, body mechanics, universal precautions, and household management. 5. Community Living Program Services workers may perform higher-level, non-invasive tasks such as maintenance of catheters and feeding tubes, minor dressing changes, and wound care when individually trained by the supervising RN for each participant who requires such care. The supervising RN must assure each worker's confidence and competence in the performance of each task required. 6. When the CLPS provided to the participant include transportation described in B above, the following standards apply: a. The Secretary of State must appropriately license all drivers and vehicles used for transportation. The provider must cover all vehicles used with liability insurance. b. All paid drivers for transportation providers shall be physically capable and willing to assist persons requiring help to and from and to get in and out of vehicles. F. Minimum Standards for Individuals Employed by Participants: 1. Individuals employed by program participants to provide Community Living Program Services shall be at least 18 years of age and have the ability to communicate effectively, both orally and in writing, to follow instructions, and be in good standing with the law as validated by a criminal background check conducted by the area agency on aging that is shared with the participant. Members of a participant's family (except for spouses) may provide Community Living Program Services to the participant. If providing transportation incidental to this service, the individual must possess a valid Michigan driver's license. 2. Individuals employed by program participants shall be trained in first aid, cardiopulmonary resuscitation, and in universal precautions and blood-born pathogens. Training in cardiopulmonary resuscitation can be waived if providing services for a participant who has a "Do Not Resuscitate" (DNR) order. The supervisor must assure that each worker can competently and confidently perform every task assigned for each participant served. 3. Individuals providing Community Living Program Services shall have previous relevant experience or training and skills in housekeeping, household management, good health practices, observation, reporting, and recording information. Additionally, skills, knowledge and/or experience with food Printed On: 7/112013 15 ANNUAL at MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 office of Services to the Agtng Area Agency On Aging 1-B FY: 2014 preparation, safe food handling procedures, and reporting and identifying abuse and neglect are highly desirable. 4. Individuals providing Community Living Program Services shall be deemed capable of performing the required tasks by the respective program participant. 5. Individuals providing Community Living Program Services shall minimally comply with person centered principle requirement in minimum standards. Rationale (explain why activities cannot be funded under an existing service definition) CLPS is a person-centered definition that allows for participant choice and more determination of the services received to be driven from the participant. CLPS primarily allows for a participant to receive personal care, homemaking or in-home respite without requiring a separate authorization for each type of need. The participant is authorized a specific number of units per week or per month, and allows the participant to determine what specific type of care needs they have for a day. Service Category Fund Source Unit of Service One hour of RA servic( NI Access El Title III PartB • Title III PartD 0 Title III PartE • In-Home 0 Title VII 0 State Alternative Care • State Access • Community • State In-home 0 State Respite n Other Service Definition Resource Advocacy is an integral component of the AAA 1-B Access Team which is comprised of Resource Advocates, Resource Advocacy Supervisor(s), Nutrition Assessors, AAA 1-B Care Managers, AAA 1-B Care Management Supervisors, Resource Specialist(s) & AAA 1-B Contract Manager. The Access Team works in conjunction with other aging network collaboratives to support and enhance access to services. Resource Advocates seek out, identify, and assist older adults in need of community services to identif Minimum Standards 1. Resource Advocates develop expertise in understanding the range of services & benefits available to older adults in their community. 2. Resource advocates use a variety of strategies, including face-to-face or telephone contacts to seek out, assess, and assist older adults who are in need of options counseling, MMAP assistance and/or long term care services. 3. Resource Advocates assist older adults with immediate and emergency needs for food, shelter, or other basic needs. Assistance may include warm transfer referrals to appropriate agencies. 4. Resource Advocates collaborate with aging and disability resource centers (ADRC), local senior centers, senior housing buildings, faith-based organizations and other organizations in the community to identify and assist seniors in need of services. 5. At least one Resource Advocate from each contracted organization shall be certified as a Medicare/Medicaid Assistance Program (MMAP) Counselor. However, the AAA 1-B recommends that Printed On: 7/1/2013 16 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS OMMIZ=ZE - 2014-2016 office of Sem( he Aamg Area Agency On Aging 1-B all Resource Advocates are trained on MMAP, particularly Medicare Part D and Medicare Savings Programs/Low Income Subsidies. a. Certified MMAP Counselors must meet reporting requirements developed by the state office. b. Certified MMAP Counselors must participate in relevant MMAP training in order to maintain certification as required by the state office. FY: 2014 6. Resource Advocates receive, follow up and report on Gatekeeper referrals within 10 business days. 7. Resource Advocates receive, follow up and report on any referrals received from AAA 1-B Care Managers and/or Resource Specialists within 10 business days. 8. Resource Advocacy contractors shall collaborate with racial/ethnic/culturally diverse organizations to target services to individuals who are low income and/or culturally/racially diverse. Targeting goals are developed annually as required by the state office. 9. Resource Advocates work in partnership with AAA 1-B to receive appropriate and required training, make referrals and request services through the Community Living Program (CLP). 10. Resource Advocates shall work in partnership with the Aging and Disability Resource Center (ADRC) and obtain certification as an ADRC Options Counselor. Certification will be coordinated between AAA 1 -B and Michigan Office of Services to the Aging (OSA). Options Counselors shall report activities as required by the state office. 11. Resource Advocates & Resource Advocacy Supervisor(s) shall participate in Access Team meetings at least twice per contract year to strengthen partnerships, attend trainings, streamline processes, and review outcomes from services provided. Resource Advocates/Supervisors shall participate once a year in a regional meeting/training focused on contract issues and other relevant issues identified by AAA 1 -B and/or contractors. 12. Resource Advocates are required to provide practical assistance with the following: 1) Community Living Program (CLP); 2) Options Counseling; 3) Medicare/Medicaid; 4) Gatekeeper Program; 5) Referrals to AAA 1-B and/or appropriate organizations for Information & Assistance. 13. If resources are available, other services may also be provided including: practical assistance with prescription assistance (other than Medicare Part D) and Tax Assistance. Presentations given by Resource Advocates specific to programs/services and participation in community/health fairs are limited under AAA 1-B funding to 8% of the total contracted units per contactor, per contract year. Contractors participating in community/health fairs may count clients only when providing one-on-one assistance. Prior authorization/approval is required by the AAA 1-B Resource Advocacy Contract Manager for any other services provided by the Resource Advocates under the AAA 1-B Resource Advocacy contract. Rationale (explain why activities cannot be funded under an existing service definition) An extension of the AAA 1-B Resource Specialists and Community Living Program staff and part of the region's Access team, Resource Advocacy is a service that allows more older adults to have access to services in the community such as utility assistance, tax prep, Medicare assistance, etc. Resource Advocates provide over the phone and in person assistance to older adults in need with a focus on Printed On: 7/1/2013 17 MANUAL & MULTI YEAR IMPLEMENTATION PLANS - 2014-2016 °thee of Set, cot to the Agrn Area Agency On Aging 1-B low-income older adults and specific minority populations. FY: 2014 Service Category—I O Access El In-Home O Community RI Title III PartB 0 Title VII El State In-home 0 Other Fund Source O Title III PartD O State Alternative Care O State Respite O Title III PartE O State Access Unit of Service Per 15 minutes or per i Service Definition Medication management is the direct assistance in managing the use of both prescription and over the counter (OTC) medication. H2010, Comprehensive medication services, per 15 minute unit of service T20290419, Electronic medication management system, purchase/installation of one approved device T20290410, Electronic medication management system, service fee, per month (excludes installation) Minimum Standards A. Each program shall employ a registered nurse (RN) who supervises program staff and is available when they are in a participant's home or making telephone reminder calls. Each program shall employ program staff who are appropriately licensed, certified, trained, oriented, and supervised. B. The supervising nurse shall review and evaluate the medication management care plan and complete medication regimen, including prescription and OTC medications, dietary supplements and herbal remedies, with each participant and appropriate caregiver. Each program shall implement a procedure of notifying the participant's physician(s) of all medications being managed. C. The program shall be operated within the three basic levels of service as follows: Level 1: Telephone reminder call/cueing with maintenance of appropriate documentation. Program staff performing this level of service shall be delegated by the supervising nurse. Level 2: In home monitoring visit/cueing with maintenance of appropriate documentation. Program staff performing level 2 services shall be delegated by the supervising nurse. Level 3: In home medication set up, instructions, and passing and/or assistance with medications (e.g., putting in eye drops, pills and giving injections). Program staff performing level 3 services shall be delegated by the supervising nurse. D. The program also allows for purchase of a medication management system (i.e. electronic pill dispenser). Equipment is limited to devices pre-approved by the AAA 1-B DSP Manager. E. Devices may be purchased with monitoring services. Monitoring services include level 1, 2 or 3 (see C) provided by approved vendor agency staff and/or monitoring by the medication management system product company as purchased through a monthly monitoring fee. Printed On: 7/1/2013 18 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS - - 2014-2016 Office or Services to the Acxon Area Agency On Aging 1-B FY: 2014 F. The program shall maintain an individual medication log, for each participant, that contains the following information: 1. Each medication being taken 2. The dosage for each medication 3. Label instructions for use for each medication 4. Level of service provided and initials of person providing service 5. Date and time for each time services are provided E. The program shall report any change in a participant's condition to the participant's physician(s) immediately. II. VENDOR RECORDS A. Vendors MUST maintain copies of the physician's orders in each participant record. This is in addition to other required information that must be maintained in the participant's records. Rationale (explain why activities cannot be funded under an existing service definition) Added a component which allows for the purchase of a medication distribution device, i.e. an electronic pill dispenser. Approved devices are an integral component of proper medication management services. Printed On: 7/1/2013 19 2014-2016 FY: 2014 **Qs Office of Si.: /ices to the Aging Area Agency On Aging 1-B ANNUAL ik MULTI YEAR IMPLEMENTATICM PLATS Access Services Outreach Starting Date 10/01/2013 Ending Date 09/30/2014 Total of Federal Dollars $415.992.00 Total of State Dollars $129,320.00 Geographic area to be served: Livigston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties List each goal for the program, including timeline and expected outcome: Goal: Begin implementation of the recommendations from the brand awareness and perception research that was completed in FY 2013. Expected Outcome: To increase the awareness of the AAA 1-B among older adults, adults with disabilities and family caregivers. Timeline: September 30, 2016 Goal: Participate in events or conduct at least 10 presentations annually about AAA 1-B programs and services to underserved communities (low income or ethnic minority) and/or Adults with Disabilities in the 1-B region Expected Outcome: Access and utilization of services by underserved populations and Adults with Disabilities will increase annually. Timeline: September 30, 2014 Information and Assistance Starting Date 10/01/2013 Ending Date 09/30/2013 Total of Federal Dollars $200,000.00 Total of State Dollars $28.000.00 Geographic area to be served: Livigston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties List each goal for the program, including timeline and expected outcome: Goal: Complete the process of achieving AIRS accreditation for the AAA 1-B Resource Center Expected Outcome: To enhance the credibility and quality of the AAA 1-B's information and assistance service. Timeline: September 30, 2014 Goal: Continue to focus on quality improvement in the Resource Center through continued customer service training. Expected Outcome: To improve the level of customer service provided by the Area Agency on Aging 1-B to callers seeking information and assistance. Timeline: September 30, 2014 Objective: Expand I & A database to target more services specifically to Adults with Disabilities. Expected outcome: Number of options in resource database for Adults with Disabilities will increase by 10% from FY 2014 to 2016. Printed On: 7/1/2013 20 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS Office et Services to the Aging Area Agency On Aging 1-B 2014-2016 FY: 2014 Timeline: September 30, 2016 Care Management Starting Date 10/01/2103 Ending Date 09/30/2014 Total of Federal Dollars $105.000.00 Total of State Dollars $1.028.665.00 Geographic area to be served: Livingston, Oakland, Macomb, Monroe, St. Clair and Washtenaw Counties. List each goal for the program, including timeline and expected outcome: Goal: Continue to maintain a minimal to no waitlist for OSA funded care management services. Expected outcome: Older adults requesting in-home and other OSA funded Community Living Program care management services will receive them quicker, assisting in prevention of unnecessary nursing home placement or hospitalization. Older adults on the MI-Choice Waiver waitlist will continue to be offered OSA or other services, as funding allows, permitting some older adults to receive services immediately rather than waiting for several years for the Waiver services. Timeline: September 30, 2014 Goal: Conduct at least four trainings for care management and community living program staff on new technology, current practice guidelines, person-centered thinking and self-directed care. All new CSS staff will attend formal person centered thinking training within their first year of hire. At least two of these quarterly trainings will include CEU's. At least one training will be specific to competency in working with Hispanic or Latino older adults or highest diverse popluations served. Expected outcome: Care managers and community living program staff will keep their knowledge and skill levels current to the agency and state priorities and models for provision of care for participants. Care managers will be better equipped to embrace financial management and agency culture change. Timeline: September 30, 2014 Goal: Coordinate services, through the Community Living Program (CLP), for older adults transitioning out of the 30 day service period for the CMS funded Care Transitions project. Expected outcome: At least 75 participants in the Care Transitions project will continue to receive services after the 30 day Care Transitions funding period is completed, preventing unnecessary interruption or discontinuation of home and community based services by enrolling older adults into CLP, where they will share in the cost of services. Timeline: September 30, 2014 Goal: Transition Vision services from a contracted service to a Direct Service Purchase funded program. Expected Outcome: Care Management and CLP participants whom are blind or visually impaired will have access to education and training to help them remain living independently with the disability. At least 25 participants will utilize this service annually. Timeline: September 30, 2014 Goal: Secure additional revenue for the Community Living Program, particularly to support expansion of program to Adults with Disabilities Expected outcome: 8-10% of revenue for CLP is not state or federal funds by the end of the FY 2016 Timeline: September 30, 2016 Printed On: 711/2013 21 osrele; Office of Servic, ; to the AO,o0 ANNUAL & MULTI YEAR IMPLEMENTATION PLAUS 2014-2016 Area Agency On Aging 1-B Number of client pre-screenings: Number of initial client assesments: Number of initial client care plans: Total number of clients (carry over plus new): Staff to client ratio (Active and maintenance per Full time care MATCH: Source of Funds Cash Value: Source of Funds Cash Value: Source of Funds Cash Value: FY: 2014 Current Year: 1,850 Planned Next Year: 1.700 Current Year: 1.500 Planned Next Year: 1,400 Current Year: 1.500 Planned Next Year: 1.400 Current Year: 1.850 Planned Next Year: 1.700 Current Year: 115 Planned Next Year: 125 In-kind $284,316.00 In-kind In-kind OTHER RESOURCES: Source of Funds Cash Value: In-kind Source of Funds Cash Value: In-kind Source of Funds Cash Value: In-kind Case Coordination and Support Starting Date 10/01/2013 Ending Date 09/30/2014 Total of Federal Dollars $457,000.00 Total of State Dollars $0.00 Geographic area to be served: Livingston, Oakland, Macomb, Monroe, St. Clair and Washtenaw Counties. List each goal for the program, including timeline and expected outcome: See Care Management goals Printed On: 7/1/2013 22 ANNUAL & AULTI YEAR IMPLEMENTATION PLAINS 2014-2016 Area Agency On Aging 1-B FY: 2014 Other Service Provisions Disease Prevention/Health Promotion Total of Federal Dollars $50.000.00 Geographic area to be served: AAA Response: All of the 1-B Region/PSA. Total of State Dollars $0.00 Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by an Area Agency on Aging unless,in the judgment of the State agency,it is necessary due to one or more of the three provisions described below. Please select the basis for the services provision request (more than one may be selected). (A) Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. (B) Such services are directly related to the Area Agency's administrative functions. (C) Such services can be provided more economically and with comparable quality by the Area Agency. AAA Response: Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. Provide a detailed justification for the service provision request. The justification should address pertinent factors that may include:a cost analysis; needs assessment; a description of the area agency's efforts to secure services from an available provider of such services:or a description of the area agency's efforts to develop additional capacity among existing providers of such services.lf the service is considered part of administrative activity, describe the rationale and authority for such a determination. AAA Response: AAA 1-B is requesting a portion (less than 25%) of the Disease Prevention/Health Promotion funds for direct service. The majority of this service is provided through subcontracts. AAA 1-B has several employees who are trained in a variety of EB programs including: PATH, D-PATH, CPSMP, MOB, Healthy Eating, TCARE, and CCC. The funding requested for a direct service waiver for EB programs will be used to support a portion of staff salaries to facilitate and coordinate workshops and leader trainings. Funding will also be used to purchase materials needed to conduct leader trainings and support workshops within the region. Leader train ings are necessary to ensure there are enough trained leaders in the region to implement programs. Additionally, AAA 1-B Master Trainers are required to facilitate workshops or leader trainings in order to maintain certification in the various programs. As AAA 1-B works to increase volunteer capacity to implement EB programs, a portion of the funding will be used to offer stipends/mileage to volunteer leaders. AAA 1-B commits one staff person to focus half time on the coordination of evidence-based programs and Printed On: 7/1/2013 23 ANNUAL a U LT I YEAR IMPLEMENTATION PLANS 2014-2016 or e or Services to the Agtog Area Agency On Aging 1-B FY: 2014 provide technical assistance to subcontractors providing these services. This service is unique in that each subcontractor may provide one out of twenty plus programs allowable under this service, thereby making the coordination and administrative costs for this service increase. AAA 1B helps to provide regional leadership and coordination to these programs, as well as ensure that older adults living throughout our geographic region have access to these programs when they are not provided locally by one of our subcontracted partners. Describe the discussion,if any, at the public hearings related to this request.Include the date of the hearing(s). AAA Response: The value of health and wellness programs was discussed at several forums, particulary the one held in Livingston county at Hartland Senior Center. Generally the community and service provider network have been extremely supportive of the work being done by AAA 1-B to increase access to health and wellness programs in the region. Printed On: 7/1/2013 24 ANNUAL & MULTI YEAR Itv1PLEMENTATION PLANS 2014-2016 Office of Services to the Aging Area Agency On Aging 1-B FY: 2014 Program Development Objectives (State) State Plan Goal: Goal 1 --Work to improve the health and nutrition of older adults AAA Response: Objective: Increase utilization of services by Hispanic/Latino older adults Timeline: September 30, 2016 Activities: Establish relationships with key community and cultural based organizations in the region to develop partners; Educate partners about current programs, particularly evidence-based and nutrition; Target at least 2 EB programs to the Hispanic or Spanish-speaking population; Establish at least 1 new meal (congregate or HDM) program specific to the Hispanic population; Promote subcontractor targeting of Hispanic population based on Older Americans Act targeting model Expected Outcome: From 10/1/13 to 9/30/16, the number of Hispanic or Latino older adults utilizing Older Americans Act services will at least triple Narrative FTEs: Program Manager, Nutrition Services (.15); Program Manager/Evidence Based Specialist (.08); Director of Network Development (.05); CEO (.02) State Plan Goal: Goal 2 --Ensure that older adults have a choice in where they live through increased access to information and services. AAA Response: Objective: Expand access and databases to include more targeted resources for adults with disabilities. Timeline: September 30, 2016 Activities: Expand Information and Assistance database to target more services specifically for Adults with Disabilites (AWD); Share databases from CIL's through statewide ADRC database; Research state and national resources for AWD and identify gaps in services; Through subcontracts or other established partnerships, Printed On: 7/1/2013 25 AtillUAL C 4ULTI YEAR IMPLEMENTATION PLANS 2014-2016 OMCO Of SerikO o t 0 Aging Area Agency On Aging 1-B FY: 2014 at least two Resource Advocacy programs will be established to target AWD; Expand myride2 - see objective #4 Expected Outcome: Number of options for AWD in the Information & Assistance database will increase by 10% from 2014 to 2016; Utilization of services by AWD will increase by 5% annually Narrative FTEs: Director of Communications (.05); Program Manager/Evidence Based Specialist (.08); Mobility Project Mananger (.20) AAA Response: Objective: Expand access to existing housing options and identify new housing options for low income older adults and adults with disabilities Timeline: September 30, 2016 Activities: Work with AAA 1-B Care Managers to determine biggest gaps and areas of need in the region for housing. Identify target areas for focused efforts on finding additional options; Revise current agreement with assisted living facilities to include components that would motivate facilities to apply. Recruit new options for the 1B affordable assisted living program; Partner with CILs to identify housing options for adults with disabilities; Develop template for housing agents to use to apply for a waiver of the 40% income rule for use by older adults in assisted living facilities; Continue advocacy for permanent waiver of the rule.; Work with deaf housing coalition to provide support and assistance in the deaf housing project Expected Outcome: Number of facilities participating in the affordable assisted living program will grow by 1 annually; Number of housing units for AAA 1-B participants with disabilities will increase 10% from 2013 to 2016 Narrative FTEs: Program Manger, Direct Service Purchase (.10 FTE); Program Manager, Social Services (.05 FTE), Advocacy Specialist (.03 FTE), Housing Coordinator, (.05 FTE) AAA Response: Objective: Expand myride2 geographically and to additional populations (adults with disabilities and veterans) Timeline: September 30, 2016 Activities: Utilize Michigan Works! Association and Michigan Developmental Disabilities Council to identify ways to Printed On: 7/1/2013 26 ANNUAL ex_ MULTI YEAR IMPLEMENTATION PLANS OC • - 2014-2016 Office of Services to the Agm Area Agency On Aging 1-B FY: 2014 reach out to AWD with employment issues; Through Michigan Works!, build a relationship with the State of Michigan Veteran Employment Specialists to reach out to disabled veterans; Continue to develop partnerships with network of organizations including ADRCs and CILs; Identify 1-2 more counties to expand to in 18 Region and develop strategy for implementation; Conduct at least 3 presentations annually on myride2, with at least one in Veterans or AWD specific organization Expected Outcome: Number of callers (all types) will increase 10% annually; At least 50% of myride2 users will report as being more able to get where they need to go as a result of service; Veteran and Adults with Disabilities use of myride 2 will increase by 5% annually Narrative Mobility Project Manager (.50), Director of Network Development (.02); CEO (.02) State Plan Goal: Goal 3 --Protect older adults from abuse and exploitation. AAA Response: Objective: Increase respite options for caregivers Timeline: September 30, 2016 Activities: Hold at least 6 CCC classes annually in the region through partnerships/subcontracts with the Aging Network; Explore options for offering CCC program in Spanish; Investigate how intergenerational programs can be more inter-twined with respite services and implement at least one new strategy for inclusion with Adult Day Health Services or Volunteer Caregvier services Expected Outcome: Utilization of respite services will increase by 10% from 10/1/13 to 9/30/16. Narrative Team Leader, Contracts and Respite Services (.10); Specialist, Respite and Residential Services (.05) AAA Response: Objective: Identify at least 3 new strategies to increase awareness and prevention of elder abuse and exploitation Timeline: September 30, 2016 Printed On: 7/1/2013 27 2C)1.4( - 2016 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS Area Agency On Aging 1-B FY: 2014 Activities: Enhance cooperation among local coalitions by a. publishing quarterly newsletter on coalition activities and best practices, b. develop online library to share programs and trainings, c. provide No Excuse for Elder Abuse materials to coalitions for distribution in communities; Provide leadership in local coalitions to provide training to select professional groups, such as pharmacists, nursing and social work students, law enforcement; Partner with region's domestic abuse prevention organizations to provide senior-specific assistance Expected Outcome: Provider coalitions will report having a unified/regional effort towards addressing elder abuse Narrative Program Manager, Social Services (.15 FTE) State Plan Goal: Goal 4 --Improve the effectiveness, efficiency, and quality of services provided through the Michigan Aging Network and its partners. AAA Response: Objective: Develop uniform outcomes for funded services, in collaboration with the aging network. Timeline: September 30, 2016 Activities: Implement the use of a logic model/planning tool with all contractors; Report annually on contractor outcomes for each service; Research national data on service outcomes for comparison/benchmark; Conduct at least one service specific outcome study annually, in collaboration with providers, and produce report with findings and recommendations to refine services and capture value for money outcomes; Work with providers and AAA 1-B Quality Manager to develop a uniform tool or best practices for collecting participant satisfaction data Expected Outcome: 1B staff and providers will have aligned outcomes data to utilize for program improvement, advocacy purposes and to garner additional funding Narrative FTE: Director of Research Policy and Advocacy (.10), Quality Assurance Manager (.05), Director of Network Development (.08) AAA Response: Objective: Printed On: 7/1/2013 28 ANNUAL MULTI YEAR IMPLEMENTATION P LAN 2014-2016 Office of Services to the Aging Area Agency On Aging 1-B FY: 2014 implement a multi-prong strategy/approach to increase participation in regional professional training program Timeline: September 30, 2016 Activities: Identify partners and develop a direct care worker training series; Incorporate the use of technology into trainings by commencing webinars as training tool; Implement Boston University online certificate program for AAA 1-B internally and to aging network; Develop and publicize a quarterly training menu; Track outcomes of trainings through the use of self-report pre/post evaluations; Continue to hold Judith J. Wahlberg Memorial Lecture annually regarding relevant, current and topical issues for the aging service network; Develop culturally relevant training, particularly targeting increasing awareness of Latino culture, by offering at least two trainings per year; Implement a AAA 1-B 101 training program to ensure new aging professionals are aware of AAA 1-B programs and services; Offer internal and external training to aging service providers regarding mental health considerations for older adults to increase providers awareness of mental health issues and resources. Expected Outcome: Over 3800 people will have participated in AAA 1-B trainings by the end of FY 2016; Training participants will report increased awareness and knowledge via pre and post evaluations collected and analyzed; 90% of aging service providers trained in mental health will self report increased knowledge and understanding of mental health issues and resources Narrative FTEs: Specialist, LGBT and Training Programs (.40) AAA Response: Objective: Provide training, increase awareness and collect information about and improve services for LGBT older adults in the AAA 1-B region and beyond Timeline: September 30, 2016 Activities: Conduct a minimum of 5 LGBT cultural competency trainings for at least 100 aging service providers annually; Continue strong partnership with and active engagement in the LGBT Older Adult Coalition and the Annual LGBT Older Adult Summit, currently in its third year; Secure additional funding to continue and expand LGBT work; Continue to work with AAA 1-B staff and the network to provide technical assistance and recommendations to be more inclusive of LGBT older adults Expected Outcome: An increase in knowledge and awareness will be reported by 90% of participants in LGBT cultural competency trainings; 50% of training participants will report policy and/or practice changes in a 6-month self report post-training Printed On: 7/1/2013 29 ANNUAL et MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Office of Services to the Agm Area Agency On Aging 1-B FY: 2014 Narrative FTEs: Specialist, Training and LGBT Programs (.40) AAA Response: Objective: Assist providers in diversifying and maximizing federal and state funding Timeline: September 30, 2016 Activities: Provide training on cost-sharing best practices; Provide grant writing training and encourage/support collaborative projects; Establish a Chore services co-op in the region for maximizing buying power of chore services in collaboration with the chore providers; Work with providers to identify areas for utilizing group purchasing efforts, such as Home Injury Control, Nutrition, etc.; Develop a best practices report for using volunteers in the aging network; Work with congregate programs to address program cuts and prevent food insecurity or home bound status. Expected Outcome: At least 50% of providers will report less reliance on AAA 1-B state and federal funds at the end of three years Narrative FTEs: Director of Network Development (.15); Contracts Fiscal Manager (.10); Specialist, LGBT and Training Programs (.06); Program Managers (.20 FTE) AAA Response: Obiective: Explore service delivery techniques for minimizing waitlists and providing key services in a 24 hour response period Timeline: September 30, 2016 Activities: Annually use service priority data to determine funding allocations which minimizes waitlists; Transition vision services from contract to DSP model to allow for a portion of the funding to be reprogrammed to higher priority services and still ensure availability of service in the region; Research and share best practices for creating higher efficiencies in response times for home delivered meals and in-home services and develop strategy for implementation Expected Outcome: Waitlists for in-home services (CLPS) will continue to minimal to zero; Home delivered meal waitlists will remain minimal to zero; All home delivered meal providers will have implemented strategies to provide a Printed On: 7/1/2013 30 ANNUAL MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Office& Servyces to the Aging Area Agency On Aging 1-B FY: 2014 meal within 24 hours of notification by 9/30/16 Narrative FTEs: Director of Network Development (.10), Program Manager, Nutrition Services (.10), CEO (.05), Director of Research, Policy and Advocacy (.05) State Plan Goal: Regional Goal Begin by listing the name of your proposed Regional Goal. AAA Response: Objective: Reduce readmissions for chronically ill Medicare-Fee-For-Service participants at risk for readmission to the hospital within a 30 day time period. Timeline: September 30, 2016 Activities: Provide CT Coaching to qualifying participants incrementally to meet the target of 4000 enrollments over three years; Build Care Transitions Community; Coalition to enhance systemic change to address avoidable hospital readmission problem for target population; Fully implement five strategy approach to reducing hospital readmission; Continue above activities through CMS award; Expand program to other entitles outside Medicare-Fee-For-Service such as managed care companies and new partner hospitals Expected Outcome: Reduce 30-day Avoidable Readmissions for High Risk Patients to 20% over the next three years; Increase health literacy engagement and self activation of target population through Coleman Care Transitions intervention an evidenced based readmission reduction model to 4000 participants over a three year period; Secure two contracts with private entities outside CMS contract to expand Care Transitions program Narrative FTEs: Director of Care Transitions (1.0), Manager of Care Transitions (1.0), Director of Research, Policy Ramp; Advocacy (.05), rrn (.03) State Plan Goal: Narrative The narrative should explain how program development eforts for FY 2014 to FY 2016 relate to and strengthen the scope of services within the respective PSA as desribed earlier. Further, the narrative may include an assessment by the Are Agency of how prepared the Area Agency and service providers in the PSA are for any anticipated change in the demographics of older persons during the next ten years. AAA Response: Objective: General Narrative: AAA 1-B has committed to developing valuable program development objectives based Printed On: 7/112013 31 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS 2014-2016 1_0122t5rices o the Agnia Area Agency On Aging 1-B FY: 2014 on the needs of older adults in our region. Our goals were developed using the feedback gathered at the community forums, feedback from providers, past priorities as well as local, state and national trends that may impact our services. MA 1-B has a comprehensive understanding of the changing demographics of our region, including the large influx of aging baby boomers that will continue to increase demands on service and set the expectations high for quality and efficiency. We focus on building partnerships and finding additional ways to maximize funding to strengthen the services available through AAA 1-B, the provider network and those services available in the commmunity, with an emphasis on our service priorities. Our program development objectives also tie closely to the agency's 2013-15 Strategic Plan, also available on our website and matches our updated service priorities, available in this plan. These objectives, while extensive and comprehensive, are vital to ensure we are able to best meet the needs of older adults and caregivers in the AAA 1-B region. Timeline: Activities: Expected Outcome: Narrative State Plan Goal: Goal 1 --Work to improve the health and nutrition of older adults AAA Response: Objective: Expand opportunities for older adults to access nutrition education and access meals that utilize locally grown or regionally produced foods Timeline: September 30, 2016 Activities: Identify and train at least 10 new lay leaders to conduct healthy eating programs in partnership with community focal points; Provide annual culinary training in conjunction with community focal points and implement healthy recipes with focus on heart health, diabetes and activities for target populations; Identify current nutrition providers and/or focal points utilizing locally grown produce; Implement strategy for nutrition providers to work with senior centers and other focal points to utilize herb gardens as a means to Printed On: 7/1/2013 32 ANNUAL Zr. M ULTI YEAR IMPLEMENTATION PLANS - - 2014- 2016 Area Agency On Aging 1-B FY: 2014 flavor foods. Expected Outcome: At least 50% of nutrition providers are incorporating locally grown produce into food by end of FY 16; At least 95% of food utilized in nutrition program is purchased from a state or local provider; At least 2 herb growing partnerships are established Narrative FTE's: Program Manager, Nutrition Services (.20) AAA Response: Objective: Expand EBDP/HP programs via establishment of volunteer core and addition of new programs into the region Timeline: September 30, 2016 Activities: Identify Evidence Based (EB) program gaps and benchmark availability of EBDP programs at senior centers in the region; Develop and implement strategy for expanding services; Develop and implement a strategy for recruiting additional volunteers and maintain database of trained leader volunteers for the region; Hold at least two train-the-trainer programs annually; Identify potential for outside sponsorships to support EB programs (i.e. corporate sponsorships, health care industry) Expected Outcome: Through partnerships, contracts and direct service, reach at least 500 older adults annually; At least 2 new Evidence Based programs will be implemented in the region between FY 14-16 Narrative FTEs involved: Program Manager/Evidence Based Specialist (.40); Program Manager, Nutrition Services (.10); Director of Network Development (.02) Printed On: 7/1/2013 33 osa office of Services to the Ag,ng Area Agency On Aging 1-B 2.014-2016 FY: 2014 ANNUAL i4L1LTI YEAR IMPLEMENTATION PLANS Advocacy Strategy AAA Response: The Area Agency on Aging 1-B (AAA 1-B) advocacy strategy will focus on issues identified as priorities under the AAA 1-B FY 2013-4 Advocacy Platform, and will be modified to respond to emerging issues during the fiscal year planning period. Advocacy efforts relating to funding services will focus on expanding resources needed to satisfy the demand for services. Advocacy efforts relative other priority services will emphasize effecting policy and systems change to make these services more responsive to the needs of older persons. Program development priorities will receive advocacy attention emphasizing support for research, demonstration projects, and development of innovative partnerships. The AAA 1-B advocacy priorities and objectives are determined by actions of the AAA 1-B Advisory Council and Board of Directors. The Advisory Council establishes advocacy direction through the development of recommendations by it's ad hoc study committees, reviews issues at Council meetings, and recommends positions to the Board of Directors. In addition, advocacy priorities will be influenced by the platform for Older Michiganians Day 2013. Advocacy issue identification will also stem from the AAA 1-B Consumer Advisory Boards, input from our collaborative partners, and in response to legislative or regulatory activity at the federal, state, or local levels. A specific emphasis will be placed on developing Michigan's model of integrated care for persons who are dually eligible for Medicare and Medicaid, and advocating for systems change, policies, and resources that will foster the rebalancing of Michigan's Medicaid long term care services system with a greater emphasis on development and access to community-based options. All advocacy activities are undertaken with special consideration given to the needs of targeted populations to assure that policies and programs are responsive to the needs of vulnerable, socially, and economically disadvantaged older persons. The AAA 1-B strives to provide leadership on advocacy issues within Region 1-B by; directly influencing decision makers through the provision of information and analysis of older adult needs; researching the impact of programs and policies; and facilitating the direct involvement of older adults in advocacy on their own behalf. The AAA 1-B Advocacy Blueprint describes the following activities that the AAA 1-B, through the efforts of senior advocates, Board and Council volunteer leadership, staff, and other interested parties, will undertake to fulfill the mission to advocate for the needs of older adults: SENIOR ADVOCATES Senior Advocacy Network (SAN) The SAN is a network of individuals and organizations that are committed to following public policy issues which affect older adults, and speaking out on behalf of the needs of older persons. Members of the SAN receive informational mailings on various issues from the AAA 1-B; call, write, and speak with elected officials and other key decision makers; attend public information sessions; and provide leadership in urging others to be active senior advocates. Michigan Senior Advocates Council (MSAC) The AAA 1-B appoints representatives to the MSAC. These representatives also sit on the AAA 1-B Printed On: 7/1/2013 34 ANNUAL 84. MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Orrice of Services to the Aga 10 Area Agency On Aging 1-B FY: 2014 Advisory Council and represent AAA 1-B Board action. MSAC members meet monthly in Lansing when the legislature is in session. They review introduced bills of importance to seniors, formulate positions on these bills (in accordance with AAA 1-B Board action), provide testimony before legislative committees, and regularly meet with their elected representatives to advocate on a wide range of issues. AAA 1-B Advisory Council and Board of Directors The AAA 1-B Advisory Council and Board of Directors are charged with the responsibility to aggressively advocate on behalf of older adults in their region. They accomplish this by adopting the FY 2011-12 Advocacy Platform, arriving at positions relative to bills introduced at the state and federal levels, commenting on proposed policies and regulations, and by providing testimony at various hearings, forums, and meetings. AAA 1-B Staff As part of the AAA 1-B, staff are charged with advocating on behalf of older adults consistent with the agency's mission, and advocacy permeates the agency. Staff at the AAA 1-B coordinate advocacy efforts, serve as ''front line" advocates (i.e. care managers), and educate others about the needs and unmet needs of older adults in the region (e.g. family care givers and the aging network). ADVOCACY TOOLS The Advocate In order to educate the AAA 1-B advocates about current issues of concern, the agency produces The Advocate newsletter monthly. The Advocate is distributed electronically and as a paper copy. Through The Advocate, senior advocates can track pending and passed legislation on the local, state and federal levels, learn about upcoming advocacy events, and get tips for advocating more effectively. Legislative Analyses In addition to the two newsletters, the AAA 1-B provides analysis of legislation that is pertinent to older adults. The legislative analyses are provided to the AAA 1-B Advisory Council and Board of Directors to facilitate their decisionmaking of whether or not to advocate for or against a particular bill. Upon approval of the Board, the appropriate persons (staff, volunteers, senior advocates) use the analysis to educate elected officials regarding the pros or cons of the bills and the potential effect on older adults. AAA 1-B Advocacy Platform The AAA 1-B will develop an advocacy platform for the 2013 — 2014 legislative session which identifies the public policy issues that will he the focus of agency advocacy activities. This was developed in collaboration with, and support from, organizations and individuals concerned about the welfare of older adults and adults with a disability. ADVOCACY ACTIVITIES Legislative Visits Regular, face-to-face contact with elected officials and their staff is a key component of the AAA 1-B Advocacy Blueprint. The AAA 1-B CEO plans monthly visits with the legislators from Region 1-B, with the goal of meeting with each of the state's legislators at least once during the year. Printed On: 711/2013 35 office of serv,,es to the Aging Area Agency On Aging 1-B 2014-2016 FY: 2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS Older Michiganians Day The statewide Older Michiganians Day offers opportunities for advocates to gather and hear about local issues of importance as well as to advocate on behalf of the statewide OMD legislative platform. Direct Testimony The AAA 1-B, in collaboration with older adults, advocates, and service providers, will testify before elected and appointed officials on issues of concern to older adults, as opportunities arise. Printed On: 7/1/2013 36 ANNUAL Eft MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Office of —Services co the A0419 Area Agency On Aging 1-B FY: 2014 Leveraged Partnerships Include, at a minimum, plans to leverage resources with organizations in the following categories: Community Action Agencies; Public Health; Mental Health; Commissions and Councils on Aging; Centers for Independent Livinq (OILS); other AAA Response: Printed On: 7/1/2013 37 office of SerVICCS co the Aging Area Agency On Aging 1-B - 2014-2016 FY: 2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS The AM 1-B is involved in a variety of collaborations and development activities designed to enhance our ability to fulfill our mission, identify opportunities to achieve greater efficiencies, diversify our funding, reduce wait lists, and fill the gaps resulting from the increasing population and the loss of tax dollars. Implementation of strategic activities to address these issues are clearly outlined in our FY 2013-2015 Strategic Plan, which can be found at http://www.aaa1b.com/about-us/strategic-plan/. Listed below are various activities we are engaged in to help ensure we are successful in meeting strategic objectives: Leveraged Partnerships Lesbian, Gay, Bisexual, Transgender (LGBT) Collaborative: There are many issues that impact the health and welfare of LGBT individuals who are older and/or disabled. To date, we have been pleased with development of sensitivity and educational programs that raise awareness and understanding of these issues. Identification of ongoing funding to support these efforts is a challenge. We are working with a variety of community agencies to address this concern in Southeastern Michigan, including AM 1-A, AAA 1-C, Affirmations Community Center and more. Consumer Rating Website: This partnership brings together MI choice participants, caregivers, and Walsh College students to develop and launch a website that will help consumers find providers and make informed decisions when selecting a home care company. Users will be able to rate the home care companies using a five-star system, write text reviews giving details of their experience, and browse ratings and reviews posted by other people. Vendors will also have an opportunity to market their services through the site. Regional Elder Mobility Alliance (REMA): This partnership brings together aging and transportation advocates in seven counties of southeast Michigan to address the need for expanded regional mobility/transit options. Outcomes include development and implementation of a public relations campaign designed to increase awareness among stakeholders, boomers, and key officials about the value of a regional mobility system. Other Partnerships: With the loss of federal/state funding over the last five years, we are working to identify private individuals or corporations to sponsor programs and services that are in need of funding. In FY 2014, we hope to bring a collaborative of organizations to work on development of a purchasing cooperative that will utilize the principals of "volume" to expand services for high wait list services of home chore, lawn cutting and snow removal services. Senior Millage Campaigns: The AAA 1-B was successful in working with local stakeholders in St. Clair County to expand the senior millage in FY 2013. In FY 2014, we hope to work closely with stakeholders in Monroe County to explore the same opportunity. We will also support other counties or communities as they explore this option. Other Local Senior Collaboratives: There are a variety of local collaboratives that work on activities Printed On: 711/2013 38 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Area Agency On Aging 1-B FY: 2014 designed to increase the visibility of issues impacting individuals who are older and/or live with disabilities. Outcomes include designations such as Livable Communities, stakeholder collaborations, educational events, and service efficiency. These include: Senior Resource Collaborative (Oakland, Macomb, and Wayne counties); Livingston Leadership Council; Blue Print for Aging (Washtenaw County); Blue Print for Aging (Monroe County); Commission on Aging/Senior Millage (St. Clair County). In addition, the AAA 1-B attends the county-level Human Service Collaborative meetings. AAA 1-B works closely with community action agencies, the three centers for independent living in our region, as well as public health and mental health professionals in a variety of ways. These agencies are represented on many of the local collaboratives, including the the county level human service collaboratives. Several AAA 1-B subcontractors serve as Community Action Agencies. AAA 1-B also works with the three local centers for indepedent living as ADRC partners and as direct service purchase providers. AAA 1-B regularly attends the county commission meetings and receives as well as provides funding to the local councils on aging. AAA 1-B is working to further grow relationships with the mental and public health professionals. AAA 1-B has developed a strong relationship with Oakland County Publlic Health, as an example, by our CEO meeting quarterly with the department director and working together to streamline our senior newsletters. Oakland County's senior public health newsletter is now incorporated into the AAA 1-B Access Newsletter as a means of creating efficiencies and expanding the reach of the informaiton to seniors. Program Diversification Partnerships Care Transitions: Reduces avoidable 30 day readmissions for Medicare Fee For Service beneficiaries. Partners include: Beaumont Royal Oak and Troy Hospitals; Henry Ford Health System; McLaren Health System; Canturbury on the Lake; Evangelical Homes of Sterling Heights; Cherrywood Nursing and Living Center; Shelby Nursing Center; Clinton-Aire Nursing Center; LakePointe Senior Care and Rehab Center; Medilodge of Sterling Heights; Heartland Oakland; Heartland Care of Georgian Bloomfield; Regency of Waterford; Clarkston Specialty; Beaumont and Henry Ford Hospices; Critical Signal Technologies; Premier Visiting Physicians; Oakland Family Services; Michigan Peer Review Organization; and Go Lean, Inc. Program for the All Inclusive Care of the Elderly (PACE): This partnership, with United Methodist Retirement Communities (UMRC), and University of Michigan was launched in FY 2013. In FY 2014, we hope to open the program to the public. Through our ownership investment, we will continue to learn more about the business of integrated care and support growth and development of this long term care alternative Myride2: This mobility management service launched in June 2012 in Oakland and Macomb counties, and in FY 2013 expanded to western Wayne County and into the disability community through partnerships with The Senior Alliance and the Disability Network Oakland Macomb (a local CIL), respectively. Original partners on the project, including Suburban Mobility Authority for Regional Transportation (SMART) and Jewish Family Service (JFS), remain committed to ongoing funding and expansion of the service. Printed On: 7/1/2013 39 ANNUAL & MULTI YEAR IMPLEMENTATION PLAN.: 2014-2016 Orrice of ServIces to the Ag.na Area Agency On Aging 1-B FY: 2014 Program Development Partnership Integrated Care: We formed a partnership with most of the other AAAs in the state, through the Area Agency on Aging Association of Michigan (4AM), to partner with Resource Link of Michigan (RLM). RLM is a private company with extensive experience in the health care market. In FY 2014, in tandem with our 4AM and RLM partnership, we hope to participate in the state's demonstration program which will include Macomb County. Our goal is to secure contracts with selected Integrated Care Organizations to provide services similar to those we currently provide under the MI Choice Medicaid Waiver program. Private Market: For more than two years, we have explored the opportunities that may exist for the AAA 1-B to expand its services and ability to provide service into the private market. Several AAAs in the state have explored and/or are currently working in this arena. In FY 2014, our goal is to invest in some type of development opportunity that will expand our presence in the private market. Other Health Care Markets: Integrated Care and Care Transitions have given us the opportunity to expand and diversify our skill sets into the health care market. Our goal in FY 2014 is to identify the competition in these markets and launch a service product that may be helpful and cost effective for health care providers. Describe how the development of ADRC partnerships within the PSA will support leveraged partnerships.Describe the (i) role and level of involvement of the AAA within the ADRC partnership;(ii) leadership group within the ADRC partnership; (iii) development activities of the ADRC partnership to date;(iv) perceived or actualized role of the AAA as a part of the ADRC partnership service delivery system. AAA Response: Printed On: 7/1/2013 40 ANNUA & MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Office of Services to tho Aging Area Agency On Aging 1-B FY: 2014 Aging and Disability Collaborative of Southeast Michigan (ADRCSEM): The collaborative, which was founded by the AAA 1-B and the three agencies serving individuals living with disabilities (Ann Arbor Center for Independent Living, Blue Water Center for Independent Living, and Disability Network of Oakland and Macomb) as well as other partners: Botsford Hospital, Community Living Services, Council on Aging, Inc.,serving St. Clair County, Deaf and Hearing Impaired Services, Elder Law of Michigan, Guardian Medical Monitoring, Jewish Family Services of Metropolitan Detroit, Jewish Family Services of Washtenaw County, Lakeshore Legal Aid, Legal Services of South Central Michigan, Livingston County Catholic Social Charities, M&Y Care, Macomb County Community Services Agency, Medicare Medicaid Assistance Program, Monroe County Commission on Aging, Mount Clemens Regional Medical Center, Nexcare Health Systems, Oakland County Community Mental Health Authority, OLHSA, and St. Clair County Department of Human Services. The collaborative is governed by a Leadership Council committee of stakeholders serving in southeast Michigan. Membership of the Leadership Council consists mainly of ADRCSEM partner agencies and consumers, but is open to the public as well. Members are appointed for a period of two years. In FY 2013, the ADRCSEM launched a coordinated Information and Assistance (I&A) service that responds to calls through a statewide 800 number. ADRCSEM partner agencies, including the AAA 1-B, were selected by the Leadership Council to perform l&A for the ADRCSEM service area. In FY 2014, we will formalize and launch the Options Counseling service, which will assist families and individuals in need of long term care planning information. We hope to add other required ADRC services in FY 2014 as well. Describe how the area agency can support Aging Friendly Community/Community for a Lifetime initiatives within the PSA,with the following as requested (include any past or present efforts underway). • Community assessments, senior survey results and demographic data that can be shared with community groups to enhance aging friendly assessments. • Information that can be provided to community groups to enhance the quality of their aging friendly community assessment in such areas as; supportive community systems, health care access, transportation disease prevention/health promotion, safety, home repair and other relevant areas. • Technical assistance that can be offered to community groups in developing and collaborating on aging friendly community assessments or improvements. • Please identify the area agency staff contact regarding Aging Friendly Communities/Community for a Lifetime activities within the PSA: AAA Response: Printed On: 7/1/2013 41 2014-2016 FY: 2014 *WO Orrice of Services co the Ag,ng Area Agency On Aging 1-B ANNUAL & MULTI YEAR IMPLEMENTATIOM PLANS In FY 2013, we were involved in several efforts to support this area. Specifically we: • Piloted a concept in conjunction with Oakland County Business Roundtable Quality of Life Committee to reinvigorate main streets. Our pilot site is Clawson, Michigan • Initiated efforts to assist Livingston County Leadership Group with pursuit of Communities for a Lifetime • Mailed informational materials to every county, city, township, and village in the region indicating how the AAA 1-B can assist with their planning efforts • Developed a toolkit to provide critical planning information at the county, city, township and village level In FY 2014, we will continue to implement the Main Street Project in Clawson, Mi. We also hope to complete and submit the Livingston County application for Communities for a Lifetime. Staff involved in these efforts include: Director of Research, Policy Development and Advocacy; Advocacy Specialist; Director of Network Development; Network Development Specialists; and CEO. Printed On: 7/1/2013 42 Office et Services the ACP:ha Area Agency On Aging 1-B ANNUAL MULTI YEAR IMPLEMENTATION PLANS 2014-2016 FY: 2014 Community Focal Points Describe the rationale and method used to assess the ability to be a community focal point, including the definition of community. Explain the process by which community focal points are selected. Provide the following information for each focal point within the PSA. List all designated community focal points with name, address, telephone number, website, and contact person. This list should also include the services offered, geographic areas served and the approximate number of older persons in those areas. List your Community Focal Points in this format. Name: Ann Arbor Community Center Address: 625 North Main, Ann Arbor, MI 48105 Website: http://www.annarbor-communitycenter.org/ Telephone: (734) 662-3128 Contact Person: Yolanda VVhiten Persons: Service Area: Ann Arbor Services: C, G, H, N, 0, Q, W: Social Activities Arab-American and Chaldean Counc Address: il 28551 Southfield Rd, Ste. 204, Lathrup Village, MI 48076 www.myacc.org (248) 559-1990 Dr. Radwan Khoury or Haifa Fahkouri Persons: Service Area: Arab and Chaldean Elders Services: A, E, G, H, I, J, L, N, P, Q, R, T, U, V Area Agency on Aging 1-B LivingstonANashtenaw Access Center 3941 Research Park Dr., Suite B, Ann Arbor, MI 48108 www.aaa1b.com (734) 213-6704 Tina Abbate Marzolf 59,704 Livingston and Washtenaw Counties L, W: Information and Assistance, Care Management, Advocacy Area Agency on Aging 1-B Macomb Access Center 39090 Garfield, Suite 102, Clinton Twp., MI 48038 wvvw.aaa1b.com (586) 226-0309 Tina Abbate Marzolf 122,870 Macomb County L, W: Information and Assistance, Care Management, Advocacy Name: Website: Telephone: Contact Person: Printed On: 7/1/2013 43 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: ANNUAL Et MULTI YEAR IMPLEMENTATION PLANS Osa - 2014-2016 Orftce of Services to the ATI19 Area Agency On Aging 1-B FY: 2014 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: VVebsite: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Arthur Leslow Community Center 120 Eastchester, Monroe, MI 48161 www.monroe.lib.rni.us (734) 241-4313 Tracy Palm 4,063 Monroe C, E, H, J, 0 Area Agency on Aging 1-B Monroe Access Center 14930 La Plaisance, Suite 130, Monroe, MI 48161 www.aaa1b.com (734) 241-2012 Tina Abbate Marzolf 20,844 Monroe County L, W: Information and Assistance, Care Management, Advocacy Area Agency on Aging 1-B Oakland Office 29100 Northwestern Hwy., Suite 400, Southfield, MI 48034 www.aaalb.com (800) 852-7795 Tina Abbate Marzolf 166,009 Oakland County L, W: information and Assistance, Care Management, Advocacy Ash Seniors 700 Carleton Rockwood Rd., PO Box 21, Carleton, MI 48117 http://ashtownship.org/index.html (734) 586-8063 Rita Sanders 1,072 Ash Twp. K, V, W: Social Activities Berkley Parks and Recreation 2400 Robina, Berkley, MI 48072 hftp://vAvw.berkleymich.org/seniors_home.shtm (248) 658-3470 Susan Thornton 1,702 City of Berkley A, B, G, I, J, L, 0, Q, R, S, V Bowen Senior Center 52 Bagley St., Pontiac, MI 48341 (248) 209-2692 Anne Parks 5,569 Pontiac Printed On: 7/1/2013 44 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa Office of Services to the Amng 2014-2016 Area Agency On Aging 1-B FY: 2014 Services: B, E, 0, W: Social Activities Jewish Vocational Service (JVS): Brown Jewish Community Center 29699 Southfield Rd., Southfield, MI 48076 www.jvsdetroit.org (248) 559-5000 Contact Person: Peter Ostrow Persons: Service Area: Jewish Elders Services: E, J, 0, S, V, W: Adult Day Services, Social Activities Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Capac Senior Center 315W. Meier St., Capac, MI 48014 (810) 395-7889 Jan Hathcock 1,642 Berlin Twp., Capac, Emmett Twp., Mussey Twp., Riley Twp. A, G, H, 0, N, Q, R, S, W: Information and Referral, Prescription Drug Assistance Catholic Social Services of Washtenaw/Blueprint for Aging 4925 Packard Rd., Ann Arbor, MI 48108 www.csswashtenaw.org or www.blueprintforaging.org (734) 971-9781 Lawrence Voight 35,478 Washtenaw County L, P, Q, V, W: Respite, Information and Referral Name: Chelsea Senior Citizen Activity Center Address: 512 E. Washington St., Chelsea, MI 48118 Website: www.chelseaseniors.org Telephone: (734) 475-9242 Contact Person: Trihn Pifer Persons: Service Area: Chelsea, Sylvan Twp., Lima Twp., Lyndon Twp. Services: C, D, E, F, G, H, J, L, 0, P, Q, S, V Cherry Beach Senior Center 7232 S. River Rd., Marine City, MI 48039 (810) 765-3523 Debbie Heraty 9,406 Algonac, Casco Twp., China Twp., Clay Twp., Columbus Twp., Cottrellville Twp., East China, Ira Twp., Marine City, St. Clair, St. Clair Twp. A, B, C, D, E. G. H, I. J, K, L, N, 0, P. Q, R, 5, T, U, V Name: Address: Website: Telephone: Printed On: 7/1/2013 45 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: 1 ANNUAL k4,r MULTI YEAR IMPLEMENTATION PLANS 0 0. of Ser rice to the Ag2rig 2014-2016 Area Agency On Aging 1-B FY: 2014 Clinton Township Senior Adult Life Center 40730 Romeo Plank Road, Clinton Township, MI 48038 voArw.clintontownship-mi.goviseniors (586) 286-9333 Matthew Makowski 122,870 Macomb County B, C, D, E, H, J, L, 0, P, Q, R, S, T, V Commerce Township Richardson Senior Center 1485 Oakley Park Dr., Commerce Twp., MI 48390 www.commercetwp.com/seniors (248) 473-1830 Emily England 3,626 Commerce Twp. B, C, H, 0, S, V Council on Aging, Inc., Serving St. Clair County 600 Grand River Ave., Port Huron, MI 48060 www.thecouncilonaging.org (810) 987-8811 Laura Newsome 26,445 St. Clair County A, C, G, H, I, L, N, 0, Q, R, S, V, W: Loan Closet, Information and Referral Dublin Community Senior Center 685 Union Lake Road, White Lake, MI 48386 www.whitelaketwp.com (248) 698-2394 Kathy Gordinear White Lake, Commerce, Highland, Waterford, Milford, Wixom, Holly, Davisburg and West Bloomfield B, C, D, E, F, H, I, K, L, 0, P, Q, R, S, U, V, W: Resource/Referral, Social/Enrichment Programs, Crafts Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area. Services: Name: Dundee Senior Citizen Center Address: 284 Monroe St., Dundee, MI 48131 Website: www.dundeeareaseniorcitizencenter.com Telephone: (734) 529-2401 Contact Person: Bob Clark Persons: Service Area: Dundee Twp., Petersburg, Summerfield Twp. Services: C, H, I, K, 0, S Printed On: 7/1/2013 46 2014-2016 Office of ServIces to the Ai)mg Area Agency On Aging 1-B FY: 2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS Name: Address: Website: Telephone: Contact Person: Persons: Edna Burton Senior Center 345 Ball St., PO Box 429, Ortonville, MI 48462 http://wwvv.brandontownship.us/index.php/senior-center (248) 627-6447 Annette Beach Service Area: nrAvAInnri Twp., Brandon Twp. Services: C, R, V, W: Loan Closet Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Fraser Senior Center 34935 Hidden Pine Dr., Fraser, MI 48026 www.ci.fraser.mi.us (586) 296-8483 Kathy Kacanowski 2,948 Fraser B, G, H, 0, R, S, W: Social Activities, Reflexology and Massage Gerry Kulick Community Center 1201 Livernois, Ferndale, MI 48220 http://www.ferndalerecreation.org/Default.aspx?id=31 (248) 544-6767 Julie Hall Ferndale A, B, C, D, E, F, G, H, I, J, K, L, N, 0, P, Q, R, S, T, U, V Guest Community Center 16221 Fraxho Road, Roseville, MI 48066 (586) 445-5597 Debra Goethals 9,146 Roseville Hartland Senior Center 9525 Highland Road, Howell, MI 48843 www.hartlandseniorcenter.org (810) 626-2135 Alice Andrews 14,000 Livingston County B, C, D, E, G, H, I, J, L, N, 0, P, Q, R, S, V Hazel Park Senior Center 620 W. Woodward Heights Blvd., Hazel Park, MI 48030 http://hazelpark.org/senior-services (248) 546-4093 Barbara Scott Hazel Park Printed On: 7/1/2013 47 OSq 2014-2016 Area Agency On Aging 1-B FY: 2014 e Aging Office of Services t ANNUAL & MULTI YEAR IMPLEMENTATION PLANS Services: Name: Address: Website: Telephone: Contact Person: Persons: C, F, H, I, R, S, T, V Highland Twp. Senior Center 209 N. John St. PO Box 249, Highland, MI 48357 http://haacnews.webs.com/ (248) 887-1707 Pi Service Area: Highland Twp. Services: C, H, K, M, N, Q, R, S, V Name: Address: Website: Telephone: Contact Person: Persons: Holly Presbyterian Village 3325 Grange Hall Rd., Holly, MI 48442 http://pvm.org (248) 634-0749 Service Area: Holly, Rose Twp. Services: C, 0, S, W: Case Management Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Howell Senior Center 925 W. Grand River Ave., Howell, MI 48843 vvww.howellrecreation.org (517) 546-0693 Catherine Skidmore 22,854 Livingston County B, C, D, E, F, G, H, I, J, K, L, 0, P, Q, S, T, V Huntington Woods Parks and Recreation 26325 Scotia Road, Huntington Woods, MI 48070 wvvw.ci.huntington-woods.mi.us (248) 541-3030 Jennifer Furlong 1,000 Huntington Woods B, C, D, E, G, H, J, M, N, 0, R, S, V Independence Township Senior Adult Activity Center 6000 Clarkston Road, Clarkston, MI 48348 www.twp.independence.mi.us (248) 625-8231 Barbara Rollin 10,000 Clarkston, Springfield, Waterford and Oakland County A, B, C, D, E, F, H, I, J, K, L, M, N, 0, P, Q, R, S, T, U, V Printed On: 7/1/2013 48 2014-2016 Area Agency On Aging 1-B FY: 2014 Off ice of voices to the Aging ANNUAL fk MULTI YEAR IMPLEMENTATION PLANS Italian American Cultural and Community Center 43843 Romeo Plank Rd., Clinton Twp., MI 48038 m (586) 228-3030 Website: www.iacsonline.co Contact Person: Martin Garagiola Persons: Service Area: Italian Elders Services: W: Social Activities Name: Jack and Patti Salter Community Center Address: 1545 E. Lincoln Ave., Royal Oak, MI 48067 Website: wvvw.ci.royal-oak.mi.us Telephone: (248) 246-3180 Contact Person: Kim Mannaioni Persons: Service Area: Royal Oak Services: A, B, C, D, E, F, G, H, I, K, L, N, 0, P, Q, R, S, T, U, V Name: Address: Website: Telephone: Contact Person: Persons: Jewish Community Center of Greater Ann Arbor 2935 Birch Hollow Dr., Ann Arbor, MI 48108 http://asoft8259.accrisoft.com/annarborjcc (734) 971-0990 Lesley Bash Service Area: Ann Arbor, Jewish Elders Services: C, E, J, 0, W: Social Activities Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: LaAmistad Senior Center/Ruth Peterson Center 990 Joslyn Rd., Pontiac, MI 48340 (248) 858-2307 Pablo Moran Jr. 7,548 Pontiac C, H, Q, W: Social Activities Chaldean Federation of America 29850 Northwestern Hwy., Suite 250, Farmington Hills, MI 48034 vv-viroLchaldeanfedecation.org (248) 996-8384 Joseph T. Kassab Persons: Service Area: Chaldean Elders Services: G, J, K, V, W: Refugee Assistance Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Costic Center/Adults 50 & Better 28600 Eleven Mile Road, Farmington Hills, MI 48336 www.fhgov.com (248) 473-1830 Marsha Koet 20,000 Farmington Hills and City of Farmington Name: Address: Telephone: Address: Name: Vvi ebsite: Telephone: Contact Person: Printed On: 7/1/2013 49 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-20'16 Office of Services to the Ag n ng Area Agency On Aging 1-B FY: 2014 Services: A, B, C, D, E, F, H, I, J, K, L, M, N, 0, P, Q, R, S, T, U, V Name: Finnish Center Association Address: 35200 W. 8 Mile Rd., Farmington Hills, MI 48335 Website: www.finnishcenter.org Telephone: (248) 478-6939 Contact Person: Lois Makee Persons: Service Area: Finnish Elders Services: E, H, S, V, W: Social Activities Name: Gregory Area Senior Center Address: 126 Webb, PO Box 372, Gregory, MI 48137 Website: Telephone: (517) 851-8881 Contact Person: Richard Ellsworth Persons: Service Area: Livingston and Washtenaw Counties Services: C, F, G Name: Hamburg Senior Center Address: 10307 Merrill Road, Hamburg, MI 48139 Website: www.hamburg.mi.us Telephone: (810) 222-1140 Contact Person: Christine Hoskins Persons: Service Area: Hamburg, Pinckney, Brighton, Whitmore Lake and Dexter Services: B, C, D, G, I, L, 0, Q, S, U Name: International Institute of Metropolitan Detroit Address: 11 -1 E. Kirby, Detroit, Mi 48202 Website: www.iimd.org Telephone: (313) 871-8600 Contact Person: Wojciech Zolnowski Persons: Service Area: Polish and Eastern European Elders (Ukrainian, Romanian, Yugoslavian, Albanian) Services: E, J Name: Lenox Township Senior Center Address: 63975 Gratiot, Lenox, MI 48050 Website: www.lenoxtwp.org Telephone: (586) 727-2085 Contact Person: LuAnne Kandell Persons: Service Area: Lenox Township, Village of New Haven and surrounding areas Services: G, J, 0 Printed On: 7/1/2013 50 ANNUAL 81. MULTI YEAR IMPLEMENTATION PLANS 2014-2016 he Anima Area Agency On Aging 1-B FY: 2014 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Lighthouse of Oakland County 46152 Woodward, Pontiac, MI 48342 wvvw.lighthouseoakiand.com (248) 920-6000 John Ziraldo 7,548 Pontiac A, E, F, G, Q, R, W: Budget Counseling, Prescription Assistance Macomb County Dept. of Senior Citizen Services 21885 Dunham Rd., Clinton Twp., MI 48036 www.macombcountymi.og/seniorservices (586) 469-6313 Rhonda Powell 139,027 Macomb County E, H, I, J, K, L, N, P, Q, R, T, V, W: Loan Closet, Prescription Assistance, Speakers Bureau, Counseling, Caregiver Support, Grief Support, Kinship Care, Adult Day Service, Information and Referral, Housing Options Counseling, Emergency Cell Phone Distribution Macomb County Health Department 43525 Elizabeth Rd., Mt. Clemens, MI 48043 www.macombgov.org (586) 469-5510 William Ridelia 200,000 Macomb County H, L, N, W: Immunizations Name: Madison Heights Senior Center Address: 29448 John R., Madison Heights, MI 48071 Website: www.madison-heights.org/departments/senior_center Telephone: (248) 545-3464 Contact Person: Jennifer Cowan Persons: Service Area: Madison Heights Services: A, B, C, H, 0, R, S, V, W: Information and Referral, Loan Closet Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Manchester Senior Citizens 912 City Rd., Manchester, MI 48158 http://vil-manchester.org (734) 428-7877 Marian Ahrens 855 Manchester Twp., Sharon Twp. C, I Printed On: 7/1/2013 51 AIfl !UAL 3E MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Office at SerVICCS ZO the A ina Area Agency On Aging 1-8 FY: 2014 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Monroe Center for Healthy Aging 15275 South Dixie Hwy., Monroe, MI 48161 www.monroectr.org (734) 241-0404 Sandie Pierce 20,000 Monroe County B, C, D, E, F, H, J, K, L, M, 0, P, S, T, U, V Monroe County Commission on Aging 29 Washington St., Monroe, MI 48161 www.co.monroe.mi.us (734) 240-7363 Jeff McBee 21,829 Monroe County Monroe County Opportunity Program 1148 S. Telegraph, Monroe, MI 48161 http://www.monroecountyop.org/ (734) 241-2775 Stephanie Kasprzak 21,829 Monroe County A, F, N, R, W: Home Rehabilitation, Housekeeping/Personal Care, Respite, Financial Aid, Weatherization Novi Senior Center 25075 Meadowbrook, Novi, MI 48375 http://www.cityofnovi.org (248) 347-0414 Rachel Zagaroli 6,280 Novi A, B, C, D, E, F, G, H, I, J, K, L, M, N, 0, P, Q, R, S, T, U, V Name: Orion Senior Center Address: 21 East Church St., Lake Orion, MI 48362 Website: www.orion.lib.mi.us/township/seniorcenter/senior.html Telephone: (248) 693-2066 Contact Person: Lisa Sokol Persons: Service Area: Orion Twp. Services: A, B, C, H, K, L, N, 0, P, Q, S, W: Cell Phone Donation Program Name: Address: Website: Telephone: Contact Person: Persons: Addison Senior Center 1440 Rochester Road, Leonard, MI 48367 http://www.addisontwpseniorcenter.com/contact-us/ (248) 628-3388 Jeanette Brown Printed On: 711/2013 52 ANNUAL ik MULTI YEAR IMPLEMENTATION PLANS 2014-2016 orrice of Set s he kung Area Agency On Aging 1-B FY: 2014 Service Area: Addison Twp. Services: C, H, V Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Bloomfield Township Senior Services 4315 Andover Road, Bloomfield Township, MI 48302 www.bloomfieldtwp.org/seniors (248) 723-3500 Christine Tvaroha 20,000 Bloomfield Township B, D, E, G, H, I, L, 0, P, Q, R, S, V, W: Adult Day Service Brighton Senior Center 850 Spencer Road, Brighton, MI 48116 www.brightoncommunityed.com (810) 299-3817 Marcy Hosking 22,854 Livingston County B, C, E, G, H, J, L, 0, Q, R, S, U, V Older Persons' Commission 650 Letica Drive, Rochester, MI 48307 www.opcseniorcenter.org (248) 656-1403 Marye E. Miller 19,551 Rochester Hills, Rochester and Charter Township of Oakland B, C, D, E, F, H, I, J, K, L, N, 0, P, Q, R, S, T, U, V, W: Adult Day Service, Senior Resources, Partnership with Crittenton Hospital Nurse 5 days a week, Oakland University Partnership programs, Sports: Ice hockey, softball, volleyball, swim, etc. Pearl Wright Senior Center 21131 Garden Lane, Ferndale, MI 48220 http://www.royaloaktwp.com/seniorcenter.html (248) 542-6752 Cynthia Phillips Service Area: Royal 1.-)k Twp. Services: H, 0, R, V Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Pittsfield Township Senior Center 701 West Ellsworth Road, Ann Arbor, MI 48108 www.pittsfield-mi.gov (734) 822-2117 Carol Presley and Jennifer Todd 1,800 Washtenaw County and surrounding counties B, C, D, E, G, H, J, L, N, 0, P, Q, R, 5, V Printed On: 7/1/2013 53 the Ag:ng Area Agency On Aging 1-B FY: 2014 ANNUAL et MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Putnam Township Senior Center 131 South Howell St., Pinckney, MI 48169 www.putnamtwp.us (734) 878-1810 Beverly Smith 1,000 Livingston County B, C, E, G, H, I, J, K, L. 0, Q, S, U, V Roseville Recreation Authority Senior Center 18185 Sycamore, Roseville, MI 48066 http://www.ci.roseville.mi.us/Departments/SeniorCenteraspx (586) 777-7177 Leona Niedoliwka Service Area: Roseville, Eastpointe, Southern Macomb County Services: B, C, E, G, H, I, J, L, M, 0, P, Q, R, S, V Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Richmond Community Center 36164 Festival, Richmond, MI 48062 (586) 727-3064 Stacie Van Kirk 890 Richmond C, D, E, I, 0, S, W: Social Groups Saline Area Senior Center 7190 N. Maple, Saline, MI 48176 www.salineseniors.org (734) 429-9274 Rina Chemin 5,000 Saline B, D, E, H, I, J, K, L, 0, P, Q, R, S, T, U, V, W: Sports Activities Southfield Senior Adult Center 23450 Civic Center Dr., Southfield, MI 48034 viww.cityofsouthfield.com (248) 796-4650 Nicole Massina Southfield A, B, C, D, E, F, H, I, J, K, L, N, 0, P, Q, R, S, V Name: Stillwell Manor/Joseph Coach Manor Address: 26600 I3urg Rd., Warren, MI 48089 Website: http://vvww.cityofwarren.org/index.php/senior-citizens-housing Telephone: (586) 758-1310 Contact Person: Becky Rose Persons: Service Area: Warren Printed On: 7/1/2013 54 NW.-.VT f Services to the Aa:r19 Area Agency On Aging 1-B 2014-2016 FY: 2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS C, H, 0, S, W: Social Activities Sullivan Senior Center 13613 Tuttlehill Road, Milan, MI 48161 (734) 439-1733 Sue Black 856 London Twp., Milan, Milan Twp. C, H, K, Q, S Troy Community Center 3179 Livernois, Troy, MI, 48083 www.troymi.gov (248) 524-3484 Carla Vaughan 20,000 Greater Troy Area B, C, D, E, F, H, I, J, K, L, 0, P, Q, R, S, V, W: Home Repair Program, Hospital Loan Closet, Gardening, Sports, Card Games Tucker Senior Center 26980 Ballard, Harrison Twp., MI 48045 http://www.harrison-township.org/resources/senior_center/index.php (586) 466-1498 Muriel Joseph Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: VVebsite: Telephone: Contact Person: Persons: Service Area: Harrison Twp. Services: B, C, G, P, Q, R, W: Social Activities Name: Address: Website: Telephone: Contact Person: Persons: Washington Senior Activity Center 57880 Van Dyke, Washington, MI 48094 http://www.rwbparksrec.org/Default.aspx?id=13 (586) 786-0131 Sandy Keown Service Area: Washington Twp. Services: A, B, C, G, H, K, N, 0, Q, R, W: Loan Closet Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Ypsilanti Senior Citizen Center 1015 N. Congress, Ypsilanti, MI 48197 http://ypsiseniorcenter.org/ (734) 483-5014 Monica Prince 1,999 Washtenaw County C, E, H, J, M, 0, W: Recreation and Enrichment Activities Printed On: 7/1/2013 55 2014-2016 ANNUAL & MULTI YEAR IMPLEMENTATION PLAIIS OM( of Serv,,es to the A9tn9 Area Agency On Aging 1-B FY: 2014 Name: Armada Twp. Senior Center Address: 75400 N. Ave., PO Box 306, Armada, MI 48005 Website: http://armadatwp.org/Departments/SeniorCenteraspx Telephone: (586) 784-8050 Contact Person: Jan Mueller Persons: Service Area: Armada Twp. Services: C, E, I, 0, P, R, S, W: Information and Referral, Social Activities Association of Chinese Americans 32585 Concord Dr., Madison Heights, MI 48071 www.acadetroit.org (248) 585-9343 Shenlin Chen Persons: Service Area: Chinese Elders Services: B, C, E, H, J, L, N, 0, P, Q, R, S, V Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Chaldean American Ladies of Charity 32000 Northwestern Hwy., Suite 150, Farmington Hills, MI 48334 wwvv.CALConline.org (248) 538-8300 Jan Shallal Oakland and Macomb Counties E, F, G, H, J, K, N, 0, P, R, W: Recreational Activities, Field Trips, Holiday Parties/Meals, Arts and Crafts Charter Twp. of Chesterfield Senior Center 47275 Sugarbush, Chesterfield Twp., MI 48047 www.chesterfieldtwp.org (586) 949-0400 Carol Rose 4,334 Chesterfield Twp., New Baltimore H, J, 0, R, S, V Name: Dexter Senior Center Address: 7720 Ann Arbor St., Dexter, MI 48130 Website: www.dexterseniors.org Telephone: (734) 426-7737 Contact Person: Katelyn Stirling Persons: Service Area: Dexter, Webster Township, Scio Township Services: B, C, E, G, H, I, J, L, M, 0, P, Q, R, S, V Address: Name: Website: Telephone: Contact Person: Printed On: 7/1/2013 56 2014-2016 Area Agency On Aging 1-B FY: 2014 t- Office Of ServIc o the Aoing ANNUAL & MULTI YEAR IMPLEMENTATION PLANS Eastpointe Senior Center 16600 Stephens Dr., Eastpointe, MI 48021 www.cityofeastpointe.net (586) 445-5084 Mary Grant 6,672 Eastpointe A, B, H, J, 0, P, Q, R, S Fowlerville Senior Center 203 N. Collins St., Fowlerville, MI 48836 http://fowlervilleseniorcenter.com/ (517) 223-3929 Patrick Essen macher 2,272 Cohoctah Twp., Conway Twp., Fowlerville, Handy Twp., losco Twp. B, C, H, N, 0, P, 5, U, W: Social Activities and Bread Delivery Frenchtown Senior Citizen Center 2786 Vivian Rd., Monroe, MI 48162 http://frenchtownseniorcom/ (734) 243-6210 Barbara Mazur 4,513 Berlin Twp., Carleton, Exeter Twp., Frenchtown Twp. C, H, K, 0, P, S, W: Adult Day Service, Social Activities, Fundraising Oakland Livingston Human Service Agency - South Office 1956 Hilton Rd., Ferndale, MI 48220 www.olhsa.org (248) 542-5860 Marie Verheyen Oakland County A, F, G, L, N, R, W: Housing Counseling, Personal Care/Housekeeping, Respite Care, Undesignated Temporary Financial Aid, Weatherization Romeo Senior Activity Center 361 Morton, Romeo, MI 48065 www.rvvbparksrec.org (586) 752-9601 Debbie Webber 4,806 Ray Twp., Romeo, Washington, Bruce Twp. A, C, D, E, H, I, J, K, L, N, 0, P, Q, R, S, T, U, V, W: Loan Closet, Friendly Reassurance Springfield Township Parks and Recreation 12000 Davisburg Rd., Davisburg, MI 48350 http://www.springfield-twp.us/pr_srServices.htm (248) 634-0412 Sarah Richmond Printed On: 7/1/2013 57 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: ANNUAL & MULTI YEAR IMPLEMENTATION PLANS - 2014-2016 Office Of Servtces to he AEhng Area Agency On Aging 1-B FY: 2014 Service Area: Clarkston, Independence Twp., Springfield Twp. Services: I, R, W: Social Activities Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Sterling Heights Senior Citizen Center 40200 Utica Rd, PO Box 8009, Sterling Heights, MI 48313 http://sterling-heights.net (586) 446-2750 Cindy Guzi 19,954 Sterling Heights A, B, C, D, E, G, H, I, J, L, 0, P, Q, R, S, T, W: Social Activities, Library Taekeuk Village 3712 Williams, Wayne, MI 48184 Telephone: (734) 729-7920 Contact Person: Eun Jong Persons: Service Area: Korean Elders Services: W: Social Activities Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Ypsilanti Township Recreation Center 2025 East Clark Rd., Ypsilanti, MI 48198 http://ytown.org/government/township-departments/recreation (734) 544-3800 Deborah Aue 6,124 Ypsilanti Twp., Superior Twp. B, C, D, E, F, G, H, J, L, M, 0, P, Q, R, S, T, U, V, W: Social Activities Ann Arbor Senior Center 1320 Baldwin, Ann Arbor, MI 48104 www.a2gov.org/senior (734) 794-6250 Pam Simmons Ann Arbor B, C, D, E, G, H, J, M, 0, P, Q, S, V, W: Senior Housing Awareness, Publish a TV Show, Social Activities Area Agency on Aging 1-B St. Clair Access Center 501 Gratiot Blvd., Suite 2, Marysville, MI 48040 www.aaa1b.com (810) 388-0096 Tina Abbate Marzolf 24,456 St. Clair County L, W: information and Assistance, Care Management, Advocacy Printed On: 7/1/2013 58 Office of Services to the A tog Area Agency On Aging 1-B 2014-2016 FY: 2014 ANNUAL 8c MULTIYEAR IMPLEMENTATION PLANS Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Auburn Hills Senior Center 1827 North Squirrel, Auburn Hills, MI 48326 wvvvv.auburnhills.org (248) 370-9353 Karen S. Adcock 2,016 City of Auburn Hills A, B, C, D, E, F, G, H, I, J, K, L, M, N, 0, P, Q, R, S, T, U, V Bedford Senior Community Center 1653 Samaria, Temperance, MI 48182 wvvw.bedford.k12.mi.us (734) 856-3330 Pamela Rybka 20,000 Southeastern Monroe County C, D, E, F, H, I, J, K, M, 0, Q, S, T, U, V Birmingham Area Seniors Coordinating Council & Center (BASCC) 2121 Midvale Street, Birmingham, MI 48009 www.bascc.org (248) 203-5270 Renee Cortright 8,500 Birmingham, Villages of Beverly Hills, Bingham Farms, Franklin, Bloomfield Hills, Bloomfield Township, West Bloomfield, Troy and Southfield A, B, C, D, E, G, H, I, J, K, L, N, 0, P, Q, R, S, T, V, W: Housing tours of local senior facilities, Social Opportunities, Counseling, Recreational leagues - tennis, golf, bowling. Clawson Senior Center 509 Fisher Ct., Clawson, MI 48017 www.cityofclawson.com (248) 583-6700 Kathy Leenhouts 1,761 City of Clawson and surrounding area B, C, E, I, J, 0, Q, R, S, V Jewish Community Center of Metropolitan Detroit 15110 West Ten Mile Road, Oak Park, MI 48237 www.jccdet.org (248) 967-4030 Leslee Magidson Service Area: Oakland County Services: B, C, D, E, H, J, 0, Q, S, V Printed Orr 7/1/2013 59 1 ANNUAL SA MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 OffoCe CI Services to the ArJ Ili Area Agency On Aging 1-B FY: 2014 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Macomb County Community Services Agency 21885 Dunham Rd., Clinton Twp., MI 48036 www.macombcountymi.gov/mccsa (586) 469-6999 Frank Taylor 139,027 Macomb County A, E, F, G, H, I, J, K, L, N, P, Q, R, W: Information and Referral, Speakers Bureau, Loan Closet, Weatherization, Financial Assistance Milan Seniors for Healthy Living 45 Neckel Ct., Milan, MI 48160 www.milanseniors.org (734) 508-6229 Jennifer Michalak 2,185 Greater Milan area (portions of Washtenaw and Monroe Counties) B, C, D, E, H, J, M, 0, P, Q, R, S, U, V Name: Mitchell Senior Center Address: 3 First St., Yale, MI 48097 Website: http://www.yalechamber.com/YaleSeniorCenter.html Telephone: (810) 387-3720 Contact Person: Debra Green Persons: Service Area: Brockway Twp., Greenwood Twp., Kenockee, Lynn Twp, and Yale Services: A, G, H, N, 0, Q, R, S, W: Loan Closet, Prescription Drug Assistance Name: Address: Website: Telephone: Contact Person: Persons: Northfield Township Senior Center 9101 Main Street, Whitmore Lake, MI 48189 www.twp-northfield.org (734) 449-2295 Jennifer Brown Service Area: Communities Surrounding Whitmore Lake Services: B, D, E, H, M, 0, Q, S, T, U, V Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Northville Senior Adult Services 303 W. Main St., Northville, MI 48167 www.northvilleparksandrec.org 248-349-4140 Suzie Johnson 960 Northville A, H, 0, P, Q, R, S, W: Loan Closet, Information and Referral, Social Activities Oakland Livingston Human Service Agency - Livingston Office 2300 E. Grand River, Ste. 107, Howell, Ml 48843 wvvw.olhsa.org (517) 546-8500 Marie Verheyen Printed On: 7/1/2013 60 2014-2016 o the Awn Area Agency On Aging 1-B FY: 2014 ANNUAL St MULTI YEAR IMPLEMENTATION PLANS Service Area: Services: Name: Address: Webs ite: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Livingston County A, F, L, N, Q, W: Guardianship/Conservatorship, Home Rehabilitation, Loan Closet, Undesignated Temporary Financial Aid, Weatherization Oakland Livingston Human Service Agency - Central Office 196 Cesar E. Chavez Ave., Pontiac, MI 48343 www.olhsa.org (248) 209-2600 Kelsey Krumney 5,000 Oakland and Livingston Counties A, F, L, N, V, W: Home Injury Control, Focus Hope, Resource Advocacy, Financial Assistance Oak Park Senior Center 14300 Oak Park Blvd., Oak Park, MI 48237 www.oakpark-mi.com/Recreation/Senior_Activities.htm (248) 691-7577 Lynn Davey 3,806 Oak Park A, B, C, H, I, K, 0, Q, R, S, T, U, V Oxford Veterans Memorial Civic Center 28 North Washington, Oxford, MI 48371 www.oxfordtownship.org (248) 628-9056 Theresa Hric Service Area: Oxford Twp. Services: A, N, R, 5, W: Social Activities Name: Address: Website: Telephone: Contact Person: Persons: Pleasant Ridge Community Center 4 Ridge Rd., Pleasant Ridge, MI 48069 http://cityofpleasantridge.org (248) 542-7322 Scott Pietrczak Service Area: Pleasant Ridge Services: W: Social Activities Name: Royal Oak Senior Center Address: 3500 Marais, Royal Oak, MI 48073 Website: www.ci.royal-oak.mi.us Telephone: (248) 246-3900 Contact Person: Paige Gembarski Persons: Service Area: Royal Oak Services: A, B, C, E, F, H, K, L, M, N, 0, P, Q, R, S, T, U, V Printed On: 7/1/2013 61 ANNUAL Gt MULTI YEAR IMPLEMENTATION PLANS 0Sq 2014-2016 OFIKO of Services to the ATeg Area Agency On Aging 1-B FY: 2014 Name: Santosh Multicultural Resource Center Address: 4205 Woodcreek Dr., Ypsilanti, MI 48197 Website: Telephone: (734) 930-1953 Contact Person: Chandana Sarkar Persons: Service Area: South Asian Elders Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Southeastern Michigan Indians Assoc., Inc. 26641 Lawrence St., Center Line, MI 48015 www.semii1975.org (586) 756-1350 Euphennia Franklin 432,000 Native American Elders and Macomb, Oakland, St. Clair Counties B, C, E, G, H, J, K, L, 0, T, U, V South Lyon Center for Active Adults 1000 N. Lafayette, South Lyon, MI 48178 http://www.slcs.us/Center_for Active_Adults.html (248) 573-8175 Linda Graham 5,020 City of South Lyon, South Lyon Twp., Green Oak Twp. A, D, E, G, H, 0, Q, S, V St. Anne's Senior Center/Warren Community Center 6100 Arden, Warren, MI 48092 Telephone: (586) 939-3110 Contact Person: Sister Mary Jane Kleindorfer Persons: Service Area: Warren Services: 0, S, V, W: Social Activities Name: Water Tower Park Center Address: 11345 Harold Drive, Luna Pier, MI 48157 Website: Telephone: (734) 848-8700 Contact Person: Wendy Colter Persons: Service Area: Erie Twp., LaSalle Twp., Luna Pier Services: C, K, 0, W: Social Activities Name: Address: Website: Telephone: Contact Person: Persons: Service Area: West Bloomfield Recreation Activities Center 4640 Walnut Lake Road, West Bloomfield, MI 48322 www.westbloomfieldparks.org (248) 451-1900 Dennis M. Troshak 13,000 West Bloomfield Township Printed On: 711/2013 62 ANNUAL SE MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Office of SOMCOS to the Ag,ng Area Agency On Aging 1-B FY: 2014 B, D, E, G, H, 0, P, Q, R, S, V Wixom Senior Citizen's Center 49045 Pontiac Trail Wixom, MI 48393 http://www.ci.wixom.mi.us/index.aspx?N1D=868 (248) 624-4557 Tracy McMahan Wixom B, D, E, H, J, 0, Q, R, S, V Bloomfield Jewish Community Center of West 6600 W. Maple Rd., West Bloomfield, MI 48322 www.jccdet.org (248) 661-1000 Mark Lit Services: Name: Address: Web site: Telephone: Contact Person: Persons: Service Area: Services: Persons: Service Area: Jewish Elders Services: B, C, D, E, F, G, H, J, 0, Q, R, S, V Name: Address: Website: Telephone: Contact Person: Persons: Milford Senior Center 1100 Atlantic St., Milford, MI 48381 www.villageofmilford.org/1/village/senior_centerasp (248) 685-9008 Nancy Hinzmann Service Area: Milford Twp. Services: C, H, K, 0, Q, R, S, V Name: Turner Senior Resource Center Address: 2401 Plymouth Rd., Ste. C, Ann Arbor, MI 48105 Website: http://www.med.umich.edu/geriatrics/community/turner.htm Telephone: (734) 998-9353 Contact Person: Rachel Dewees Persons: Service Area: Ann Arbor Services: B, C, D, E, G, H, L, 0, P, Q, S, V Name: Waterford Senior Center Address: 3621 Pontiac Lake Rd., Waterford, MI 48328 Website: www.waterford.k12.mi.us/seniorcenter Telephone: (248) 682-6134 Contact Person: Thomas Wiseman Persons: Service Area: Waterford Twp. Services: C, F, G, H, I, K, N, P, Q, S, U, V, W: Loan Closet Address: Name: Website: Telephone: Contact Person: Printed On: 7/1/2013 63 ANNUAL Et MULTI YEAR IMPLEMENTATION PLANS - 2014-2016 Mice Services to the Awng Area Agency On Aging 1-B FY: 2014 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Owen Jax Parks and Recreation Center 8207 East Nine Mile Road, Warren, MI 48089 www.cityofwarren.org (586) 757-7480 Becky Rose Warren C, 0, W: Social Activities Name: Ray Township Address: 64255 Wolcott Rd., PO Box 306, Ray, MI 48096 Website: www.raytwp.org Telephone: (586) 749-3358 Contact Person: Luanne KandeII Persons: Service Area: Ray Twp. Services: E, I, 0, P, R, S, T, W: Information and Referral, Social Activities Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Richmond Township Senior Center 75701 Memphis Ridge Road, PO Box 306, Richmond, MI 48062 (586) 727-6700 Cathy Wylin 890 Richmond C, I, 0, P, R, S, W: Information and Referral, Social Activities Shelby Township Senior Center 51670 Van Dyke Ave., Shelby Township, MI 48316 www.shelbytwp.org (586) 739-7540 Amy Drake 10,000 Shelby Township and Utica B, C, G, H, I, K, L, 0, P, Q, R, S, T, U, V Printed On: 7/1/2013 64 ANNUAL & MULTI YEAR IMPLEMENTATION PLAN 2014-2016 o the Agmg Area Agency On Aging 1-B FY: 2014 Other Grants and Initiatives 1. Describe other grants and/or initiatives the area agency is participating in with OSA and other partners. AAA Response: See Leveraged Partnerships section for additional initiatives. 2. Describe how these grants and other initiatives will improve the quality of life of older adults within the PSA. AAA Response: See Leveraged Partnerships section for additional initiatives. The AAA 1-B is involved in a variety of collaborations and development activities designed to enhance our ability to fulfill our mission, identify opportunities to achieve greater efficiencies, diversify our funding, reduce wait lists, and fill the gaps resulting from the increasing population and the loss of tax dollars. Implementation of strategic activities to address these issues are clearly outlined in our FY 2013-2015 Strategic Plan, which can be found at http://www.aaa1b.com/about-us/strategic-plan/. 3. Describe how these grants and other initiatives reinforce the area agency's planned program development efforts for FY 2013. AAA Response: See Leveraged Partnerships section for additional initiatives. The AAA 1-B is involved in a variety of collaborations and development activities designed to enhance our ability to fulfill our mission, identify opportunities to achieve greater efficiencies, diversify our funding, reduce wait lists, and fill the gaps resulting from the increasing population and the loss of tax dollars. Implementation of strategic activities to address these issues are clearly outlined in our FY 2013-2015 Strategic Plan, which can be found at http://www.aaa1b.com/about-us/strategic-plan/. 4. Describe the area agency's Creating Confident Caregivers initiative for FY 2013. AAA Response: For the past 3 years, AAA 1-B has worked hard to implement and coordinate the Creating Confident Caregivers (CCC) through the ADSSP grant. This includes the agency lead for CCC, Cathy Backos, and two other staff members trained as leaders for CCC. They along with partners from the Alzheimer's Association and volunteers including Sharon Gire, former Director of OSA, have reached hundreds of caregivers throughout our 6 county region with the CCC program. Beginning in Fiscal Year 2014, CCC will be provided in the 1B region through partner trainers and through 1B staff trainers. Through program development funds, two of the AAA 1B staff will continue to maintain their leader status and fill in gaps as needed for teaching the classes. AAA 1B will continue to provide technical assistance to partner trainers and promote the CCC program to caregiver, respite and other programs throughout the region. Printed On: 7/1/2013 65 Office of SL.rvice o the Aging ANNUAL et MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Area Agency On Aging 1-B FY: 2014 5. Describe the Area Agency MMAP initiatives for FY 2014. AAA Response: The AAA 1-B is committed to meeting the required performance measures for the MMAP program as determined by MMAP Inc., and Centers for Medicare and Medicaid Services. In FY 2014, the AAA 1-B will attain at minimum, 14,500 contacts with Medicare beneficiaries, reach 21,000 individuals through presentations and events and will meet the required performance measures overall and in each county as determined by MMAP Inc, for FY 2014. In addition, the AAA 1-B will meet established contacts with low income Medicare beneficiaries, disabled beneficiaries and dual eligible beneficiaries with a mental health disability. Medicare fraud prevention activities are an integral part of MMAP. The W 1-B will continue to provide, at minimum, 25 presentations on Medicare fraud during FY 2014 and will assist 100 beneficiaries with reporting fraud and abuse. The AAA 1-B will continue to have a strategic plan for the recruitment of strong volunteers to support the MMAP program. In FY 2013, the AAA 1-B used radio advertising on key stations that reach a demographic of professional retirees to recruit and train 20 new MMAP volunteers. A similar strategy will be used again in FY 2014, dependent on funding availability, with at minimum, one MMAP training for new volunteers provided and possibly additional trainings depending on the capacity of MMAP Inc and the implementation of web-based training. As a result of the recommendations of AAA 1-B's Ad Hoc Study Report on Long-Term Care Insurance, MMAP will develop a toolkit to to assist consumers in understanding the complexity of long-term care insurance. MMAP has been actively engaged with the development of the ADRC of Southeast Michigan (ADRCSEM) , has participated in all community meetings and is represented on the Leadership Council for ADRCSEM. Printed On: 7/1/2013 66 Expenditures FTEs 1. Salaries/Wages 17.00 707,840 2. Fringe Benefits 211,144 3. Office Operations 216,809 Total: 1,135,793 en-Kind Match Detail Amount IlSource 20,000 Board/Advisory Council 60,000 Caregivers 228,801 51,962 27,308 Total: 80,000 Total: 923,884 13,580 37,577 165,012 543,718 645,193 863,653 330,355 ash Match Detail Source 788,243 nterest Income 1,580,538 County match Amount 9,000 37,887 46,887 Agency: Area Agency on Aging PSA: 1-B ERVIL.S SUMMARY SUPPOR I IVE NUlFIllON FUND SOURCE SERVICES SERVICES . Federal Title III-B Services 2,188,616 2. Fed. Title III-C1 (Congregate) 3. State Congregate Nutrition 4. Federal Title III-C2 (HDM) 5. State Home Delivered Meals 8. Fed. Title III-D (Prey. Health) . Federal Title III-E (NFCSP) 10. Federal Title VII-A 10. Federal Title VII-EAP 11. State Access 12. State In-Home 3. State Alternative Care 14. State Care Management 16. St. ANS & St NHO 17. Local Match a. Cash b. In-Kind 18. State Respite Care (Escheat) 19. Merit Award Trust Fund 20. TCM/Medicaid & CMP 21.NSP 22. Program Income 1,207,309 52,306 2,677,511 ,900,274 51,723 923,884 13,580 37,577 65,012 543,718 645,193 863,6573. 330,36-5- 788,243 931,938 648,600 228,801 851,962 27,308 ,380,522 757,638 I 2,304,901 4 /MCI )1 I FY 2014 AREA PLAN GRANT BUDGET Rev. 3/2013 1,380,522 062,539 10/01/2013 to 9/30/2014 Rev. No.: .01 Page 1of 3 MMINISTIWITCYN Local Gash I Local In-Kind otal 1,008,906 670.60T-47767 1,135,793 46,887 80,000 /94,338 I 137,892 76,676 Budget Period: Date: 06/20/13 TOTAL Federal Adminlitration Revenues 2,188,616 State Administration 1,207,309 MATF Administration 52,306 Other 2,677,511 1 otal: ,900,274 151,723 Chief Executive Officer Title I certify that I am authorized to sign on behalf of the Area Agency on Aging. This budget represents necessary costs for implementation of the Area Plan. Adequate documentation and records will be maintained to support required program expenditures. 06/20/13 Date Agency: PSA: Area Agency on Aging FY 2014 AREA AGENCY GRANT FUNDS - SUPPORT SERVICES DETAIL Budget Period: Date: 10/01/2013 to Rev. No.: 9/30/2014 Rev. 3/2013 page 2 of 3 1-B 06/20/13 .01 SERVICE CATEGORY Title III -B Title III -D Title III - E Title VII State Access State In Home St. Alt Care State Care Mgmt St ANS St NIH , St Respite (Escheat) Merit Award Trust Fund I Ufvf-mecicald .CM7P'Ytind Program Income Cash Match In-Kind Match TOTAL 1. Access a. Care Management 55,000 50,000 165 012 8E3,653 283,416 1,417,081 b. Case Coord/supp 330,000 127 000 - • . 114,250 571,258 c. Disaster Advocacy - - - - - d. Information & Assis 40,000 160,000 28,000 1,000 20.000 37,000 286,008 e. Outreach 264,687 151,305 129,320 6,100 106,320 30,008 687,748 f. Transportation 21,000 21,000 5,000 - - 11,750 58,758 2. In Home a. Chore 334,373 77,420 58,270 25,323 495,388 b. Home Care Assis - - - - - c. Home Injury Cntrl 58,621 8,860 11,673 2,982 82,138 d. Homemaking _ - - - e. Home Health Aide - - f. Medication Mgt 10,000 - - 2,500 12,508 g. Personal Care - - - - h. Assistive Device&Tech 25,00 - 6,250 31,258 i. Respite Care 25,930 211,570 - 35,0CC, 45,000 41,668 79,625 439,793 j. Friendly Reassure - - - - 3 Legal Assistance 175,386 9,200 36,268 7,579 228,433 4 Community Services a. Adult Day Care 20,000 - 390,000 - - 5,000 415,008 b. Dementia ADC 53,760 20,000 208 , 100,000 335,286 424,548 109,231 70,133 1,321,368 c. Disease Prevent - 151,723 - 12,656 26,053 11,878 202,318 d Health Screening - - - - - e Assist to Deaf 45,408 368 7,719 3,633 57,128 fHome Repair . - - - - g LTC Ombudsman 27,019 13,580 9066t 73035 27,308 100 18761 16,475 176,278 h. Sr Ctr Operations - - - - i. Sr Ctr Staffing - - j. Vision Services 20,000 - 5,000 25,000 k. Elder Abuse Prevnt 37,577 300 8,432 962 47,271 I. Counseling - - m. Spec Respite Care - - - n. Caregiver Supp m - - ci. Kinship Support - 25,000 418 2,778 28,196 q. Caregiver E S,T - 7,000 - ., 1,750 8,750 5. Program Develop 421,318 - 2,000 103,330 526,648 6 Region Specific a. 261,114 151,212 543,718 436,782 192,801 175,000 380,738 113,094 2,254,256 CLP/ADRC Services - - - MATF administration 76,676 76,676 SUPPRT SERV TOTAL 2,198.616 151,723 923,884 51157 65,012 543,718 645,193 663,653 330,355 228.301 851,962 27308 700J8 788,243 931,638 9,449 201 Cash/In-Kind Match TOTAL 4. Home Health Aide 5. Meal Preparation/HDM 6. Personal Care Respite Service Total FY 2014 AREA PLAN GRANT BUDGET-TITLE E- KINSHIP SERVICES DETAIL SERVICE CATEGORY Title III-B Title III-E Program Income Kinship Ser, Amounts Only 1. Caregiver Sup. Services 2. Kinship Support Services 25,000 418 3. Caregiver E,S,T 4, Agency: PSA: FY 2014 NUTRITION / OMBUDSMAN Area Agency on Aging / Budget Period: Date: RESPITE / KINSHIP 10/01/2013 to Rev. Number - PROGRAM 9/30/2014 BUDGET DETAIL Rev. 3/2013 page 3 of 3 1-B 06/20/13 .01 FY 2013 AREA PLAN GRANT BUDGET - TITLE III-C NUTRITION SERVICES DETAIL SERVICE CATEGORY Title III C-1 Title III C-2 State Congregate State HDM NSIP Program Income Cash Match In-Kind TOTAL Match Nutrition Services 1. Congregate Meals 1,176,538 52,306 276,104 414,550 - 136,538 2,056,036 2. Home Delivered Meals 2,644,920 1,900,274 1,104,418 1,890,35 505,022 8,044,985 3 Nutrition Counseling - - i - - 4 Nutrition Education - - - - - - 5 AAA RD/Nutritionist" 30,771 32,591 - - 7,040 70,402 Nutrition Services Total 1,207,309 2,677,511 52,306 1,900,274 1,380,522 2,304,901 - 648,600 10,171,423 *Registered Dietitian, Nutritionist or individual wi h comparable certification, as approved by OSA. FY 2014 AREA PLAN GRANT BUDGET-TITLE VII LTC OMBUDSMAN DETAIL SERVICE CATEGORY Title III-B Title VI-A Title VII-EAP State NHO CMP Fund Program Income Cash Match In-Kind Match TOTAL LTC Ombudsman Services 1. LTC Ombudsman 27,019 13,580 73,035 27,308 100 18,761 16,475 176,278 2. Elder Abuse Prevention - 37,577 300 8,432 962 47,271 3. Region Specific - - - LTC Ombudsman Ser. Total 27,019 13,580 37,577 73,035 27,308 400 27,193 17,437 223,549 SERVICES PROVIDED AS A FORM OF RESPITE CARE 1. Chore 2 Homemaking 3. Home Care Assistance FY 2014 AREA PLAN GRANT BUDGET- RESPITE SERVICE DETAIL State In-Home I Merit Award Program I Trust Fund Income Title III-B Title III-E State Alt Care State Escheats FY 2014 Planned Services Summary Page for PSA: Service Budgeted Percent of Funds the Total Method of Provision Purchased ; Contract Direct ACCESS SERVICES . Care Management $ 1,417,081 7.2% x : x Case Coordination & Support $ 571,250 2.9% x x Disaster Advocacy & Outreach Program - 0% Information & Assistance $ 286,000 1.5% x x Outreach $ 687,740 3.5% x x x Transportation $ 58,750 0.3% x IN-HOME SERVICES Chore $ 495,386 2.5% x Home Care Assistance $ - 0% Home Injury Control $ 82,136 0.4% x Homemaking $ - 0% Home Delivered Meals $ 8,044,985 41.0% x x Home Health Aide $ - 0% Medication Management $ 12,500 0.1% x Personal Care $ - 0% Personal Emergency Response System $ 31,250 0.2% x Respite Care $ 439,793 2.2% x x Friendly Reassurance $ - 0% COMMUNITY SERVICES Adult Day Services $ 25,000 0.1% x Dementia Adult Day Care $ 1,321,369 6.7% x x Congregate Meals $ 2,056,036 10.5% x Nutrition Counseling $ - 0% Nutrition Education $ - 0% Disease Prevention/Health Promotion $ - 0% Evidence Based Disease Prevention $ 202,310 1.0% x x ssistance to the Hearing Impaired & Deaf $ 57,128 0.3% x Home Repair $ 0% Legal Assistance $ 228,433 1.2% x Long Term Care Ombudsman/Advocacy $ 176,278 0.9% x Senior Center Operations $ 0% Senior Center Staffing $ 0% Vision Services $ 25,000 0.1% x Programs for Prevention of Elder Abuse, $ 47,271 0.2% x Counseling Services $ 0% Specialized Respite Care $ 0% Caregiver Supplemental Services $ 0% . Kinship Support Services $ 28,196 0.1% . x Caregiver Education, Support, & Training $ 8,750 0.0% x : x AAA RD/Nutritionist $ 70,402 0.4% x PROGRAM DEVELOPMENT $ 526,648 2.7% REGION-SPECIFIC $ 0% , ' CLP/ADRC Services 2,644,256 13.5% x MATF administration $ 76,676 0.4% x . TOTAL PERCENT 100% 18.2%; 72.4%; 9.4% TOTAL FUNDING $ 19,620,624 $3,577,857 ; $14,202,963 ; $1,839,804 Services to the Aging Area Agency On Aging 1-B 2014-2016 FY: 2014 ANNUAL et MULTI YEAR IMPLEMENTATION PLANS I Appendices Printed On: 7/1/2013 ANNUAL ik MULTI YEAR IMPLEMENTATION PLANS C1== Or of er. to the Autna Area Agency On Aging 1-B 2014-2016 FY: 2014 APPENDIX A Board of Directors Membership Asian/Pacific Islander African American Native American/ Alaskan Hispanic Origin Persons with Disabilities Female Total Membership Membership Demographics 0 3 0 0 2 7 19 Aged 60 and Over 0 2 0 0 2 4 10 Name of Board Member Geographic Area Affiliation Elected Official Appointed Community Representative Vurn Bartley, Jr. St. Clair County Older Adult Representative Yes Kathy Crawford Oakland County Oakland County Commissioner Yes Jan Dolan Oakland County Older Adult Representative Yes David Domas Livingston County Livingston County Board of Commissioners Yes Walter Ernst Livingston County Older Adult Representative Yes Sandra Hann Macomb County Older Adult Representative Yes Andrew Hetzel Public Relations Yes Amin Irving Corporations/Foundatio ns Yes Andrew LaBarre Washtenaw County Washtenaw County Board of Commissioners Yes Dr. Peter Lichtenberg Gerontology/Geriatrics Yes Robert McMahon Regional Planning Yes Thomas Miree Washtenaw County Older Adult Representative Yes Toni Moceri Macomb County Macomb County Board of Commissioners Yes Printed On: 7/1/2013 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS - 2014-2016 Office cf Servtces to the Aging Area Agency On Aging 1-B FY: 2014 Tom Reilly St. Clair County St. Clair County Board of Commissioners Yes Mark Rottermond Finance Yes Barbara Turner Monroe County Older Adult Representative Yes Jason Turner Monroe County Monroe County Board of Commissioners Yes Jamie Verdi Legal Yes Karen Wintringham Healthcare/Health Insurance Yes Printed On: 71112013 Y.S,NV osa Office of Services to the Acing Area Agency On Aging 1-B 2014-2016 FY: 2014 ANNUAL (cat MULTI YEAR IMPLEMENTATION PLANS APPENDIX B Advisory Board Membership Asian/ Pacific Islander African American Native American/ Alaskan Hispanic Origin Persons with Disabilities Female Total Membership Membership Demographics 1 3 0 0 3 9 21 Aged 60 and Over 0 2 0 0 3 6 12 Name of Board Member Geographic Area Affiliation Beth Adams Public Sector Representative Ann Arbor Meals on Wheels Kellie Boyd Private Sector Representative Disability Network of Oakland and Macomb Jeff Brown Public Sector Representative Oakland County Community Mental Health Authority Shenlin Chen Public Sector Representative Association of Chinese Americans, Inc. (Service Provider) Gloria Edwards Washtenaw County Older Adult Representative Steve Faine Oakland County Older Adult Representative Jim Forrer Oakland County Older Adult Representative Bob Fox Livingston County Older Adult Representative Dennis Griffin Oakland County Older Adult Representative Catherine Martin Public Sector Representative UAW Retirees Mark McDowell Private Sector Representative MPRO Floreine Mentel Monroe County Older Adult Representative Theresa Monsour Macomb County Older Adult Representative Tom Rau Private Sector Representative Nexcare Health Systems, Printed On: 7/1/2013 ANNUAL eat 11ULTI YEAR IMPLEMENTATION PLANS 2014-2016' orrice el Services to the At-ring Area Agency On Aging 1-B Dan Sier Mark Swanson Sue-Anne Sweeney SaraMarie Watson Travis Kelly Aaron Goldsmith Thomas Zaremba Vacant Vacant Macomb County Livingston County Private Sector Representative Macomb County Private Sector Representative Public Sector Representative Macomb County St. Clair County FY: 2014 LLC Older Adult Representative Older Adult Representative Madonna University Department of Gerontology Older Adult Representative All Valley Home Care (Service Provider) Veteran's Administration Older Adult Representative Older Adult Representative DHS Printed On: 7/1/2013 ANNUAL 13E MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Office of Services to the AThg Area Agency On Aging 1-B FY: 2014 APPENDIX C Proposal Selection Criteria Date criteria approved by Area Agency on Aging Board: 03/22/2013 At the March 2013 Board of Directors meeting, the Board of Directors appoints members of the AAA 1-B Board and the Advisory Council to serve as Application Review Committe (ARC) members. The ARC is responsible for reviewing all provider applications submitted through the FY 2014-16 REP process. The ARC uses a standardized tool to review all applications. Applications are due in early June. The ARC reviews applications through June and meets in early July to determine the awarded applicants and funding levels. The ARC's recommendations are reviewed and approved at the July Board of Directors meeting. Award letters are sent out the following week and contracts become effective October 1, 2013. All providers are required to submit a narrative, budget, proposed clients and units, as well as programmatic and targeting objectives and plans. While the application forms and the application review tools are tweaked for each application cycle, the general selection criteria remains similar to previous years. Printed On: 7/1/2013 1 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS O 2014-2016 officeLls. „.,„e Ag ng Area Agency On Aging 1-B FY: 2014 APPENDIX D Agreement for Receipt of Supplemental Cash-In-Lieu of Commodity Payments for the Nutrition Program for the Elderly The above identified agency, (hereinafter referred to as the GRANTEE), under contract with the Michigan Office of Services to the Aging (OSA), affirms that its contractor(s) have secured local funding for additional meals for senior citizens which is not included in the current fiscal year (see above) application and contract as approved by the GRANTEE. Estimated number of meals these funds will be used to produce is: 217,000 These meals are administered by the contractor(s) as part of the Nutrition Program for the Elderly, and the meals served are in compliance with all State and Federal requirements applicable to Title Ill, Part C of the Older Americans Act of 1965, as amended. Therefore, the GRANTEE agrees to report monthly on a separate OSA Financial Status Report the number of meals served utilizing the local funds, and in consideration of these meals will receive separate reimbursement at the authorized per meal level cash-in-lieu of United States Department of Agriculture commodities, to the extent that these funds are available to OSA. The GRANTEE also affirms that the cash-in-lieu reimbursement will be used exclusively to purchase domestic agricultural products, and will provide separate accounting for receipt of these funds. Printed On: 7/1/2013 Deaf &Hearing Impaired Services, Inc. — 25882 Orchard Lake Rd., Suite 100, Farmington Hills, 1VH 48336 248-473-1888 April 1,2013 Tina Abbate Marzolf, Executive Director 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Re: Community Forums — Written comments Deaf & Hearing Impaired Services, Inc. would like to thank Area Agency on Aging 1-B for the opportunity to speak to the specific issue of needs for Deaf and hard of hearing older adults, needs of the older adult population of Michigan with a focus on all persons with disabilities. There is an increase in needs for interpreting services in the medical setting for Deaf older adults. This is most clearly due to the passage of the Americans With Disabilities Act whereby many of the physicians and hospitals became aware of the responsibility under the ADA to provide such auxiliary services. With the passage of PA 204— Deaf Interpreter Act — of 2007, clear State of Michigan guidelines were directed to be established. Currently under the Michigan Dept. of Civil Rights, the Division on Deaf and Hard of Hearing (DODHH) there are Proposed Rules and Regulations mandating strict requirements for interpreters and Appointing Authorities that will directly affect service delivery to the Deaf population. Briefly, Michigan has an extreme Shortage of Sign Language Interpreters. Michigan is 8 th in Deaf population of the 50 states and it is only 47 th in the number of its Michigan Interpreters. With the onset of the aging population, specifically baby-boomers, there is a senior tsunami nationwide. Specifically, there is a growth in need for Deaf senior citizens to have access to sign language interpreters to access public services and most important is to access health care and health treatment. I encourage Area Agency on Aging 1-B to continue its funding to provide its Region 1B Deaf older adult population with interpreting services so that they may have equal access to public services and health treatment. Additionally, Hearing Loss is the 4th most chronic disease. There is a tremendous need to identify persons with hearing loss through the provision of hearing screenings with appropriate evaluations and referrals. Our Agency (DHIS) provides free hearing screenings for the older adults of Region I-B at local senior centers and churches. Please note that hearing loss is the most isolating of disabilities separating man from man. Without adequate hearing, older adults tend to isolate. There is potential for mental health challenges occurring due to the isolation. Identifying persons with hearing loss is crucial to their health. Providing the follow up referrals and necessary information regarding listening and signaling devices is vital to seniors living with a chronic disease. Re a din• the Deaf: The Ian ua e of the Deaf is a visual Ian ua e and is dead not a written Ian ua e. Additionally, the Deaf have their own separate and unique culture. Interpreters for the Deaf are trained bilingually and biculturally. The DeafBlind older adults have their own separate culture as well as use American Sign Language in a Tactile mode. They have specific and unique needs to access servicees. Therefore, to effectively and efficiently meet the communicating language of the Deaf, even more crucial in the Medical setting, it is imperative that interpreting services be provided through the use of a qualified/certified interpreter. It is at our DHIS satellite sites in southeast Michigan that the Deaf come for individual client assistance by our interpreting/social work staff. Medical, Hearing Screenings, Outreach and Social Services are coordinated with Deaf & Hearing Impaired Services, Inc. and other community based service providers. Often transportation has to be arranged and TTY relay/video phone relay as well. Regarding older adults with hearing loss: Hearing loss is the most isolating of all the disabilities. Indeed, hearing loss separates 'man from man'. There are approximately 90,000 Deaf and over 500,000 hard of hearing in Michigan. Over 51% of that number reside in southeast Michigan Group Programs are essential for the Deaf older adult. It is through Group Programming that the Deaf learn about the aging process and how to care for their health. Literature is not sufficient for the Deaf to obtain information. The Deaf need Group Programs with an Interpreter/Program Coordinator who will establish the Programs and provide the necessary interpreting for the 'Speaker'. The Group Programs that are an integral part of the 18 satellite sites of Deaf & Hearing Impaired Services, Inc. are critical in preventing the Deaf from isolating in their homes. Interesting Programs, hot nutrition, informational sessions, speaker series, and the critical social work that is done at the DI-ITS satellite sites bring the Deaf into the Group Setting. Support Groups for the hard of hearing are essential as they provide opportunity for the older adult adjusting to hearing loss to meet with others like themselves and to share and receive information concerning hearing aid appliances, coping strategies, activities, as well as assistive listening and signaling equipment etc. Deaf & Hearing Impaired Services, Inc. supports the Medicaid Waiver Program for Michigan's older adults. Statistics have revealed how critical the program is in preventing premature nursing borne placement. Interpreting Services are provided by Deaf & Hearing Impaired Services, Inc. in Region 1B as part of the Medicaid Waiver program. The Interpreting Services are that most needed linkage for clear understanding for the Deaf patient and the Deaf family. Deaf & Hearing Impaired Services. Inc. encourages Area Agency on Aging 1-B to continue to provide fimding for face-to-face services for the Deaf and hard of hearing older adult populations through group programs and individual client services that are provided by qualified/certified interpreters/program coordinators . The goal is to provide equal access to medical care and treatment for Deaf older adults to assist them in aging in place. The Deaf population, at large, due to its economic status have often gone without services if there is a charge for those services. They have a tremendous tendency, due to the hearing loss, to isolate. It is imperative for their healthy mental functioning to have socialization opportunities that stimulate language usage. By providing the socialization opportunities and the no cost individual interpreting/case coordination/interpreting services for the Deaf- service providers are able to decrease dependency on entitlement programs, provide a barrier to poverty, a deterrent to mental deterioration which — in turn- reduces dependence on society but encourages independence and dignity. It is from the experience of DHIS with the Deaf and hard of hearing populations that we encourage that we encourage Area Agency on Aging 1-B to continue to fund services for the Deaf and hard of hearing populations in Region 1-B to meet the disability needs for equal access to healthcare and community services. Sincerely, Linda M. Booth, Executive Director $0,1rBEING, 1423 Field Avenue, Detroit, Michigan 48214 (313) 924-7860 Administration www.awbs.org TESTIMONY FOR AAA 1-B FY 2014-2016 MULTI YEAR PLAN AND F Y 2 0 1 4 AREA IMPLEMENTATION PLAN May 30, 2013 Karen Schrock, President & CEO Adult Well-Being Services On behalf of Adult Well-Being Services (AWBS), we are here to express support for AAA1-B's proposed FY 2014-2016 Multi-Year Plan and FY 2014 Area Implementation Plan. AWBS speaks on behalf of more than 18,000 seniors, adults with mental illness, developmental disabilities and/or substance use disorder, grandparents raising grandchildren, other caregivers and their families. Our reach extends into 24 Michigan counties: Through our 60 years of working with older adults, AWBS has seen first-han d the need for increased advocacy, health and wellness initiatives, caregiver programs, long term supports and collaboration with organizations that have similar missions. Currently, we are partnering with AAA1-B in several ways, including a program to provide evidence-based disease prevention and education to older adults in Macomb and Oakland Counties. Based on our working relationship with AAA 1-B and our interest in future collaborations, we would like to comment on your implementation plans. AAA 1-B is a leader in advocacy for older adults. Your newsletters and leadership in thi s area continue to guide our own work in advocacy and policy. Going forward, we would like to encourage and emphasize the need for even more Hanes among our advocacy efforts. For example, we would be interested in Working with your staff to revitalize the tii-county state budget advocacy coalition to focus on funding and tax policy issues affecting senior and community mental health programs. AWBS provides guardianship and conservatorship services to older adults. In this as well as other programs, we witness the horrific effects of elder abuse and exploitation, the majority of which is perpetrated by family members. Elder abuse prevention and education is an area where efforts are respectable but nevertheless remain too sporadic and "shoed". This is an another issue that calls for greater regional collaboration in order to increase impact. AAA1a is an active participant in The. Senior Regional Collaborative's advocacy efforts. This may be a venue in which to expand regional professional trainings, one of the multi- year plan objectives. Regarding training, we are pleased by the inclusion of training service providers on mental health issues because this is greatly needed. There is also a need to address substance use, particularly of alcohol and prescription drugs, among adults 60 and older. It is one of the fastest growing health problems in the country audit remains underestimated, under-identified, under-diagnosed, and under-treated. AWBS stands ready to offer its expertise to train providers about working with adults who have severe mental illness and/or co-occurring substance use problems. We look forward to continuing to work together to achieve our shared goal to help improve the quality of life for older adults in the region and state. Thank you. OPP1611104*47400110ktly.,;.*0.040,4,isifide.;1953 - Andrea MuIheisen Subject: FW: Area Implementation Plan (AIP) - Thank You TO: Andrea Mulheisen FROM: Judy Lewis, Project Administrator for the LGBT Older Adult Coalition SUBJECT: LGBT Older Adults—A Population at Risk DATE: May 31, 2013 As a result of yesterday's conference call and a good deal of conversation among my colleagues who sit on the LGBT Older Adult Coalition, I want to thank you for including the lesbian, gay, bisexual and/or transgender (LGBT) older adult population in the Area Agency on Aging 1-B (AAA 1-B) Fiscal Year 2014-16 Area Implementation Plan (AIP). While there are no reliable census bureau statistics on the number of LGBT people living in Michigan, the National Gay and Lesbian Task Force makes a compelling argument for calculating a percentage of the population that identifies as lesbian, gay, bisexual or transgender (LGBT) and places that figure at about 5%- 10%. Erring on the conservative side, at just 5% and based on Michigan's 2010 Census Bureau statistics, there are currently 68,077 LGBT people aged 65 and up living in Michigan. Another 62,600 are 55-64 years old and will join the retirement age by 2020. This is a significant block of seniors, with older adult care and living services ill-equipped to respectfully treat this marginalized group of people. RISK FACTORS Lesbian, gay, bisexual and transgender (LGBT) older adults face serious challenges as they age. 9 out of 10 LGBT older adults have no children to help care for them as compared to 2 out of 10 heterosexual older adults. In addition, LGBT older adults have often been ostracized from an extended network of family members, based on their sexual orientation or gender identity. As a result, LGBT older adults tend to form extended friend networks or "chosen families" that they rely on, to help care for them at times of need. Unlike heterosexual family structures that are inter-generational, chosen families tend to be comprised of peers who are, as they age, facing the same care challenges. ti 7 Out of 10 LGBT older adults live alone as compared to 3 out of 10 heterosexual older adults. The social isolation of living alone, compounded by the fears of allowing homecare, chore-service, and other fay and professional staff into one's home create a significant barrier for care. LGBT older adults often feel they have no one to call in times of need. In addition, they feel especially vulnerable in the hands of strangers coming into their homes who may mistreat them based on their sexual orientation or gender identity. The transgender community in particular is significantly less likely to call for help, in order to avoid mistreatment or disrespect. LGBT older adults are nearly 3 times as likely to live in poverty as heterosexual older adults. The There are a number of factors contributing to this: LGBT people still face tremendous discrimination in the workplace, including a lack of legal protection in Michigan, allowing individuals to be legally fired for their sexual orientation or gender identity. When employed, they have been found to earn less than their heterosexual counterparts and are penalized with fewer employment perks, such as healthcare benefits for their partners. Denied the benefits of legal marriage, there are a few legal contracts available to help protect one's assets, but not enough. LGBT adults have difficulty putting the 1 necessary measures in place. Additionally, LGBT seniors in long-term relationships who attempt to access Medicaid benefits may risk impoverishing their partner in order to qualify. The National Resource Center on LGBT Aging continues to gather additional research on this population. Preliminary findings also show that LGBT older adults are: At higher risk for mental health issues and substance abuse More likely to suffer from some health conditions including HIV — one in ten LGBT older adults will be managing their HIV infection as a senior. Many thanks for your continued efforts on behalf of this marginalized population. If you have any questions or concerns, please do not hesitate to contact us. THE LGBT OLDER ADULT COALITION I wvvw.IqbtolderaduIts.com Visit our website for more information about meetings and trainings For more information, contact: Jay Kaplan, Co-Chair Kaplan@aclumich.org/ 313-578-6800 Kathleen LaTosch, Co-Chair KLaToschPemail.com / 248-807-1557 Judy Lewis, Project Administrator jewelewisPhotmail.com/ 248-424-9513 2 May 31, 2013 To AAA 1B; Silver Club Programs, under the auspices of the University of Michigan Geriatrics Center, provides a structured safe and supportive 5 day a week program for older adults with middle stage dementia. Services include cognitively therapeutic social activities, lunch and snacks, small group activities, dai l y exercise, music therapy, creativity based art and mental stimulation. Silver Club provides needed support for families, an alternative to long term care placement allowing our members to continue t o stay at home. We are the only dementia specific program with a full spectrum of services from diagnosis through middle stage of dementia. AAA has provided funds which have allowed us to provide our program to qualifying members and thei r families. Because of Silver Club care givers are able to continue to work. The day program eliminates the need for home companion services. It was reassuring to see that our services are a top priority for MA. We look forward to our continued partnership in our mission of serving this vulnerable and growing population. Doug Dault Director Silver Club Programs University of Michigan Geriatrics Center 2401 Plymouth Rd. Ann Arbor, M148105 Revised 06/13 Advocacy • Action • Answers on Aging Area Agency on Aging 1- Priority Rating Service Average Priority Rank Highest Priority ' Personal Care i-Home Respite Care Management _ Ylhf-6.lit-40.1i0*aStib:Ce‘ Homemaking Home Injury Control Adult Day Health Service ChdreSeMce Medication Management 91.1V,:PfellOgneliteSPRP.', „Legal Services _ Volunteer Congregate Meals 0016040,140.0:L. Long Term Care Ombudsman Health Benefits Education ..:',4400.00(C.OIA04$1 Grandparents Raising Grandchildren 24 Vision Services Lower Priority — motitid ,deoro:00:10::m#0..2.94;tosoopb 6 weighted data sources: pid-ii.:AdOif,S0r,i,.01/.$:iii.oryi,..5-i-coltitifitiriitii FON rns 013:StIlve. ServIce.PrOvider$_St Advoca tes : 2O '?•."As :ca i cAtoi=.5i.ottsti.es 2011 NatiOnal •erV.,(0:190niaind Liata (toure.::0601:101:4$00010h ,;Of Stato unite0-fige.Aging*Pipb,ijities, 100:R6601.o etoco%coli,000,40.F.OtO: . . . . , • • • - _ : j0110.1d0MiChtpniaiii"S•:poir Agir4HealthyliChigari..00ffoto. 7'7 24.60 AAA 1-13 Services Priority Ranking Fiscal Years 2014-16 The Area Agency on Aging 1-B, established in 1974, is a non-profit 501(c)3 agency responsible for services to more than 540,000 persons age 60 and older residing in Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw count i e s For more information on these services, visit www.aaa1b.com or call 800-852-7795 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS nSA 2014-2016 Office of 51..16.1.10 ,hta Aoin SIGNATURES This document covers Fiscal Year 2014. This document becomes valid upon approval by the Michigan Commission on Services to the Aging. It may be conditionally approved subject to all general and/or special conditions established by the Commission on Services to the Aging. This signature page may substitute for required signatures on documents within the documents if those documents are specifically referenced on this signature page. The signatories below acknowledge that they have reviewed the entire document including all budgets, assurances, and appendices and they commit to all provisions and requirements of this Annual Implementation Plan. Signature of Chairperson, Board of Directors - 62' Date 1 3 Type/Print Chairperson's Name AM-N n -1--)1Vi n Signature of Area Agency on Aging Director CIAL7t-t-P-- }-1,go(-n (------- ___/ Date - (0 / ZS I 3 Type/Print Area Agency Director Name 1-.1 n ek nbbate. - mox-z_ 0 k-C I Area Agency on Aging Pc Pk -A n — Documents referenced by the signature page: • FY 2014 Area Plan Grant Budget • FY 2014 Direct Service Budgets • Request to Transfer Funds • Waiver for Direct Service Provision • Assurance and Certifications • Assurance of Compliance With Title VI of Civil Rights Act of 1964 • Regional Service Definitions • Agreement for Receipt of Supplemental Cash-in-Lieu of Commodity Payments for the Nutrition Program for the Elderly • Waiver of Minimum Percentage for a Priority Service Category MICHIGAN OFFICE OF SERVICES TO THE AGING a ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) ASSURANCES AND CERTIFICATIONS The undersigned agency, designated by the Michigan Commission on Services to the Aging to act as the Area Agency on Aging within a given planning and service area, agrees to the following: 1. That the Annual implementation Plan shall cover the current Fiscal Year. 2. To administer its Annual Implementation Plan in accordance with the Older Americans Act, the Older Michiganians Act, federal and state rules, and policies of the Michigan Commission on Services to the Aging as set forth in publications and policy directives issued by the Michigan Office of Services to the Aging. 3. To make revisions necessitated by changes in any of the documents listed in point two in accordance with directives from the Michigan Office of Services to the Aging. 4. That any proposed revisions to the Annual Implementation Plan initiated by the Area Agency on Aging will be made in accordance with procedures established by the Michigan Office of Services to the Aging. 5. That funds received from the Michigan Office of Services to the Aging will only be used to administer and fund programs outlined in the Annual Implementation Plan approved by the Michigan Commission on Services to the Aging. 6. That the Area Agency on Aging will undertake the duties and perform the project responsibilities described in the Annual Implementation Plan in a manner that provides service to older persons in a consistent manner over the entire length of the Annual Implementation Plan and to all parts of the planning and service area. 7. That program development funds will be used to expand and enhance services in accordance with the initiatives and activities set forth in the approved Area Implementation Plan. 8. That all services provided under the Annual implementation Plan are in agreement with approved service definitions and are in compliance with applicable minimum standards for program operations as approved by the Michigan Commission on Services to the Aging and issued by the Michigan Office of Services to the Aging, including Care Management. 9. That the Area Agency on Aging will comply with all conditions and terms contained in the Statement of Grant Award issued by the Michigan Office of Services to the Aging. 10. That the Area Agency on Aging may appeal actions taken by the Commission on Services to the Aging with regard to the Annual Implementation Plan, or related matters, in accordance with procedures issued by the Michigan Office of Services to the Aging in compliance with the requirements of the Older Michiganians Act and Administrative Rules. 11. That the AAA will coordinate planning, identification, assessment of needs, and provision of services for older individuals with disabilities, with particular attention to individuals with severe disabilities, and with agencies that develop or provide services for individuals with disabilities. OSA 01.2010-01} 12. That the AM has in place a grievance procedure for eligible individuals who are dissatisfied with or denied services. 13. That the AAA will send copies of the Annual Implementation Plan to all local units of government seeking approval as instructed in the Plan Instructions. 14. That the Area Agency on Aging Governing Board and Advisory Council have reviewed and endorsed the Annual Implementation Plan. 15. That the Area Agency on Aging will comply with Federal Regulation 2 CFR, part 180 and certifies to the best of its knowledge and belief that its employees and subcontractors are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department. 16. That the Area Agency on Aging will comply with all conditions and terms of Title Vi of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title IX of the Education Amendments of 1972, and the Age Discrimination Act of 1975. The Applicant agrees that compliance with this assurance constitutes a condition of continued receipt of Federal financial assistance, and that it is binding upon the Applicant, its successors, transferees and assignees for the period during which such assistance is provided. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant further recognizes and agrees that the United States shall have the right to seek judicial enforcement of this assurance. 17. That the Area Agency on Aging will comply with all conditions and terms of The Elliot Larsen Civil Rights Act, PA 453 of 1976 and the Persons With Disabilities Civil Rights Act, PA 220 of 1976. The Applicant provides this assurance in consideration of and for the purpose of obtaining State of Michigan Federal grants, loans, contracts, property, discounts or other State and Federal financial assistance from the Michigan Office of Services to the Aging. The signatory on the Signature Page indicates that the Area Agency on Aging is submitting the current Fiscal Year Annual or Multi-Year Implementation Plan that describes the initiatives and activities which will be undertaken on behalf of older persons within the planning and service area. We assure that these documents and subsequent Annual Implementation Plans represent a formal commitment to carry out administrative and programmatic responsibilities and to utilize federal and state funds as described. 0S:101/2010-W1) MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Assurance of Compliance ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964, SECTION 504 OF THE REHABILITATION ACT OF 1973, TITLE IX OF THE EDUCATION AMENDMENTS OF 1972, AND THE AGE DISCRIMINATION ACT OF 1975. The Applicant provides this assurance in consideration of and for the purpose of obtaining Federal grants, loans, contracts, property, discounts or other Federal financial assistance from the Department of Health and Human Services. THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH: 1. Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 80), to the end that, in accordance with Title VI of that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 2. Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 84), to the end that, in accordance with Section 504 of that Act and the Regulation, no otherwise qualified handicapped individual in the United States shall, solely by reason of his handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 3. Title IX of the Educational Amendments of 1972 (Pub. L. 92-318), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 86), to the end that, in accordance with Title IX and the Regulation, no person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any education program or activity for which the Applicant receives Federal financial assistance from the Department. 4. The Age Discrimination Act of 1975 (Pub. L 94-135), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 91), to the end that, in accordance with the Act and the Regulation, no person in the United States shall, on the basis of age, be denied the benefits of, be excluded from participation in, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. The Applicant agrees that compliance with this assurance constitutes a condition of continued receipt of Federal financial assistance, and that it is binding upon the Applicant, its successors, transferees and assignees for the period during which such assistance is provided. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant further recognizes and agrees that the United States shall have the right to seek judicial enforcement of this assurance. OS:\ 01 ,010-(01 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Assurance of Compliance With The Elliot Larsen Civil Rights Act ASSURANCE OF COMPLIANCE WITH THE ELLIOT LARSEN CIVIL RIGHTS ACT, PA 453 OF 1976 AND THE PERSONS WITH DISABILITIES CIVIL RIGHTS ACT, PA 220 OF 1976. The Applicant provides this assurance in consideration of and for the purpose of obtaining State of Michigan Federal grants, loans, contracts, property, discounts or other State and Federal financial assistance from the Michigan Office of Services to the Aging. THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH: Non-Discrimination: In the performance of any grant, contract, or purchase order resulting here from, the Contractor agrees not to discriminate against any employee or applicant for employment or service delivery and access, with respect to their hire, tenure, terms, conditions or privileges of employment, programs and services provided or any matter directly or indirectly related to employment, because of race, color, religion, national origin, ancestry, age, sex, height, weight, marital status, physical or mental disability unrelated to the individual's ability to perform the duties of the particular job or position. The Contractor further agrees that every subcontract entered into for the performance of any grant, contract, or purchase order resulting here from will contain a provision requiring non-discrimination in employment, service delivery and access, as herein specified binding upon each subcontractor. This covenant is required pursuant to the Elliot Larsen Civil Rights Act, 1976 PA 453, as amended, MCL 37.2201 et seq, and the Persons with Disabilities Civil Rights Act, 1976 PA 220, as amended MCL 37.1101 et seq, and any breach thereof may be regarded as a material breach of the grant, contract, or purchase order. (3 S:101/20 10-011) Resolution #13181 July 17, 2013 Moved by Dwyer supported by Quarles the resolutions (with fiscal notes attached) on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Dwyer, Gershenson, Gingell, Gosselin, Hatchett, Hoffman, Jackson, Long, iviatis, McGillivray, Middleton, Quarles, Runestad, Scott, Spisz, Taub, Weipert, Woodward, Zack, Bosnic, Crawford. (21) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent Agenda were adopted (with accompanying reports being accepted). (/) I HEREBY APPROVE THIS RESOLUTION CHIEF DEPUTY COUNTY EXECUTIVE ACTING PURSUANT TO MCL 45,559A (7) STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on July 17, 2013, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac, Michigan this 17th day of July, 2013. Lisa Brown, Oakland County