HomeMy WebLinkAboutResolutions - 2016.07.20 - 22438MISCELLANEOUS RESOLUTION #16171 July 20, 2016
BY: General Government Committee, Christine Long, Chairperson
IN RE: BOARD OF COMMISSIONERS — AREA AGENCY ON AGING 1-B — FY 2017 to 2019 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 Aging and Adult Services Agency 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 2017 to 2019 Multi Year Plan for the purpose of
conveying such support to the Area Agency on Aging 1-B and the Michigan Aging and Adult Services
Agency.
Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing
resolution.
GENERAL GOVERNMENT COMMITTEE
GENERAL GOVERNMENT COMMITTEE
Motion carried unanimously on a roll call vote with Woodward and Quarles absent.
FY 2017 -2019
MULTI-YEAR & ANNUAL IMPLEMENTATION PLAN
AREA AGENCY ON AGING 1-B
Planning and Service Area
Livingston, Macomb,
Monroe, Oakland,
St, Clair, Washtenaw
Area Agency on Aging 1-B
29100 Northwestern Hwy.
Suite 400
Southfield, M1 48034
248-357-2255 • 1-800-852-7795
248-948-9691 (fax)
Tina Abbate Marzolf, CEO
www.aaal b.com
Field Representative Cindy Albrecht
albrechtcQmichigan.gov
517-335-4016
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Table of Contents
County/Local Unit of Government Review 2
Plan Highlights 3
Public Hearings 7
Scope of Services 8
Planned Service Array 15
Planned Service Array Narrative 16
Strategic Planning 17
Regional Service Definitions 20
Access Services 23
Direct Service Request 26
Program Development Objectives 31
Advocacy Strategy 37
Leveraged Partnerships 40
Community Focal Points 45
Other Grants and Initiatives 72
Appendices 74
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County/Local Unit of Govt. Review
In April, the AAA 1-B contacts each Region 1-B county Board of Commissioners (BOC) to determine their
July meeting date and deadlines for submission of materials.
The AAA 1-B Advisory Council and Board of Directors approve the Multi-Year and Annual Implementation
Plans during their June meetings. Upon Board approval, the AAA 1-B mails a copy of the MYP/AIP and a
draft resolution to the chairperson of each county BOC, with a letter requesting approval by July 31. A copy of
the materials is also emailed to each of the BOC's clerk/administrative assistant who is asked to ensure
approval of the MYP/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
member attends each BOC's July meeting to answer any questions and encourage approval of the MYP/AIP.
In the past all six county boards of commissioners have approved the plans. No action by a BOG is
considered approval. The AAA 1-B notifies AASA by August 7 of the status of county level approval of the
MYP/AIP.
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Plan Highlights
1. A brief history of the area agency and respective PSA that provides a context for the MYP. It is
appropriate to include the area agency's vision and/or mission statements in this section.
-The-AAA--1-B is-a-non-profit-organization-that-is-responsible-for-planning-and coordinating a network-services-to-
more than 32% of the state's adults who are older and/or disabled*. More than 660,000 persons age 60 and
older and adults with disabilities residing in Livingston, Macomb, Monroe, Oakland, St. Clair and VVashtenaw
counties. Our mission is to enhance the lives of older adults and adults with disabilities. 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
services, 5) coordinating activities with other public and private organizations, and 6) assessing needs of older
adults and adults with disabilities and linking them with home and community-based long term care services. We
prioritize 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.
Over the past several years, AAA 1-B has experienced significant state and federal funding reductions while
managing an increase in over 116,000 older adults, a21% growth from 2010. (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 provided leadership to the Silver Key Coalition, which
resulted in significant increases in state funding to support our highest priority services: in-home care (aka
Community Living Program Services) and home delivered meals.
*2010 US Census and SEMCOG 2040 Regional Forecast
2. A summary of the area agency's service population evaluation from the Scope of Services section.
AAA 1-B will continue to provide quality services despite the growth of the older adult population by improving
administrative and delivery efficiencies and skill sets, developing targeted programs to serve special
populations, and working with providers to leverage existing funding to secure partnerships and other sources of
revenue.
3. A summary of services to be provided under the plan which includes identification of the five service
categories receiving the most funds and the five service categories with the greatest number of
anticipated participants.
This Multi-Year Plan (MYP) proposes to support either financially or through program development efforts, the
following array of home and community based/long term care social services:
Adult Day Health Service
Care Management
Chore
Congregate Meals
Evidence Based Disease Prevention
Assistive Devices & Technology
Case Coordination & Support
Community Living Program Services
Elder Abuse Prevention
Grandparents Raising Grandchildren
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Hearing Impaired & Deaf Services
Home Injury Control
Legal Assistance
Medication Management
Resource Advocacy
Vision Services
Home Delivered Meals
Information & Assistance
Long Term Care Ombudsman
Public Education
Transportation
Volunteer Caregiver
FY 2017
The five service categories which focus on priorities including reducing in-home service wait lists and receive the
most funding are: Home Delivered Meals, Congregate Meals, Community Living Program (in-home) Services,
Adult Day Health Services and Care Management. Funded services which touch the most number of lives are:
Information and Assistance, Resource Advocacy Home Delivered Meals, and Long Term Care Ombudsman and
Advocacy.
4. Highlights of planned Program Development Objectives.
This plan includes program development objectives designed to strengthen and increase capacity of existing
agency assets. We plan to:
1) Increase delivery of health and wellness programs to members of the community at large and through referrals
from hospitals and health care providers.
2) Increase outreach to the Hispanic/Latina population to learn about types of assistance the senior cohort may
need, and how we may adjust our offerings to meet these needs.
3) Expand awareness of and services to Lesbian, Gay, Bisexual and Transgender (LGBT) older adult population.
4) Provide advocacy leadership within the region and state on public policy issues that impact old adults, adults
with disabilities, and caregivers.
5) Develop a Training Center for Excellence to provide skills training to professionals who work with older adults.
6) Develop additional programming for caregivers, to improve their confidence and skills.
7) Continue emphasizing objectives related to increasing efficiencies and effectiveness of aging services, such
as strategies focused on waitlist reduction, service response time, funding diversification, and tracking and
analysis of outcomes for all funded services.
5. A description of planned special projects and partnerships.
AAA 1-B is involved in a variety of regional and local human service or aging-focused collaboratives that work to
close the service gaps for those in need of assistance. Partnerships will help keep our Older Americans Act
programs sufficiently funded to meet their growing demand. Over the next three years, we will strengthen these
programs and partnerships: Service coordination work with American House Senior Living Communities, care
transitions services with Detroit Medical Center's Huron Valley Hospital, network management and supports
coordination with MI Health Link's integrated care organizations, and our investment in the private-pay market of
home care services, SameAddress. Regional and state wide partnerships help to ensure the successful growth
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in areas of unmet needs, such as our Regional Elder Mobility Alliance to address transportation and mobility
issues, and SAGE of Metro Detroit to raise awareness and understanding of the often isolated LGBT older adult.
We are forming a variety of new partnerships to help expand our programs and skills in new arenas, such as
mental health, physicians groups, and health plans.
6. A description of specific management initiatives the area agency plans to undertake to achieve
increased efficiency in service delivery, including any relevant certifications or accreditations the area
agency has received or is pursuing.
We will continue to work with community partners, such as our Resource Advocates, to expand the reach of the
Community Living Program: develop uniform outcomes for all AASA-funded services; and identify which funded
services provide the most economic value relative to dollars invested. We will also work with the provider
network to identify service delivery techniques to minimize waitlists and provide services within a 24-72 hour
response period.
AAA 1-B recognizes the value of achieving relevant accreditations as we expand in the health care space:
1) AAA 1-B was the first Area Agency on Aging in the nation to achieve recognition through CARE, Commission
on Accreditation of Rehabilitation Facilities, a designation which demonstrates our expertise as we market our
services to the health care system.
2) In 2016 the AAA 1-B achieved AIRS Accreditation which assessed the ability of our Information & Assistance
Service to demonstrate full compliance with the AIRS Standards for Professional Information and Referral. It is
the primary quality assurance mechanism for affirming l&R excellence, and we are the first AAA in the state to
achieve this agency wide accreditation.
3) We are participating at the invitation of NCQA in a Learning Collaborative to help them review and revise their
Care Management certification standards to be a better fit with community based organizations such as AAAs.
Once the standards are complete we will consider going through the accreditation process this summer, as an
alternative to CARF.This accreditation is widely recognized by health care providers and organizations that wish
to provide Medicare funded services.
4)-1n mid-2016, AAAA-B-will-apply for-accreditation-of-its Diabetes-Self-Management Training-program-by--the
American Association of Diabetes Educators.Accreditation is a requisite component of the DSMT to obtain
Medicare reimbursement.We are doing this as part of a statewide AAA initiative to ensure all agencies have the
ability to bill Medicare for this service.
7. A description of how the area agency's strategy for developing non-formula resources (including
utilization of volunteers) will support implementation of the MYP and help address the increased
service demand.
AAA 1-B will:
1) Secure grants or other external resources to support the myride2 mobility management program and
expansion of wellness training programs.
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2) Explore public/private partnerships for programs, specifically congregate meals, Chore and Home Injury
Control.
3) Work with the provider network to help them maximize and diversify funding, including coordination of grant
writing workshops, sharing best practices for improving voluntary cost-share collection.
4) Expand our breadth of services delivered to the MI Health Link demonstration project in Macomb County, to
include wellness training programs and additional long term supports and services.Expand delivery of our
services to new geographic areas should expansion of the demonstration take place.
5) Continued advocacy and support of the development and/or expansion of local senior and alternative
transportation millages.
8. Highlights of strategic planning activities.
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 2017-2019 Strategic Plan aligns closely with the objectives described in this plan. Progress on
MYP 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 strategic planning process, which began in January, 2016, included focus group meetings among key
stakeholders: consumers, Board members, AAA 1-B staff, and service providers. In addition, a web-based
survey was distributed to stakeholders, including consumers, asking for comment on AAA 1-B funding and
service priorities for the current and next three years. We received 284 responses, with aging services providers
comprising the largest segment of respondents.
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Public Hearings
Date Location Time Is Barrier Free No. of Attendees
06/01/2016 Webinar 11:30 AM Yes 6
05/25/2016 Area Agency on Aging 1-B, Sc 09:30 AM Yes 8
03/02/2016 Pittsfield Twp Senior Center, A 09:30 AM Yes 42
02/29/2016 Hartland Senior Center, Howe 12:30 PM Yes 48
02/24/2016 Sterling Heights Senior Center 10:00 AM Yes 40
02/18/2016 Waterford Senior Center, WatE 10:30 AM Yes 43
02/12/2016 The Council on Aging, Serving 10:00 AM Yes 67
02/11/2016 Frenchtown Senior Center, Mc 10:30 AM Yes 22
Narrative:
Six community forums were held in February and early March, with the purpose of gathering feedback from the
community regarding AM 1-B programs and services and in preparation for the MYP. Over 260 older adults,
caregivers and service providers attended the forums. A summary of the community forums is included.
Individual county reports are also available upon request arid are on the MA 1-B website. AAA 1-B
also conducted an electronic and paper survey with service providers, advocates and older adults to help
prioritize our programs and services. This data is reflected on the AAA 1-B Service Prioritization list included
in this document.
A public hearing was held on May 25, 2016 at the AAA 1-B Southfield Office. Participants had the option of
partici pating_by_pho.ne_or_i rep.erson.._A .second_heacing_was_held_by_phone_on.lune _1,2016, with-an.--
accompanying webinar. An overview and highlights of the plan was provided by the AAA 1-B CEO and the
Director of Community and Business Advancement. All attendees were provided with an opportunity to give
feedback; other interested parties were given an opportunity to provide feedback within a specified time
period. Discussion from the public at the public hearings was minimal, and those that did provide feedback
did so in support of AAA 1-13's progams, services and prioritization list. Feedback to support more caregiver
related programs was present at both public hearings.
Notice of the community forums and the public hearings was placed in the newspaper, distributed via email to
the service provider and advocacy network, and posted on the MA 1-B website, Facebook page and Twitter
account. Notice was distributed more than 30 days prior to the hearings. The draft MYP was made available
online 3 weeks prior to the May 25 Public Hearing.
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Scope of Services
1. Describe key changes and current demographic trends since the last MYP to provide a picture of
the potential eligible service population using census, elder-economic indexes or other relevant
sources of information.
The number of older adults in region 1-B is rising steadily and drastically. SEMCOG estimates that individuals
age 60 and older make up 23% of the 1-B Region's population, with 662,666 older adults, up 21% from the
546,532 recorded in the 2010 census. The current rate of growth suggests that the 1-B older adult population
has increased by 21,011 over 2015 alone, which averages an increase of 58 individuals per day. 10% of this
growing older adult population is 85 and older.
The 60+ population in region 1-B is also becoming more racially diverse. According to the 2015 American
Community Survey, the minority population has increased by 2% since 2010 to 12.5%, with growing
African-American (8%), Asian (3%), and Hispanic/Latinx* (1%) older adult populations.
The 2015 American Community Survey reveals that the poverty rate for the age 60 and over population in
region 1-B has stayed mainly constant since 2010, with 6.5% of older adults living below the poverty line.
However, according to the 2009 Elder Economic Security Initiative, a much larger proportion - around 1/3 of
older adults in region 1-B - are experiencing financial insecurity and are unable to make ends meet.
Additional notable demographic statistics are that currently 14% of region 1-B's older adult population has
disabilities and nearly 25% live alone.
*We use the term Latinx because it is gender neutral.
2. Describe identified eligible service population(s) characteristics in terms of identified needs,
conditions, health care coverage, preferences, trends, etc. Include older persons as well as
caregivers and persons with disabilities in your discussion.
Participants at AAA 1-B's 2016 community forums identified home delivered meals, adult day health services,
in-home care through our Community Living Program services, and elder abuse prevention as top priority
programs that should receive equal or increased funding in the upcoming years. Affordable transportation and
an improved regional public transit system were also identified as major persistent needs across all six
counties. The Resource Advocate program and Information and Assistance service were also regarded as
highly valuable, with participants recognizing the need for older adults in our region to be aware of the services
and resources available to them.
According to AAA 1-B's 2012 report on the Economic Impact of the Aging Population, there are more than
363,000 unpaid caregivers in Region 1-B, with the average caregiver spending around 20 hours/week taking
care of a loved one. One-third of caregivers surveyed in Monroe County in 2015 reported experiencing mental
and emotional stress, and a majority reported feeling unprepared to fulfill a caregiving role. Although that
number represents only one of our six counties, AAA 1-B recognizes that the need to support and provide
training to the growing caregiver community extends throughout our six-county region.
Diabetes is a prevalent chronic health condition within the 1-B region. The MDHHS' 2014 Behavioral Risk
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factor Survey reports that state diabetes are higher than the national median rate, with an estimated 10.4% of
adults and more than 20% of adults age 75 and older receiving a diabetes diagnosis. 2015 community needs
assessments at St. Joseph Mercy Health System locations in Washtenaw, Livingston, and Oakland have also
identified adult obesity as a high priority regional health need and recognized a positive association between
obesity and chronic illness. These findings suggest a need for increased health and wellness programming
focused on healthy eating and physical activity. Additionally, America's Health Rankings 2016 Senior Report
recognizes a high percentage of both falls and hospital readmissions as prevalent health challenges for older
adults throughout Michigan.
In 2011, the Michigan Department of Community Health reported that 45,747 individuals are dual enrolled in
Medicare and Medicaid in the 1-B region, and that the dual-enrolled population is increasing.
An emerging trend identified through discussion at our 2016 community forums is that there is increasing
concern that current government funding cannot sufficiently provide for the rapidly growing older adult
population in our region. Participants are most concerned about how fewer funds will affect top priority and
rapidly growing programs such as home delivered meals and the CLP (in-home care), These concerns
reinforce the need for our agency to appropriately prioritize services, diversify funding, increase partnerships,
and increase spending efficiency as well as continue advocating for increased state funding.
3. Describe the area agency's Targeting Strategy (eligible persons with greatest social and/or
economic need with particular attention to low-income minority individuals) for the MYP cycle
including planned outreach efforts with underserved populations and indicate how specific
targeting expectations are developed for service contracts.
AAA 1-B is privileged to serve a racially, ethnically, religiously, and otherwise diverse older adult community in
our six county region. While AAA 1-B and the aging network serve all older individuals, we emphasize outreach
and service to traditionally underserved low-income minority communities. Over the next three years, we will
continue to make improving and expanding services to low-income, racial/ethnic minority, and LGBT older
adults a priority. Additionally, in FY 2017 we are adding individuals with limited English proficiency to the list of
potentially underserved groups on which to focus our targeting efforts.
To better serve low-income older adults we have established eligibility and screening processes through which
our call center and other staff can btter determine the public and privaffefits available to participants.
We offer one-on-one counseling about Medicare and Medicaid benefits through MMAP, and facilitate MDHHS'
MI Choice Waiver Program to help low-income older adults obtain in-home care.
To improve services to our region's quickly growing Hispanic/Latinx population, we are organizing focus
groups to engage stakeholders and gain a better understanding of what those in local Hispanic/Latinx
communities need and desire from the aging network, as well as the delivery methods that would be most
effective. Our agency already provides several informational materials and forms in Spanish, and will continue
to ensure that information is appropriately translated to increase access to our services for Spanish-speaking
individuals. We will also organize a professional development training on working with Hispanic/Latinx older
adults to help our network better serve this population.
Similarly, we are increasing accessibility and our agency's visibility in Chaldean and Arabic-speaking
communities within our region by providing necessary forms and informational materials in Arabic. Additionally,
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we are collaborating with the community-based Chaldean American Ladies of Charity (CALC) to increase
outreach and services to Arabic-speaking immigrants and refugees. We will also soon be partnering with
CALC to pilot a congregate meal program at a Middle Eastern restaurant. Through this new initiative, we aim
to increase access to culturally appropriate healthy food for Chaldean and Arabic-speaking older adults, and to
increase our agency's engagement within these communities.
Finally, we continue our work with SAGE Metro Detroit, and with the Detroit Area Agency on Aging and The
Senior Alliance as part of the AM LGBT Collaborative, to better serve the LGBT community. A focal point of
current work is developing and distributing relevant practical resources and competency trainings for service
providers, LGBT older adults, and LGBT caregivers.
Our contract providers are expected to analyze the demographic composition of the areas they serve, select
one underserved/priority population group for focused outreach, and develop tactics to serve this population.
We also encourage the provider network to target outreach and services to the LGBT older adult and caregiver
population, whom traditionally are underserved and isolated.
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4. Provide a summary of the results of a self-assessment of the area agency's service system
dementia capability using the ACL/AoA "Dementia Capability Quality Assurance Assessment Tool"
found in the Documents Library. Indicate areas where the area agency's service system
demonstrates strengths and areas where it could be improved and discuss any future plans to
enhance dementia capability.
AAA 1-B has-several-protocols-in-place to-identify and-meet the-needs of persons with dementia, and is in the
process of implementing several new strategies in our Community Living Program in order to improve our
protocols in this area.
Our process begins in our call center. Callers (caregivers or older adults) interested in AAA 1-B programs are
screened utilizing our "Universal Intake", which identifies demographics and basic information about the
potential participant, including if the person lives alone and/or if they have a primary caregiver. If the caller
identifies a need for dementia specific resources, or if the Resource Specialist identifies a potential need, then
the caller can be provided with relevant dementia specific resources from our resource database. Our
database contains hundreds of dementia specific resources all of which meet the AIRS criteria. If the caller is
enrolled in our Community Living Program, an assessment and strategy plan is completed for all CLP
participants by licensed nurses and social workers. If cognitive challenges are noted during intake by the
Resource Specialists or during strategy planning by clinical staff a specialized dementia assessment may be
conducted by a Community Health Worker. This assessment includes a six-item recall screen for dementia
based on the Mini-Mental Status Exam and offers opportunities for referrals to community resources/ primary
care physician for follow up. All of this information, including any resources provided, is recorded in the
participant's electronic record in our Harmony system.
Our clinical staff/supports coordinators and Community Health Workers receive quarterly trainings on various
topics for professional development, and dementia related topics are covered at least annually. Staff receives
Continuing Education credits for their attendance, or a certificate of completion if CE credits are not needed.
Going forward, the call center Resource Specialists will also be encouraged to attend these trainings to
enhance their skills and knowledge. Community Living Program leadership is also planning for more specific
dementia training for our Community Health Workers.
In 2017, we plan to introduce a new evidence-based wellness program, Powerful Tools for Caregivers. We
-also plan-to -introduce-REST, a training -program for companion-Caregivers.—Also-during-201-7=2019 we will
focus program development efforts on creating more services for caregivers, and will investigate the value of
caregiver support groups, web-based skills training, family direct care training for loved ones.
5. When a customer desires services not funded under the MYP or available where they live,
describe the options the area agency offers.
Any older adult or caregiver seeking services through AAA 1-B generally accesses services by speaking with
an AAA 1-B Resource Specialist in our call center, working through an ADRC partner agency or by working
with a Resource Advocate. 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 AAA 1-B is fortunate
to offer a wide variety of services through AASA 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
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resources to help older adults and caregivers obtain the services they need. In 2015, AAA 1-B launched
SameAddress, a social enterprise which provides a private pay option for many services that cannot be
provided with current public funding. (See a description of Same Address on page 31.) 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 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
an 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.
6. Describe the area agency's priorities for addressing identified unmet needs within the PSA for FY
2017-2019 MYP.
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 US Census data, SEMCOG population trend and projection data, as well as national, regional and local
research and other data sources. Many of these data sources are available on our website for public review.
AAA 1-B recognizes that unmet needs exist within the region, and takes the following actions to address them:
1) Maintains relationships with service providers who may be able to meet the needs, and makes appropriate
referrals;
2) Works with contract and direct purchase providers to encourage innovation in delivery and programs to
meet these needs;
3) Allocates program development dollars to implement pilot projects that ultimately will meet these needs;
4) Uses leveraged partnerships and grants to meet these needs.
Home Delivered Meals consistently top the list of priority services and AAA 1-B is committed to funding
nutritious meals to individuals who are eligible for the program. Older Americans Act funding for nutrition
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services is allocated to both home-delivered and congregate meal programs. Each year as allowed by the
Older Americans Act, AAA 1-B requests and receives approval from AASA, to transfer congregate meal funds
to the home-delivered program in order to avoid creating a wait list for this most vital of services.
During the 2016 community forums, participants vocalized the need for transportation services. This is a
persistent unmet need and meeting all the transportation-needs within our large geographic serving area would
exhaust much of our public funding. At this time, we fund limited transportation for eligible Community Living
Program participants, subject to the AASA transportation service definition. To address this unmet need, we
devote considerable leveraged resources to advocate for transportation options for those who cannot or do not
drive. We also direct individuals to our myride2 mobility management service. Mobility specialists are able to
identify low-cost options and assist callers with making transportation arrangements
The need for in-home services also exceeds the agency's capacity to deliver. For that reason, we have
implemented a prioritization strategy within our Community Living Program. Individuals who are enrolled in
CLP are assigned stars depending on their individual circumstances and need. The fewer the stars, the higher
they rank on the queue to be served. Refer to the charts in the appendix of this document. Additionally,
AAA 1-B employs Community Health Workers to provide telephone assistance to individuals with basic
service coordination needs, allowing the supports coordinators to focus on the more complex cases.
7. Where program resources are insufficient to meet the demand for services, reference how your
service system plans to prioritize clients waiting to receive services, based on social, functional and
economic needs.
See #6 above. Our Star Prioritization system and our Service Priority Ranking are included in this document.
8. Summarize the area agency Advisory Council input or recommendations (if any) on service
population priorities, unmet needs priorities and strategies to address service needs.
The Advisory Council (AC) holds regularly scheduled meetings to review program updates and make
recommendations for program and policy adoption to the Board of Directors. Nutrition services consistently
receive AC priority as does providing services to isolated or severely low income individuals. AC members
are active in their communities and suggest existing community-based programs that can potentially partner
with AAA 1-B to improve efficiencies and address unmet needs. In addition, several AC members offer
guidance on legislative advocacy strategy, including participating in the statewide Senior Advocates Council.
Inpnfrom the Advisory CouncilTolays a key roleir-The service prioritiiation ranking developed by the MA 1-B.
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aDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
FY 2017
9. Summarize how the area agency utilizes information, education, and prevention to help limit and
delay penetration of eligible target populations into the service system and maximize judicious use
of available funded resources.
MA 1-B offers many evidenced-based wellness programs that provide health education and prevention
strategies. These programs include Matter of Balance, on strategies for fall prevention, and diabetes and
chronic pain PATH (Personal Action Toward Health) self-management workshops. Our educational wellness
programs increase self-efficacy and can delay participants' need for further services.
Our agency also provides several trainings for caregivers including Creating Confident Caregiver trainings in
collaboration with the Alzheimer's Association — Greater Michigan Chapter, and the new Powerful Tools for
Caregivers program we will begin implementing in 2017. Over the next three years, we will focus program
development efforts on caregiver support services, and will explore the effectiveness of potential initiatives
such as caregiver support groups, web-based skills trainings, and family direct-care training for loved ones.
Resource Specialists in our AIRS-accredited Information and Assistance Service delay penetration of our
service system by providing older adults and caregivers accurate and timely information and referrals to
services and care resources throughout the 1-B region. By connecting local older adults with other
organizations in our aging network, we are able to more efficiently and effectively serve our growing population.
Additionally, we provide participants with Personal Emergency Response Systems on a free or donation-basis
as another preventative measure.
To increase the effectiveness of our funding, we systematically prioritize services that encourage
independence and aging in place including: home delivered meals, congregate meals, community living
program (in-home services), adult day health services, and care management. The order of prioritization is
based on assessed community needs and input from our community members. We also utilize the Star
Prioritization System to best reach participants that are most in need of assistance, maximizing services to
low-income participants, participants age 75 and over, participants that need assistance with multiple ADLs,
and participants in other circumstances that make them especially in need of services. These dual prioritization
systems allow us to maximize the impact of our limited funds.
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Adibpj7vis ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Planned Service Array
Access In-Home Community
Participant Private
Pay
• Care Management
• Transportation_ _
• Chore *
• Home Care_Assistance
• Home Injury Control *
• Homemaking *
• Home Delivered Meals *
• Home Health Aide *
• Medication Management *
• Personal Care *
• Assistive Devices &
Technologies *
• Respite Care *
• Adult Day Services
• Dementia_Adult Day_Care
• Congregate Meals
• Nutrition Counseling
• Health Screening
• Home Repair
• Legal Assistance
• Vision Services
• Counseling Services
Provided by Area
Agency
• Care Management
• Case Coordination and
Support
• Information and Assistance
• Outreach
• Disease Prevention/Health
Promotion
• Caregiver Education,
Support and Training
Contracted by Area
Agency
• Outreach
• Transportation
• Chore
• Home Injury Control
• Home Delivered Meals
• Medication Management
• Assistive Devices &
Technologies
• Respite Care
• Community Living Program
Services
• 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
• Programs for Prevention of
Elder Abuse, Neglect, and
Exploitation
• Creating Confident
Caregivers
• Kinship Support Services *
Local Millage Funded • Case Coordination and
Support *
• 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 '
• Kinship Support Services '
* Not PSA-wide
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141IDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Planned Service Array Narrative
AAA 1-B determines the services funded utilizing a comprehensive set of data and factors, including but not limited
to: 1) Participant demand and input, 2) Service provider's input, 3) Input from Board of Directors and Advisory
Council Members, 4) Input from local/regional stakeholders suc_h_as Advocacy groups, County Commissioners, and
Human Service collaboratives, 5) Call center data (types of resources and services requested), 6) State and
National data on aging services/programs needs and waitlists, 7) Impact of services on health and medical
outcomes, and 8) Availability of services throughout the region. While parts of our region (2 out of 6 counties and
several municipalities) are fortunate to have a senior millage which supports services in their area, this is not true
for the entire region and therefore impacts our array of services. We work very closely with our partners at the local
level to ensure the funding is utilized to provide the highest priority services. All of this data is evaluated and
utilized to develop our Service Prioritization List, which guides our funding decision making and is updated every
three years in alignment with the Multi-Year plan. See the Service Prioritization List that is enclosed with this plan.
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aDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Strategic Planning
1. Summarize an organizational Strengths Weaknesses Opportunities Threats (SWOT) Analysis,
The Area Agency on Aging 1-B SWOT Analysis was c=pleteid vvith input from AAA:kB senior
management and members of the AAA 1-B Board of Directors and Advisory Council. Below is a summary
of the agency's Strengths/Weaknesses/Opportunities/Threats. Please view the Appendix for examples of
each characteristic gleaned at the small group meetings.
Strengths:
Weaknesses:
Opportunities:
Resource Utilization
Threats:
Innovative/Responsive, Market Position, Agency Structure/Management
Financial, Market Position, Structure, Technology/Processing, Staffing
Expand Current Programs, Marketing/Branding, Fund Raising, Improve Efficiency,
Competition, Regulations/Funding, Market, Staffing, Efficiency
In 2016, 31% of the agency budget is comprised of state and federal funding for Older Americans Act
programs. The remainder was comprised of private donations, county match dollars and revenue from MI
Health Link, PACE, MI Choice/PAHP, and other grants and partnerships. To maintain the practice of
allocating 97% of agency revenues to services, we leverage administrative and overhead expenses among
non-OAA programs. The agency strategic plan for FYI 7-19 will continue to focus on growth of non-public
sources of revenue, through contracted services delivered to entities in the health care space: health plans,
physicians groups, hospitals, senior living communities, and other businesses which would benefit from AAA
1-B expertise and breadth of long term supports and services. Excess revenue from these lines of business
will be reinvested into the agency's core Older Americans Act programs.
2. Describe how a potential greater or lesser future role for the area agency with the Home and
Community Based Services (HCBS) Waiver and/or the new Integrated Care Program could impact
the organization.
The HCBS Waiver program (PAHP/MI Choice) is one of the agency's largest programs, contributing
significantly to the overall revenue of the organization. Similarly, the program absorbs some of the agency's
administrative overhead costs. A greater role of this program will enable the agency to continue to leverage
this revenue to expand the skill sets of the agency workforce, lessen reliance on AASA funding, and offer an
additional service option to the most vulnerable older adults who call for assistance. The Integrated Care
program is currently a pilot program within AAA 1-B, serving individuals in Macomb County only. From this
pilot, we are strengthening a number of existing capabilities and skill sets: working with a unique population
group, developing and marketing new service offerings, and providing service to private health plans each
with individualized administrative and programmatic requirements. This opportunity puts the agency in a
strong position to excel in the changing healthcare delivery system.
3. Describe what the area agency would plan to do if there was a ten percent reduction in funding
from AASA.
In the event any circumstance where authorization to spend is reduced or suspended, AAA 1-B shall focus
on ensuring that the health and welfare of the most vulnerable adults is protected. The following
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ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
considerations are made:
1) Services will be reduced or eliminated based on our 2016 Service Prioritization list.Priority services
are:Community Living Program Services (in-home personal care, homemaking and respite), Home
Delivered Meals, Adult Day Health Services, Information and Assistance and Home Injury Control.
FY 2017
2) Services with waitlists, recent funding increases or decreases or with alternative funding sources will be
taken into consideration prior to determining any reductions.
3) Operationally, AAA 1-B shall retain a workforce that ensures critical operations are delivered.
Discretionary spending will be prioritized based on need to maintain critical operations.
4. Describe what direction the area agency is planning to go in the future with respect to pursuing,
achieving or maintaining accreditation(s) such as Commission on Accreditation of Rehabilitation
Facilities (CARF), Joint Commission on Accreditation of Hospitals (JCAH), or other accrediting
body, or pursuing additional accreditations and why.
AAA 1-B recognizes the value of achieving relevant accreditations as we expand in the health care space
1) AAA 1-B was the first Area Agency on Aging in the nation to achieve recognition through CARE,
Commission on Accreditation of Rehabilitation Facilities, a designation which demonstrates our expertise
as we market our services to the health care system.
2) In 2016 the AAA 1-B achieved AIRS Accreditation which assessed the ability of our Information &
Assistance Service to demonstrate full compliance with the AIRS Standards for Professional Information and
Referral. It is the primary quality assurance mechanism for affirming l&R excellence, and we are the first AAA
in the state to achieve this agency wide accreditation.
3) We are participating at the invitation of NCQA in a Learning Collaborative to help them review and revise
their Care Management certification standards to be a better fit with community based organizations such as
AAAs. Once the standards are complete we will consider going through the accreditation process this
summer, as an alternative to CARF.This accreditation is widely recognized by health care providers and
organizations that wish to provide Medicare funded services.
4) In mid-2016, AAA 1-B will apply for accreditation of its Diabetes Self Management Training program by
the American Association of Diabetes Educators.Accreditation is a requisite component of the DSMT to
obtain Medicare reimbursement.We are doing this as part of a statewide AAA initiative to ensure all
agencies have the ability to bill Medicare for this service.
5. Describe in what ways the area agency is planning to use technology to support efficient
operations, effective service delivery and performance, and quality improvement.
Technology helps drive business efficiencies in all areas including service delivery, performance and quality
improvement. Key areas of focus for the AAA 1-B in the next three years for driving outcomes through the
support of technology include:
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aDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
1) Implement software for scheduling of assessments and reassessments in all clinical programs to drive
efficiency in staff time and reduce traveling costs by bundling appointments by geographic area.
2) Implement software for scheduling of needed community based services in the home to gain optimum
efficiency for the network of providers.
3) Continue to leverage technology to create reports that drive quality measures and outcomes including
indicators such as utilization of expensive acute care services, Emergency Department visits,
hospitalizations, falls etc.
4) Fully implement electronic signatures to improve quality outcomes, reduce costs and improve customer
service
5) Fully implement Salesforce as a Customer Relationship Management (CRM) tool to improve
communications with external parties including vendor management, donor management and partnership
development management.
6) Investigate opportunities to use new technology to provide one-on-one contact with participants or family
caregivers remotely to improve health outcomes and reduce hospital utilization.
7) Continue to focus on the development and execution of reports from Harmony Enterprise Software to
drive decision making based on metrics to improve quality performance.
8) Fully launch the updated contracts management software to monitor contract budgets and contract
performance.
9) Continue to use lnfographics to communicate key messages on agency outcomes
10) Reduce paperwork and filing by going totally paperless with the use of scanners and back-up systems.
11) Implement training technologies for staff and provider training such as Blackboard, and on-line training.
12) Explore the utilization of predictive technologies to anticipate and prevent acute care events that lead to
emergency room and hospital use.
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PtilDFIFIS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Regional Service Definitions
Service Name/Definition
Community Living Program Services
Rationale (Explain why activities cannot be funded under an existing service definition.)
CLPS is a direct purchase service provided by home care companies and not by AAA 1-B. CLPS is a
person-centered definition that allows for participant choice and service direction. CLPS primarily allows for
a participant to receive personal care, homemaking or in-home respite without requiring a separate
authorization for each type. The participant is authorized a specific number of units per week, and may
determine what specific type of care needs they have for that day.
Service Category Fund Source Unit of Service
0 Access
0 In-Home
0 Community
Z Title III PartB 0 Title Ill PartD El Title III PartE
0 Title VII Z State Alternative Care 0 State Access
Z State In-home RI State Respite
CI Other
15 minutes of
CLPS
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 preferen-ces-;-6)-atten-dare-at-m-e-di-c-al-awDointments; and 7) acquiring or procuring goods and
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.
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.
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FY 2017-2019
Area Agency On Aging 1-B FY 2017
2. All workers performing Community Living Program Services shall be competency tested for each 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, an.d be. in go.o.d standing with_the law as validated by a criminaLbackground_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,
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4DFIHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
w FY 2017-2019
Area Agency On Aging 1-B FY 2017
and recording information. Additionally, skills, knowledge and/or experience with food 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.
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AUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Access Services
Care Management
Starting Date 10/01/2016
—Total of Federal-Dollars $15,273.00
Geographic area to be served
All of region 1-B
Ending Date 09/30/2017
Total of State Dollars $84,727.00
Specify the planned goals and activities that will be undertaken to provide the service.
Objective: Continue to maintain a minimal to no waitlist for AASA funded care management services.
Expected outcome: Older adults requesting in-home and other AASA-funded CLP care management services
will receive them faster, assisting in prevention of unnecessary nursing home placement or hospitalization.
Older adults on the MI-Choice Waiver waitlist will continue to be offered AASA or other services, as funding
allows, permitting some older adults to receive services immediately rather than waiting for several months for
the Waiver services.
Objective: Conduct at least four trainings for care management and CLP staff on new technology, current
practice guidelines, person-centered thinking and self-directed care. All new Community Support Services
(CSS) staff will attend formal person centered thinking training within their first year of hire. At least two of
these quarterly trainings will include CEUs. At least one training will be specific to competency in working with
Hispanic or Latino older adults, individuals with dementia, or the highest diverse populations served. Make
elder abuse identification and prevention training modules available for all CSS staff.
Expected outcome: Care managers and CLP staff will keep their knowledge and skill levels current to the
agency and state priorities and models for provision of care for participants.
Objective: Secure additional revenue for the CLP, 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 2019
Objective: Expand the reach of the CLP through the implementation of a Community Health Worker model
designed to support program participants and clinical staff. Hire and train 3 Community Health Workers.
Expected outcome: Program participants will have quicker access to a multidisciplinary care team consisting
of Nurses, Social Workers and Community Health Workers.
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
Current Year: 1,800 Planned Next Year: 1,800
Current Year: 39 Planned Next Year: 20
Current Year: 39 Planned Next Year: 10
Current Year: 25 Planned Next Year: 10
Current Year: 1:42 Planned Next Year: 1:40
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ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Case Coordination and Support
FY 2017
Starting Date 10/01/2016
Total of Federal Dollars $415,612.00
Geographic area to be served
Ending Date 09/30/2017
Total of State Dollars $943.677.00
Specify the planned goals and activities that will be undertaken to provide the service.
See Care Management goals.
Information and Assistance
Starting Date 10/01/2016
Total of Federal Dollars $331.475.00
Geographic area to be served
All of Region 1-B
Ending Date 09/30/2017
Total of State Dollars $44,060.00
Specify the planned goals and activities that will be undertaken to provide the service.
Objective: Continue to focus on quality improvement in the Resource Center through continued customer
service training and enhanced quality monitoring processes.
Expected Outcome: Improved level of customer service provided by the AAA 1-B to callers seeking
information and assistance.
Objective: Update waitlist prioritization process to target Community Living Program services to the most
socially, economically, and functionally disadvantaged individuals. Offer I & A, resource brokering, personal
emergency response systems and care planning services to individuals placed on the waiting list for services.
Expected Outcome: Ensure services CLPS are targeted towards elders most in need while offering resources
and assistance to everyone placed on the CLP wait list.
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_201_7_to_2019.
Outreach
Starting Date 10/01/2016
Total of Federal Dollars $247.632.00
Geographic area to be served
All of Region 1-B
Ending Date 09/30/2106
Total of State Dollars $0.00
Specify the planned goals and activities that will be undertaken to provide the service.
Objective: 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) in our service area.
Expected Outcome: Annual increase in access and utilization of services by underserved populations.
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aDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
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Area Agency On Aging 1-B FY 2017
Objective: Promote evidence based programs through earned media, social media, community events and
presentations to increase awareness of the programs.
Expected Outcome: Increased participation in evidence based programs by older adults and family
caregivers,
Objective: Educate health care providers about agency programs and services
Expected Outcome: Increase in the number of referrals to the agency's information and assistance service
from health care providers.
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4DHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Direct Service Request
Disease Prevention/Health Promotion
Total of Federal Dollars $54,482.00 Total of State Dollars $0.00
Geographic Area Served All of Region 1-B
Planned goals and activities that will be undertaken to provide the service in the appropriate text
box for each service category.
AAA 1-B requests approval to continue to provide direct services in the category of Disease
Prevention/Health Promotion. AAA 1-B will provide regional leadership for these programs, add new
programs as demand and health trends warrant, train subcontractors, and will ensure that older adults and
caregivers who live throughout the region have access to these programs when they not provided locally by
one of our subcontracted partners.
AAA 1-B plans to deliver either direct training to older adults or trainer training to leaders on staff and in
partner organizations. The programs include: PATH, Diabetes PATH, Chronic Pain, Cancer PATH, A
Matter of Balance, and Powerful Tools for Caregivers.
AAA 1-B has over 30 permanent and contingent staff members who are trained in one or more of these
programs. AASA funding will be used to pay contingent staff trainers for workshop facilitation, purchase
supplies and materials needed to conduct workshops, coordinate all trainings delivered directly, and pay
mileage expenses for travel to workshop locations. AAA 1-B also maintains a pool of Master Trainers who
provide program fidelity assessments on trainers and facilitate workshops themselves in order to maintain
certification in the programs they deliver. Funding will be used to pay these Master Trainers.
AAA 1-B commits one staff person to lead the wellness training program operations and one staff person
to provide coordination and administrative support. The manager will supervise all contingent staff trainers,
is also certified to provide leader/coach training in several of the programs, and will provide technical
assistance to subcontractors who provide these services as well.
AAA 1-B plans to supplement public funding for direct DP/HP services through grants, corporate
sponsorships, Medicare, and private pay. Private pay policies and procedures will be developed and
implemented as required.
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,
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FY 2017-2019
Area Agency On Aging 1-B FY 2017
A) 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. If the
service is considered part of administrative activity, describe the rationale and authority for such a
determination.
Increasingly, public sentiment, state and federal authorities, and health care systems all point to the economic
necessity of consumers guiding and managing their own behaviors to maintain or improve their health
outcomes. Evidence-based programs approved by CMS and CDC provide consumers the tools to effectively
self-manage, and AAA 1-B has the capacity and capability to offer a wide variety of programs delivered by
certified trainers. Contract providers deliver some programs, but do not have the infrastructure to meet the
growing demand that will result as health care providers make referrals for their patients. Each subcontractor
may provide one out of twenty plus programs allowable under this service definition and have its separate
coordination and administrative costs. AAA 1-B will provide regional leadership for these programs, add new
programs as demand and health trends warrant, train subcontractors, and will ensure that older adults and
caregivers who live throughout the region have access to these programs when they 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).
No specific discussion on these programs was held at public hearings, although some participants did express
pleasure that the agency did offer quality training programs both to older adults and to professionals. However
the need for increased opportunities for older adults to self-activate and retain control of their wellness was
discussed at multiple community forums, which was one of the indicators for offering these programs.
Caregiver EducationrSupportand Training
Total of Federal Dollars $25,000.00 Total of State Dollars
Geographic Area Served All of Region 1B
Planned goals and activities that will be undertaken to provide the service in the appropriate text
box for each service category.
AAA 1-B will coordinate a nationally recognized training program for caregivers called REST (Respite
Education and Support Tools).
The target caregivers for this program are "Companion" caregivers, not the primary or family caregiver.
These are often friends, volunteers and/or paid caregivers that provide assistance and respite to the
primary caregiver.
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lUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
REST is a way to provide respite for caregivers caring for individuals across the lifespan through a trained
volunteer system as part o the Long-Term Services and Supports. It utilizes a train-the-trainer format that
equips and prepares trainers to conduct 4 and 8 hour REST Companion respite trainings. REST follows
National Respite Guidelines and is very interactive allowing REST Companions to gain a clear perspective
of both the caregiver and the care recipient. It is utilized by many organizations across the country,
including other AAAs. The program has measurable, positive outcomes thus far and is in the process of
achieving evidence-based status from the ACIL.
AAA 1-B will conduct the following activities:
- Hold 1 train-the-trainer workshop by partnering with REST staff/master trainers.
- At least 10 trainers will complete this training. Target agencies for training will include AAA 1-B's
volunteer caregiver program staff. At least 1 AAA 1-B staff person will be trained in this program. The
training will also be open to other interested agencies, including churches/faith organizations, adult day
health centers, long-term care facilities and home care agencies.
- Work with trained agencies to reach at least 150 Companion caregivers.
- Coordinate the required promotion, marketing, trainer follow up and reporting of the program
Learn more at www.restprogram.org
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.
A
Provide a detailed justification for the service provision request. The justification should address
pertinent fa-ctors that -m-ay-include: a cost analysis; needs as-sassment; 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. If the
service is considered part of administrative activity, describe the rationale and authority for such a
determination.
No other organization in Michigan is currently providing the REST program. AAA 1-B has been a statewide
leader in implementing the Creating Confident Caregivers program, but CCC is focused on the primary family
caregiver for persons with dementia. AAA 1-B has a unique service that is subcontracted to several local
service providers: the Volunteer Caregiver (VC) program. These organizations coordinate hundreds of
volunteers to provide in-home respite and assistance to caregivers. The VC program as well as many other
local organizations and service providers (churches, adult day health centers, nursing homes, etc) utilize
trainings for volunteer and paid caregivers, but the scope of these trainings vary widely and not all follow
national guidelines for respite training. AAA 1-B can coordinate the REST program for the region, recruit
trainers, recruit participants, and coordinate all of the required reporting. AAA 1-B will also put at least one
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Area Agency On Aging 1-B FY 2017
staff person through the train-the-trainer program.
Costs included in the $25,000 request include:
- All fees associated with the train-the-trainer program for up to 10 trainers, including required per trainer cost
($600) as well as food and snacks for the training (required by REST)
- Purchas_e of Companion_caregiver_training manuals_and materials for up_to 220 manuals Manual cost is
reduced when purchased in bulk.
- Admin costs of $10,000 for coordination of the program as detailed in the first question, and to cover part of
time for AAA 1-B person trained in the program
AAA 1-B is also reviewing opportunities for funding this program long-term, including other grant opportunities,
utilization of Title 111D funding if/when evidence based status is achieved, and/or absorbtion of the program into
the Volunteer Caregiver contracts,
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
No specific discussion on the REST program was held at public hearings as development of having this
service provided by AAA 1-B occured after the public hearings were held. However the need for increased
access to high quality servics for caregivers was discussed at multiple community forums, which was one of
the indicators for developing this service.
Creating Confident Caregivers
Total of Federal Dollars $30,000.00
Geographic Area Served All of Region 1-B
Total of State Dollars $0.00
Planned goals and activities that will be undertaken to provide the service in the appropriate text
box for each service category.
AAA 1-B requests approval to continue to provide direct services in the category of Creating Confident
Caregivers. AAA 1-B will provide regional leadership for this program, add new programs as demand
and health trends warrant, train subcontractors, and will ensure that older adults and caregivers who live
throughout the region have access to these programs when they not provided locally by one of our
subcontracted p—artriers.
Three staff members are CCC Master Trainer and 2 are CCC leaders. Alzheimer's Association of Greater
Michigan delivers CCC programs in partnership with AAA 1-B.
AASA funding will be used to purchase supplies and materials needed to conduct workshops, coordinate
all trainings delivered by subcontractors, deliver occasional workshops directly when subcontractors are not
available, and pay mileage expenses for travel to workshop locations. AM 1-B also maintains a pool of
Master Trainers who provide program fidelity assessments on trainers and facilitate workshops themselves
in order to maintain certification in the programs they deliver. Funding will also be used to pay these
Master Trainers.
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ADHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
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.
A
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. If the
service is considered part of administrative activity, describe the rationale and authority for such a
determination.
As currently structured within AASA, AAA 1-B is required to manage the administrative function of the
program. Provision of such services by AAA 1-B is necessary to ensure an adequate supply of such services
in the geographic region we serve.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
No specific discussion on these programs was held at public hearings, although some participants did express
pleasure that the agency did offer quality training programs both to older adults, caregivers, and professionals.
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ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Program Development Objectives
Area Agency on Aging Goal
A. Recognize and celebrate the cultural, economic, and social contributions of older adults, and create
opportunities for engagement in-their-communities.
State Goal Match: 1
NARRATIVE
The Hispanic/Latino community typically supports its older adults through informal serving networks: family
and friends provide care and services rather than utilizing professional service providers or unknown
volunteers. In 2017-19, AAA 1-B will seek the counsel of community members to determine how we can
best be of service to them.
OBJECTIVES
1. Increase utilization of services by Hispanic/Latino older adults.
Timeline: 10101/2016 to 09/30/2019
Activities
Strengthen relationships with key community and cultural based organizations in the region to develop
partners (2017-19); Conduct one or more focus groups of Hispanic/Latino older adults and advocates to
identify services desired and the most appropriate ways to engage older adults and deliver the services
they desire (2017)
Expected Outcome
The number of Hispanic or Latino older adults utilizing Older Americans Act services will triple by the end
of the MYP cycle.
B. Ensure that an array of community-based long-term services and supports that promote independence and
choice are available to older adults.
State Goal Match: 2
NARRATIVE
From 2017-2019, AAA 1-B plans to initiate or continue a variety of activities that ensure a full array of much
needed services. We will do this by leveraging our existing skills and expertise: in fundraising, forming
public/private partnerships, and wellness training.
OBJECTIVES
1. Assist providers in diversifying and maximizing state and federal funding.
Timeline: 10/01/2016 to 09/30/2017
Activities
Provide training on voluntary cost-sharing best practices (2018). Engage private sector sponsorship of
AAA 1-B-funded services (2017-19).
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ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Expected Outcome
AAA 1-B and at least 50% of providers will report less reliance on state and federal funds by 9/30/19
2. Increase access to dialysis services for older adults.
Timeline: 10101/2016 to 09/30/2019
Activities
Develop and implement a pilot project in partnership with LETS — Livingston Essential Transportation
Service, to transport dialysis patients to treatment in Brighton, Michigan (2017). The pilot will investigate
funding mechanisms, patient and dialysis center acceptance, and operational capabilities of AAA 1-B
and LETS.
Expected Outcome
Individuals needing regular dialysis treatment in Liv County will have access to public transportation that
is coordinated with their appointment times.
3. Develop additional resources for caregivers which will improve their confidence and ability to care for
their loved one.
Timeline: 10/01/2016 to 09/30/2019
Activities
Introduce delivery of Powerful Tools for Caregiver Training and REST caregiver training (2017). Expand
provision of Creating Confident Caregivers through new private-pay partner organizations (2018).
Partner with community organizations to deliver caregiver support groups, funded with private resources
(2018), Develop program through the agency's Training Center for Excellence that provides skills training
for Supports Coordinators to assist family caregivers (2018). Deliver caregiver training skills course to
provider network through Training Center for Excellence (2019).
Expected Outcome
Caregivers will report lower stress and a reduction in the number of hours they spend on care giving
activities. Utilization of Adult Day Health Service program will increase.
C. Provide a variety of opportunities for older adults to enhance their physical and mental well-being, using
evidence-based practices and other innovative programs.
State Goal Match: 3
NARRATIVE
AAA 1-B has been growing Evidence Based wellness programs throughout the region since 2011, and will
continue to expand programming in FY 2017-19 through expansion of our pool of trainers and introduction of
several new programs.
OBJECTIVES
1. Expand wellness programming throughout Region 1-B, particularly to the private pay market.
Timeline: 10/01/2016 to 09/30/2019
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Area Agency On Aging 1-B FY 2017
Activities
Train and certify 6 trainers in these EB programs: Practical Tools for Care giving, Cancer PATH,
Chronic Pain (2017). Contract with 6 corporate or municipal sponsors to support wellness programs
(2018). Grow the pool of trained leaders who can deliver any program on the wellness programs menu.
At a minimum, each program will have two certified trainers available on demand (2019). Contract with 2
organizations, one in Ypsilanti and one in Pontiac, to serve as sites for the DSMT program (2017).
Expected Outcome
Wellness training will be delivered to at least 500 older adults or care givers by 9/30/2019, earning a
20% profit margin from Medicare, private-pay consumers or sponsors.
D. Support elder rights through advocacy, information, training, and services.
State Goal Match: 4
NARRATIVE
The agency is committed to data driven advocacy and policy development that is based on evidence of the
cost effective approaches of aging programs and their preventive effect on negative quality of life, health
outcomes, and avoidable health expenditures.
OBJECTIVES
1. Undertake basic research and demonstration projects that provide evidence for data-driven decision
making for program advocacy and management.
Timeline: 10/0112016 to 09/30/2019
Activities
Conduct analysis and produce reports on demographic studies; identification, quantification and root
cause analysis of unmet needs; service demand projections; and economic impact/cost projections.
Convene an annual Ad Hoc workgroup of Advisory Council members to study a topical issue and submit
recommendations for action to the Board of Directors.
Expected Outcome
Data on aging program quality, cost effectiveness and impact will support the enactment of
appropriations, policies and programs that address unmet needs of older adults, adults with disabilities,
and their family care givers.
2. Implement the AM 1-B Advocacy Strategy to secure increased state, federal, and/or local support for
older adult services.
Timeline: 10/01/2016 to 09/30/2016
Activities
Educate senior advocacy stakeholders about the needs and unmet needs of older adults and policy
solutions, including the AAA 1-B Senior Advocacy Network, Michigan Senior Advocacy Council,
Consumers, AAA 1-B Board Council and Staff members; produce and promote tools that support older
adult advocacy efforts including monthly editions of The Advocate, the AAA 1-B Legislative Advocacy
Platform, Legislative Analysis, and written Calls to Action; Engage in direct communications with elected
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ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2011-2019
Area Agency On Aging 1-B FY 2017
officials about older adult issues through face to face contacts and written communications; support
collaborative advocacy efforts with state and local partners, including support for Older Michiganians
Day, the Senior Regional Collaborative local advocacy groups, and the Silver Key Coalition; and deliver
testimony on legislative proposals affecting older adults.
Expected Outcome
Increased appropriations and new policies and programs will be realized, which enhance the lives of
older adults, adults with disabilities and their family care givers
E. Develop and enhance public/private partnerships to better serve older adults.
State Goal Match: 5
NARRATIVE
The agency is committed to ehanching our partnerships and increasing the value of services provided to
older adults through continued improvement of the knowledge, skills and resources available for LGBT older
adults and by focusing on quality service indicators and outcomes in the provider network.
OBJECTIVES
1. Increase awareness and improve services for LGBT older adults and caregivers in the 1-B region and
beyond.
Timeline: 10101/2016 to 09/30/2019
Activities
Work with The Senior Alliance and Detroit Area Agency on Aging to increase outreach and services for
LGBT caregivers via Kendall Charitable Trust grant (2017). Work with SAGE of Metro Detroit to expand
and improve up on the Rainbow Resource Guide (2017). Review intake and assessment forms utilized
by AAA 1-B to determine if LGBT inclusive language can be implemented or increased (2017).
Ongoing: Serve on the Board of SAGE of Metro Detroit. Continue to track LGBT callers in the AAA 1-B
call center data. Attend at least 1 LGBT specific outreach event per year.
Expected Outcome
The number of LGBT friendly resources in the AAA 1-B call center database will increase 20% from
2016 to 2019. The number of LGBT older adults and/or caregivers contacting AAA 1-B for assistance
will increase by 20% from 2016 to 2019
2. Track and analyze uniform outcomes for funded services in collaboration with the aging network.
Timeline: 10101/2016 to 09130/2017
Activities
Measure and report annually on contractor outcomes for each services; Research national data on
service outcomes for comparison/benchmark; Conduct at least one service specific outcome study
annually, in collaboration with providers, and produce a report with findings and recommendations to
refine services and document the services' value proposition.
Expected Outcome
1-B staff and providers will have aligned outcomes data to utilize for program improvement, advocacy
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FY 2017-2019
Area Agency On Aging 1-B FY 2017
purposes, and to garner additional funding.
F. Employ continuous quality improvement and innovation to accommodate the changing needs of older adults.
State Goal Match: 6
-NARRATIVE
AAA 1-B is a leader in the field of innovative services to meet the needs of the populations we serve. To
build on this core value of innovation, we continually review the value and outcomes of the work we do. In
FY2017-19, AAA 1-B will continue this practice by improving the analytical skills and capabilities of our staff.
OBJECTIVES
1. Develop a Training Center for Excellence for staff and professionals.
Timeline: 10/01/2016 to 09/30/2019
Activities
Create curriculum that provides agency staff, provider organization staff, and professionals in the aging
network with the skills to deliver services that are of the highest quality and most in demand from older
adults and adults with disabilities in the community (2017). Deliver and continuously improve curriculum
based on participant feedback (2017). Offer curriculum to provider network (2018). Offer curriculum to
other interested organizations (2018).
Expected Outcome
Region 1-B will have a steady flow of talent, ideas and potential leaders who are committed to the
mission of serving older adults.
2. Engage in the development, testing, implementation, evaluation, and institution of new programs,
program innovations, and operations that improve the efficiency and effectiveness of aging programs.
Timeline: 1010112016 to 09130/2019
Activities
Apply principles of Continuous Quality Improvement, PDSA (Plan-Do-Study-Act), and lean manufacturing
to create or redesign programs; Identify, monitor, measure, evaluate and report on program effectiveness
measures; and advocate for warranted systems change. Activities may include work on electronic care
plans, predictive survey technologies, and utilization of community health workers to perform basic care
coordination tasks, allowing for increased caseloads for clinical specialists,
Expected Outcome
Improved efficiency, quality and/or effectiveness in achieving program outcomes will result from creation
of new program models, enhancements to existing program models, and the elimination of ineffective
program components.
G. Communities for a Lifetime - More communities in the PSA will conduct an aging-friendly community
assessment and apply for recognition to AASA as a Community for a Lifetime.
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IstilDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
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Area Agency On Aging 1-B FY 2017
State Goal Match: 7
NARRATIVE
AAA 1-B began assisting municipalities to become age-friendly years ago when we provided older adult
census data analyses to individual city and county leaders. We strengthened our commitment to
aging-in-place by partnering with several municipalities to gain recognition as a CFL. This work will continue
in 2017-2019.
OBJECTIVES
1. Increase number of municipalities in PSA who are recognized as Community for a Lifetime (GEL)
Timeline: 10/01/2016 to 09/30/2019
Activities
Facilitate the administration of a CFL community assessment to 3 communities that would benefit from
such an analysis. Assist 2 communities in meeting the qualifications for CFL certification. Through our
work with Oakland County government, we will assist its municipalities with community assessments,
provide senior survey results and demographic data to enhance the quality of their community
assessment in such areas as; supportive community systems, health care access, transportation,
disease prevention/health promotion, safety, home repair and other relevant areas.
Expected Outcome
Two Oakland County communities will receive a CR_ or equivalent designation.
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1nA1IDI1 .11 ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Advocacy Strategy
The Area Agency on Aging 1-B (AAA 1-B) advocacy strategy will focus on issues identified as priorities under
the AAA 1-B 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 W 1-B advocacy priorities and objectives are determined by actions of the W 1-B Advisory Council
and Board of Directors. The Advisory Council establishes advocacy direction through the development of
recommendations by its ad hoc study committees, or 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 2016 and 2017.
Advocacy issue identification will also stem from the AAA 1-B Consumer Advisory Team, 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 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. A priority strategy will be to continue providing leadership to the
Silver Key Coalition for achieving its goal of making Michigan a no wait state by increasing allocations of state
funds for in-home services funded through the Michigan Aging and Adult Services Agency.
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.
MA 1-B strives to provide leadership on advocacy issues within Region 1-B and the state; directly influence
decision makers through the provision of information and analysis of older adult needs; and facilitate 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 communications 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)
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FY 2017-2019
Area Agency On Aging 1-B FY 2017
The AAA 1-B appoints representatives to the MSAC. These representatives also sit on the MA 1-B Advisory
Council. 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, 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 will accomplish this by adopting the FY 2015 --16
and 2017-18 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
AAA 1-B staff is charged with advocating on behalf of older adults consistent with the agency's mission, and
advocacy permeates the agency. Staff at the AM 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 AM 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
decision making 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 has developed an advocacy platform which identifies the public policy issues that will be 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 plans regular 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.
Older Michiganians Day
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FY 2017-2019
Area Agency On Aging 1-B FY 2017
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. —
Research
AAA 1-B advocacy is data driven, and the agency regularly undertakes research quantify unmet needs,
develop solutions, and educate decision makers about public policy issues.
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Leveraged Partnerships
1. Include, at a minimum, plans to leverage resources with organizations in the following categories:
a. Commissions Councils and Departments on Aging.
b_Health_Care_Organizations/Systems (e.g. hospitals,-health plans,-Federally Qualified-Health Centers)
c. Public Health.
d. Mental Health.
e. Community Action Agencies.
f. Centers for Independent Living.
g. Other
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. Listed below are
various activities we are engaged in to help ensure we are successful in meeting strategic objectives:
MI Health Link
Beginning FY 2016 program diversification continues with the MI Health Link Integrated Care Pilot in Macomb
County. This is a 3 year demonstration and our largest business to business endeavor to date. AAA 1-B
contracts as a provider with five integrated care organizations to offer one or more of the following services to
the dually-eligible population Macomb County: case coordination, provider network management, case
assessments, and other long-term care coordination services. This program leverages our assessment and
service delivery expertise for disabled and aging adults in the 1-B region. Enhanced customer service and
quality improvement strategies are being implemented using lean principles for cost containment.
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 the Regional Transit Authority,
and for millage funding to support implementation of its long term transportation plan.
Business to Business Community Care Transitions Program: AAA 1-B will contract with at least 2 health care
systems to provide care transitions services to people over 64 with qualifying health conditions. Interventions
will use Coleman Principles of health coaching to ensure people are successfully discharged from the hospital
into the community. The program will reduce avoidable hospital readmissions within 90 days of discharge.
American House Senior Living Communities —Family Care Coordination program
AAA1-B and AHSLC have created a care coordination model at the American House Oakland Senior Living
(Pontiac) location that supports the residents' ability to stay healthy, manage chronic conditions, and return
directly home to AHSLC following an acute medical episode, including an emergency room visit,
hospitalization, or skilled nursing facility stay. The model is designed to reduce the use of more expensive
nursing facilities and to reduce hospital readmissions. The Family Care Coordinator, provided through AAA
1-B, works with residents to support successful transition and stabilization at AHSLC through the use of care
transitions coaching and person-centered recovery plans, and coordination of home and community-based
services.
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Area Agency On Aging 1-B FY 2017
Cooperative Services Incorporated: The AAA 1-B is working together with CSI staff, and performing housing
coordination residents living in this subsidized cooperative in Pontiac. The opportunity is a win-win for
residents who benefit from the experience of an AAA 1-B Care Manager on-site 17.5 hours/week. The
partnership also allows the AAA 1-B to expand the skill sets of our care managers in congregate settings.
Myride2:, myride2 is a one call, one click mobility management service for Oakland, Macomb, and western
Wayne counties. Partners include The Senior Alliance and the Disability Networks of Oakland, Macomb and
Wayne (local CILs). The service is funded by grants through Suburban Mobility Authority for Regional
Transportation (SMART). Plans for FY 17-19 include incorporating travel training, expanding service area
through the Regional Transportation Authority (RTA), offering scheduling services to health plans, and obtaining
additional funding.
Community Champions for Seniors: This program is designed to generate additional revenue to support
contracted services and other unmet needs of the agency's participants. Champions will consist of local
for-profit organizations who recognize the need to support older adults in their homes and their economic and
social value to the communities in which they reside. Champions may choose to support specific programs or
geographic areas, or may support the agency's unmet needs fund. CCS is not intended to replace public
funding, while such public funding is still available. It is intended to become a flexible safety net should public
funding decline.
SAGE Metro Detroit/Lesbian, Gay, Bisexual, Transqender (LGBT) Collaborative: LGBT older adults often
have experiences of repression or discrimination, and may face unique health or quality of life issues that affect
their access to services. AAA 1-B has partnered with AAA 1-A, AAA 1-C, the ACLU and the LGBT Older
Adult coalition (now known as SAGE Metro Detroit) to increase outreach to this population via specialized
training for all three AAA's call center teams, added information to each agency's website targeted at LGBT
older adults and their caregivers, developed a small media campaign and began collecting data on LGBT
older adult callers. AAA 1-B plans to continue data collection and other initiatives to be developed, as a
participating Board member of SAGE Metro Detroit. (www.sagemetrodetroit.com )
Michiganhomecareguide.com: This website offers AAA 1-B participants and private pay consumers an
unbiased source of information, including customer reviews of home health care companies. Visitors are able
to find providers, rate home care companies using a five-star system, write reviews and browse ratings and
reviews posted by other people to make informed decisions when selecting a home care company. In
2017-2019 AAA 1-B will focus on generating revenue to support the website through sponsorship and
advertising opportunities.
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apltIHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Program for the All Inclusive Care of the Elderly (PACE): This partnership with United Methodist Retirement
Communities (UMRC) and University of Michigan was opened in Ypsilanti in 2014. In 2015, we entered into a
contractual relationship to deliver nursing assessments to clients and to manage the provider network. We will
continue to support this relationship and monitor our ownership investment in PACE with the goal of reinvesting
_excess revenue into AASA programs
Senior Reach: AAA 1-B will partner with Easter Seals in Oakland County and Livingston County Mental Health
Authority to refer older adults to the Senior Reach evidence-based program, Senior Reach identifies isolated,
at-risk older adults and connects them to behavioral health and care management services in the community.
This program provides an opportunity for AAA 1-B to offer additional assistance to individuals with behavioral
health needs.
AAA 1-B participates in the following organizations:
Alzheimer's Association of Greater Michigan
Blue Print for Aging (Monroe County)
Blue Print for Aging (Washtenaw County)
Livingston County Consortium on Aging
Livingston Human Services Collaborative Body
Livingston Leadership Council on Aging
Macomb County Council on Aging
Michigan Dementia Coalition
Michigan Intergenerational Network
Michigan Public Transit Association
Michigan Senior Mobility Workgroup
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4DHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Monroe County Aging Consortium
Monroe County Elder Justice Task Force
Monroe County Senior Millage "Every 9th American'l(St_Clair County)
Oakland County Business Roundtable, Quality of Life subcommittee
Oakland County Human Services Community Collaborative Council
Regional Transit Authority
SAGE Metro Detroit (Services and Advocacy for GLBT Elders)
SCAN Oakland
Senior Resource Collaborative (Oakland, Macomb, and Wayne counties)
SMART (transit) Advisory Council
Southeast MI Regional Transportation Workgroup
Southeast Michigan Council of Governments (SEMCOG) Executive Committee
Southeast Michigan Regional Transportation Authority — Citizens Advisory Committee
St. Clair County Community Service Coordinating Body
St. Clair County Consortium on Aging
Tr-County CCRC, elder abuse prevention coalition
Washtenaw Elder Justice Coalition
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. Several AM 1-B subcontractors
serve as Community Action Agencies. AAA 1-B staff regularly attends the county commission meetings.
AAA 1-B is working to further grow relationships with the mental and public health professionals. Oakland and
Macomb Counties senior public health newsletter is incorporated into the AAA 1-B Access Newsletter as a
means of creating efficiencies and expanding the reach of the information to seniors.
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AUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
2. Describe the area agency's strategy for FY 2017-2019 for working with ADRC partners in the
context of the access services system within the PSA.
The ADRCSEM will not be promoted as a separate entity within the six county region served by the AAA 1-B
and the Ann Arbor Center for Independent Living, Blue Water Center for Independent Living and the Disability
Network Oakland Macomb. However the_lour organizations are committed to continuing to collaborate to
further improve and enhance the lives of older adults and adults with disabilities in our six county service
region.
3. Describe the area agency's strategy for developing, sustaining, and building capacity for
Evidence-Based Disease Prevention (EBDP) programs including the area agency's provider
network EBDP capacity.
A grant from the Area Agencies on Aging Association of Michigan (with Michigan Health Endowment Fund
dollars) has supported the expansion of the agency's wellness program capabilities. From November 2015
through January 2016, 92 individuals were certified to deliver evidence-based wellness programs. The agency
engaged nearly 40 contingent staff trainers, and plans to cross-train many of them in 2016-2019 to deliver the
12 wellness programs currently offered by MA 1-B. The grant also enabled the agency to customize a
SalesForce cloud-based training database which has the capacity to track and capture data about thousands
of trainers and program participants. Work over the next three years will focus on generating revenue through
partnerships and private pay models toward realizing the vision of MA 1-B being recognized as the leading
provider of high quality, outcome-based wellness programs for older adults.
Printed On: 6127/2016 44
ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
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.
The following are focal points in the AAA 1-B region. Focal points are defined as locations where older adults
and caregivers can access long-term care support programs, services and/or resources.
KEY:
A. Chore Services
B. Computer Classes
C. Congregate Meals
D. Driving Classes
E. Education/Lifelong Learning
F. Food Commodity Distribution
G. Friendly Reassurance
H. Health Screenings/Fairs
I. Home Delivered meals
J. Intergenerational Activities
K. Legal Assistance
L. Medicare/Medicaid Assistance
M. Mobile Library
N. Outreach (Home visits)
0. Physical Fitness/Exercise
P. Support Groups
Q. Tax Filing Assistance
R. Transportation
S. Travel Programs
T. Vision Services
U. Hearing Impaired Services
V. Volunteer Opportunities
W. Other: SPECIFY
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:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
Commerce Township Richardson Senior Center
1485 Oakley Park Dr., Commerce Twp., MI 48390
www.commercetwp.com/seniors
(248) 473-1830
Emily England
Commerce Twp.
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ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
No. of persons within boundary: 3,626
Services Provided: B, C, H, 0, S, V
Name: Costick Center/Adults 50 and Better
Address: 28600 Eleven Mile Road, Farmington Hills, MI 48336
Website: vvvvw.fhgov.com
Telephone Number: (248) 473-1830
Contact Person: Marsha Koet
Service Boundaries: Farmington Hills and City of Farmington
No. of persons within boundary: 20,000
Services Provided: A, B, C, D, E, F, H, I, J, K, L, M, N, 0, P, Q, R, 5, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Council on Aging, Inc., Serving St. Clair County
600 Grand River Ave., Port Huron, MI 48060
www.thecouncilonaging.org
(810) 987-8811
Scott Crawford
St. Clair County
26,445
A, C, G, H, I, L, N, 0, Q, R, S, V, W: Loan Closet, Information and ReferrE
Dexter Senior Center
7720 Ann Arbor St., Dexter, MI 48130
www.dexterseniors.org
(734) 426-7737
Wendy Smith
Dexter, Webster Township, Seto Township
B, C, E, G, H, I, J, L, M, 0, P, Q, R, 5, V
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
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AUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Web site:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
FY 2017
B, C, D, E, F, H, I, K, L, 0, P, Q, R, S, U, V, W: Resource/Referral,
Social/Enrichment Programs, Crafts
Dundee Senior Citizen Center
284 Monroe St., Dundee, MI 48131
www.dundeeareaseniorcitizencenter.com
(734) 529-2401
Nancy Clark
Dundee Twp., Petersburg, Summerfield Twp.
C, H, I, K, 0, S
Edna Burton Senior Center
345 Ball St., PO Box 429, Ortonville, MI 48462
http://www.brandontownship.us/index.php/senior-center
(248) 627-6447
Annette Beach
Groveland Twp., Brandon Twp.
C, R, V, W: Loan Closet
Finnish Center Association
35200 W. 8 Mile Rd., Farmington Hills, MI 48335
www.finnishcenter.org
(248) 478-6939
Lois Makee
Finnish Elders
E, H, S, V, W: Social Activities
Jewish Community Center of Metropolitan Detroit
15110 West Ten Mile Road, Oak Park, MI 48237
www.jccdet.org
(248) 967-4030
Leslee Magidson
Oakland County
B, C, D, E, H, J, 0, Q, S, V
Jewish Community Center of West Bloomfield
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Apws ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Address: 6600 W. Maple Rd., West Bloomfield, MI 48322
Website: www.jccdet.org
Telephone Number: (248) 661-1000
Contact Person: Mark Lit
Service Boundaries:_ Jewish Elders
No. of persons within boundary:
Services Provided: B, C, D, E, F, G, H, J, 0, Q, R, S, V
FY 2017
Name:
Address:
VVebsite:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Jewish Vocational Service (JVS): Brown Jewish Community Center
29699 Southfield Rd., Southfield, MI 48076
www.jvsdetroit.org
(248) 559-5000
Debra Yamstein
Jewish Elders
E, J, 0, S, V, W: Adult Day Services, Social Activities
Name: LaAmistad Senior Center/Ruth Peterson Center
Address: 990 Joslyn Rd., Pontiac, MI 48340
Website:
Telephone Number: (248) 858-2307
Contact Person: Pablo Moran Jr.
Service Boundaries: Pontiac
No. of persons within boundary: 7,548
Services Provided: C, H, Q, W: Social Activities
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Lenox Township Senior Center
63975 Gratiot, Lenox, MI 48050
www.lenoxtwp.org
Lighthouse of Oakland County
46152 Woodward, Pontiac, MI 48342
www.lighthouseoakland.com
(586) 727-2085
LuAnne Kandell
Lenox Township, Village of New Haven and surrounding areas
G, J, 0
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IUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
(248) 920-6000
John Ziraldo
Pontiac
7,548
FY 2017
Services-Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
A, E, F„ _Q, R, W Budget Counseling, Prescription Assistance
Pleasant Ridge Community Center
4 Ridge Rd., Pleasant Ridge, MI 48069
http://cityofpleasantridge.org
(248) 542-7322
Scott Pietrczak
Pleasant Ridge
W: Social Activities
Putnam Township Senior Center
131 South Howell St., Pinckney, MI 48169
www.putnamtwp.us
(734) 878-1810
Patrice Rentsch
Livingston County
1,000
B, C, E, G, H, I, J, K, L, 0, Q, S, U, V
Ray Township
64255 Wolcott Rd., PO Box 306, Ray, MI 48096
www.raytwp.org
(586) 749-3358
Luanne KandeII
Ray Twp.
E, I, 0, P, R, S, T, W: Information and Referral, Social Activities
Richmond Community Center
36164 Festival, Richmond, MI 48062
(586) 727-3064
Stacie VanKirk
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aDFIHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
FY 2017
Richmond
890
C, D, E, I, 0, 5, W: Social Groups
Richmond Township Senior Center
75701 Memphis Ridge Road, PO Box 306, Richmond, MI 48062
(586) 727-6700
Cathy Wylin
Richmond
890
C, I, 0, P, ft S, W: Information and Referral, Social Activities
Romeo Senior Activity Center
361 Morton, Romeo, MI 48065
www.rwbparksrec.org
(586) 752-9601
Debbie Webber
Ray Twp., Romeo, Washington, Bruce Twp.
4,806
A, C, D, E, H, I, J, K, L, N, 0, P, Q, R, S, T, U, V, W: Loan Closet, Friendl
Reassurance
Roseville Recreation Authority Senior Center
18185 Sycamore, Roseville, MI 48066
http://www.ci.roseville.mi.us/Departments/SeniorCenteraspx
(586) 777-7177
Mary Grant
Roseville, Eastpointe, Southern Macomb County
B, C, E, G, H, I, J, L, M, 0, P, Q, R, S, V
Royal Oak Senior Center
3500 Marais, Royal Oak, MI 48073
www.ci.royal-oak.mi.us
(248) 246-3900
Paige Gembarski
Royal Oak
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AlisDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Services Provided:
Name:
Address:
Website:
T-elephone Number:-
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
FY 2017
A, B, C, E, F, H, K, L, M, N, 0, P, Q, R, 5, T, U, V
Saline Area Senior Center
7190 N. Maple, Saline, MI 48176
www.salineseniors.org
(734) 429-9274
Rina Chemin
Saline
5,000
B, D, E, H, I, J, K, L, 0, P, Q, R, 5, T, U, V, W: Sports Activities
Santosh Multicultural Resource Center
4205 Woodcreek Dr., Ypsilanti, MI 48197
(734) 930-1953
Chandana Sarkar
South Asian Elders
Shelby Township Senior Center
51670 Van Dyke Ave., Shelby Township, MI 48316
www.shelbytwp.org
(586) 739-7540
Amy Drake
Shelby Township and Utica
10,000
B, C, G, H, I, K, L, 0, P, Q, R, S, T, U, V
South Lyon Center for Active Adults
0 0 0 N. Lafayette, South Lyon, MI 48178
http://www.slcs.us/Center_for_Active_Adults.html
(248) 573-8175
Linda Graham
City of South Lyon, South Lyon Twp., Green Oak Twp.
5,020
A, D, E, G, H, 0, Q, S, V
Southeastern Michigan Indians Assoc., Inc.
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l'UDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
FY 2017
26641 Lawrence St., Center Line, MI 48015
www.semii1975.org
(586) 756-1350
Euphemia Franklin
Native American Elders and Macomb, Oakland, St. Clair Counties
432,000
B , C, E, G, H, J, K, L, 0, T, U, V
Southfield Senior Adult Center
23450 Civic Center Dr., Southfield, MI 48034
www.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
Springfield Township Parks and Recreation
12000 Davisburg Rd., Davisburg, MI 48350
http://www.springfield-twp.us/pr_srServices.htm
(248) 634-0412
Sarah Richmond
Clarkston, Independence Twp., Springfield Twp.
I, R, W: Social Activities
St. Anne's Senior Center/Warren Community Center
6100 Arden, Warren, MI 48092
(586) 939-3110
Sister Mary Jane Kleindorfer
Warren
0, S, V, W: Social Activities
St. Clair Shores Senior Center
20000 Stephens St., St. Clair Shores, MI 48080
http://www.ci.saint-clair-shores.mi.us/index.aspx?nid=282
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aDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Telephone Number:
Contact Person:
Service Boundaries:
No, of persons within boundary:
Services Provided:
586-445-0996
Sue Fickau
City of St. Clair Shores
FY 2017
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Sterling Heights Senior Citizen Center
40200 Utica Rd, PO Box 8009, Sterling Heights, MI 48313
http://sterling-heights.net
(586) 446-2750
Kristen Briggs
Sterling Heights
19,954
A, B, C, D, E, G, H, I, J, L, 0, P, Q, R, S, T, W: Social Activities, Library
Fowlerville Senior Center
203 N. Collins St., Fowlerville, MI 48836
http://fowlervilleseniorcenter.com/
(517) 223-3929
Dean Snider
Cohoctah Twp., Conway Twp., Fowlerville, Handy Twp., losco Twp.
2,272
B, C, H, N, 0, P, S, U, W: Social Activities and Bread Delivery
Fraser Senior Center
34935 Hidden Pine Dr., Fraser, MI 48026
www.ci.fraser.mi.us
(586) 296-8483
Kathy Kacanowski
Fraser
2,948
B, G, H, 0, R, S, W: Social Activities, Reflexology and Massage
Frenchtown Senior Citizen Center
2786 Vivian Rd., Monroe, MI 48162
http://frenchtownsenior.com/
(734) 243-6210
Barbara Mazur
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ati.DHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
FY 2017
Berlin Twp., Carleton, Exeter Twp., Frenchtown Twp.
4,513
C, H, K, 0, P, 8, W: Adult Day Service, Social Activities, Fundraising
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
Gregory Area Senior Center
126 Webb, PO Box 372, Gregory, MI 48137
(517) 851-8881
Richard Ellsworth
Livingston and Washtenaw Counties
C, F, G
Hamburg Senior Center
10307 Merrill Road, Hamburg, MI 48139
www.hamburg.mi.us
(810) 222-1140
Christine Hoskins
Hamburg, Pinckney, Brighton, Whitmore Lake and Dexter
B, C, D, G, I, L, 0, Q, S, U
Hartland Senior Center
9525 Highland Road, Howell, MI 48843
www.hartlandseniorcenter.org
(810) 626-2135
Kim Ladd
Livingston County
14,000
B, C, D, E, G, H, L, N, 0, P, Q, R, S, V
Printed On: 6/27/2016 54
Area Agency On Aging 1-B
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
AUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
VVebsite:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
FY 2017
Hazel Park Senior Center
620 W. Woodward Heights Blvd., Hazel Park, MI 48030
http://hazelpark.org/senior-services
(248) 546-4093
Sareen Papakhian
Hazel Park
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
Heidi Bey
Highland Twp.
C, H, K, M, N, Q, R, S, V
Howell Senior Center
925 W. Grand River Ave., Howell, MI 48843
www.howellrecreation.org
(517) 546-0693
Melissa Ferrara
Livingston County
22,854
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
www.ci.huntington-woods.mi.us
(248) 541-3030
Jennifer Furlong
Huntington Woods
1,000
B, C, D, E, G, H, J, K, L, 0, P, Q, R, S, T, V
Macomb County Community Action
21885 Dunham Rd., Clinton Twp., MI 48036
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AliDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Website: www.macombcountymi.gov/mccsa
Telephone Number: (586) 469-6999
Contact Person: Nicole Urban
Service Boundaries: Macomb County
No. olpersons within-boundary: 139,027
Services Provided: A, E, F, G, H, I, J, K, L, N, P, Q, R, T, V, W, T, W: Information and Referrz
Speakers Bureau, Loan Closet, Weatherization, Financial Assistance,
Prescription Assistance, Counseling, Caregiver Support, Grief Support,
Kinship Care, Adult Day Service, Housing Options Counseling,
Emergency Cell Phone Distribution
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Macomb County Health Department
43525 Elizabeth Rd., Mt. Clemens, MI 48043
www.macombgov.org
(586) 469-5510
William RideIla
Macomb County
200,000
H, L, N, W: Immunizations
Madison Heights Senior Center
29448 John R., Madison Heights, MI 48071
vony.madison-heights.org/departments/senior_center
(248) 545-3464
Jennifer Cowan
Madison Heights
A, B, C, H, 0, R, S, V, W: Information and Referral, Loan Closet
Manchester Senior Citizens
324W. Main, Manchester, MI 48158
http://vil-manchester.org
(734) 428-7877
Jeff Wallace
Manchester Twp., Sharon Twp.
855
Milan Seniors for Healthy Living
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FY 2017-2019
Area Agency On Aging 1-B
Address:
Website:
Telephone Number:
Contact Person:
_Service Boundaries: _ _
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
FY 2017
45 Neckel Ct., Milan, MI 48160
www.milanseniors.org
(734) 508-6229
Jennifer Michalak
Greater- Milan area(portions of VVashtenaw and Monroe Counties)
2,185
B, C, D, E, H, J, M, 0, P, Q, R, 5, U, V
Milford Senior Center
1100 Atlantic St., Milford, MI 48381
www.villageofmilford.org/1/village/senior_centerasp
(248) 685-9008
Nancy Hinzmann
Milford Twp.
C, H, K, 0, Q, R, S, V
Mitchell Senior Center
3 First St., Yale, MI 48097
http://www.yalechamber.com/YaleSeniorCenter.html
(810) 387-3720
Debra Green
Brockway Twp., Greenwood Twp., Kenockee, Lynn Twp. and Yale
A, G, H, N, 0, Q, R, S, W: Loan Closet, Prescription Drug Assistance
Monroe Center for Healthy Aging
15275 South Dixie Hwy., Monroe, MI 48161
www.monroectr.org
(734) 241-0404
Sandie Pierce
Monroe County
20,000
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
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FY 2017-2019
Area Agency On Aging 1-B
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
(734) 240-7363
Jeff McBee
Monroe County
21,829
FY 2017
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Monroe County Opportunity Program
1148 S. Telegraph, Monroe, MI 48161
http://www.monroecountyop.org/
(734) 241-2775
Stephanie Kasprzak
Monroe County
21,829
A, F, N, R, W: Home Rehabilitation, Housekeeping/Personal Care,
Respite, Financial Aid, Weatherization
Northfield Township Senior Center
9101 Main Street, Whitmore Lake, MI 48189
www.twp-northfield.org
(734) 449-2295
Tami Averill
Communities Surrounding Whitmore Lake
B, D, E, H, M, 0, Q, S, T, U, V
Stillwell Manor/Joseph Coach Manor
26600 Burg Rd., Warren, MI 48089
http://www.cityofwarren.org/index.php/senior-citizens-housing
(586) 758-1310
Becky Rose
Warren
C, H, 0, S, W: Social Activities
Sullivan Senior Center
13613 Tuttlehill Road, Milan, MI 48161
(734) 439-1733
Sue Black
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fUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
FY 2017
Service Boundaries: London Twp., Milan, Milan Twp.
No. of persons within boundary: 856
Services Provided: C, H, K, Q, S
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Taekeuk Village
3712 Williams, Wayne, MI 48184
(734) 729-7920
Eun Jong
Korean Elders
W: Social Activities
Name: Troy Community Center
Address: 3179 Livernois, Troy, MI, 48083
Website: www.troymi.gov
Telephone Number: (248) 524-3484
Contact Person: Carla Vaughan
Service Boundaries: Greater Troy Area
No. of persons within boundary: 20,000
Services Provided: 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
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Tucker Senior Center
26980 Ballard, Harrison Twp., MI 48045
http://www.harrison-township.org/resources/senior_center/index.php
(586) 466-1498
Muriel Joseph
Harrison Twp.
B, C, G, P, Q, R, W: Soc. Activities
Turner Senior Resource Center
2401 Plymouth Rd., Ste. C, Ann Arbor, MI 48105
http://www,med.umich.edu/geriatrics/community/turner.htm
(734) 998-9353
Rachel Dewees
Ann Arbor
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FY 2017-2019
Area Agency On Aging 1-B
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
FY 2017
B, C, D, E, G, H, L, 0, P, OS, V
VVashington Life Center
7232 S. River Rd., Marine City, MI 48039
(810) 765-3523
Debbie Heraty
Algonac, Casco Twp., China Twp., Clay Twp., Columbus Twp.,
Cottrellville Twp., East China, Ira Twp., Marine City, St. Clair, St. Clair
Twp.
9,406
A, B, C, D, E, G, H, I, J, K, L, N, 0, P, Q, R, S, T, U, V
Washington Senior Activity Center
57880 Van Dyke, Washington, MI 48094
http://www.rwbparksrec.org/Default.aspx?id=13
(586) 786-0131
Sandy Keown
Washington Twp.
A, B, C, G, H, K, N, 0, Q, R, W: Loan Closet
Water Tower Park Center
11345 Harold Drive, Luna Pier, MI 48157
(734) 848-8700
Wendy Colter
Erie Twp., LaSalle Twp., Luna Pier
C, K, 0, W: Social Activities
Waterford Senior Center
3621 Pontiac Lake Rd., Waterford, MI 48328
www.waterford.k12.mi.us/seniorcenter
(248) 682-6134
Thomas Wiseman
Waterford Twp.
C, F, G, H, I, K, N, P, Q, S, U, V, W: Loan Closet
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FY 2017-2019
Area Agency On Aging 1-B
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
West Bloomfield Recreation Activities Center
4640 Walnut Lake Road, West Bloomfield, MI 48322
wvvw.westbloomfieldparks.org
(248) 451-1900
Dennis M. Troshak
West Bloomfield Township
13,000
B , D, E, G, H, 0, P, Q, R, S, V
FY 2017
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Wixom Senior Citizen's Center
49045 Pontiac Trail Wixom, MI 48393
http://www.ci.wixom.mi.us/index.aspx?NID=868
(248) 624-4557
Judy Klein
Wixom
B, D, E, H, J, 0,0, R, S, V
Ypsilanti Senior Citizen Center
1015 N. Congress, Ypsilanti, MI 48197
http://ypsiseniorcenter.org/
(734) 483-5014
Monica Prince
Washtenaw County
1,999
C, E, H, J, M, 0, W: Recreation and Enrichment Activities
Ypsilanti Township Recreation Center
2025 East Clark Rd., Ypsilanti, MI 48198
http://ytown.org/government/township-departments/recreation
(734) 544-3800
Deborah Aue
Ypsilanti Twp., Superior Twp.
6,124
B, C, D, E, F, G, H, J, L, M, 0, P, 0, R, S, T, U, V, W: Social Activities
Independence Township Senior Adult Activity Center
6000 Clarkston Road, Clarkston, MI 48348
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FY 2017-2019
FY 2017 Area Agency On Aging 1-B
Website:
Telephone Number:
Contact Person:
Service Boundaries:
_No. of-persons-within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
VVebsite:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
www.twp.independence.mi.us
(248) 625-8231
Dale Stuart
Clarkston, Springfield, Waterford and Oakland County
10,000
A, B, C, D, E, F, H, I, J, K, L, M, N, 0, P, Q, R, S, T, U, V
Italian American Cultural and Community Center
43843 Romeo Plank Rd., Clinton Twp., MI 48038
www.iacsonline.com
(586) 223-3030
Martin Garagiola
Italian Elders
W: Social Activities
Jack and Patti Salter Community Center
1545 E. Lincoln Ave., Royal Oak, MI 48067
www.ci.royal-oak.mi.us
(248) 246-3180
Kim Mannaioni
Royal Oak
A, B, C, D, E, F, G, H, I, K, L, N, 0, P, Q, R, 5, T, U, V
Jewish Community Center of Greater Ann Arbor
2935 Birch Hollow Dr., Ann Arbor, MI 48108
http://asoft8259.accrisoft.com/annarbolcc
(734) 971-0990
Lesley Bash
Ann Arbor, Jewish Elders
C, E, J, 0, W: Social Activities
Northville Senior Adult Services
303W. Main St., Northville, MI 48167
www.northvilleparksandrec.org
248-349-4140
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FY 2017-2019
Area Agency On Aging 1-B
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
FY 2017
Suzie Johnson
Northville
960
A, H, 0, P, Q, R, S, W: Loan Closet, Information and Referral, Social
Activities
Name: Novi Senior Center
Address: 25075 Meadowbrook, Novi, MI 48375
Website: http://www.cityofnovi.org
Telephone Number: (248) 347-0414
Contact Person: Karen Kapchonick
Service Boundaries: Novi
No. of persons within boundary: 6,280
Services Provided: A, B, C, D, E, F, G, H, I, J, K, L, M, N, 0, P, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Oak Park Senior Center
14300 Oak Park Blvd., Oak Park, MI 48237
www.oakpark-mi.com/Recreation/Senior_Activities.htm
(248) 691-7577
Rhoda Horner
Oak Park
3,806
A, B, C, H, I, K, 0,0, R, S, T, U, V
Oakland Livingston Human Service Agency - Central Office
196 Cesar E. Chavez Ave., Pontiac, MI 48343
www.olhsa.org
(248) 209-2600
Marie Verheyen
Oakland and Livingston Counties
5,000
A, F, L, N, V, W: Home Injury Control, Focus Hope, Resource Advocacy,
Financial Assistance
Oakland Livingston Human Service Agency - Livingston Office
2300 E. Grand River, Ste. 107, Howell, MI 48843
vvww.olhsa.org
(517) 546-8500
Marie Verheyen
Printed On: 6/27/2016 63
Atio lDFI H S ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries;
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
FY 2017
Livingston County
A, F, L, N, Q, W: Guardianship/Conservatorship, Home Rehabilitation,
Loan Closet, Undesignated Temporary Financial Aid, Weatherization
Older Persons' Commission
650 Letica Drive, Rochester, MI 48307
www.opcseniorcenter.org
(248) 656-1403
Renee Cortright
Rochester Hills, Rochester and Charter Township of Oakland
19,551
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.
Orion Senior Center
21 East Church St., Lake Orion, MI 48362
www.orion.lib.mi.us/township/seniorcenter/senior.html
(248) 693-2066
Lisa Sokol
Orion Twp.
A, B, C, H, K, L, N, 0, P, 0, S, W: Cell Phone Donation Program
Owen Jax Parks and Recreation Center
8207 East Nine Mile Road, Warren, MI 48089
wvvw.cityofwarren.org
(586) 757-7480
Becky Rose
Warren
C, 0, W: Social Activities
Oxford Veterans Memorial Civic Center
28 North Washington, Oxford, MI 48371
vvww.oxfordtownship.org
(248) 628-9056
Theresa Hric
Printed On: 6/27/2016 64
aDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Oxford Two.
A, N, R, 5, W: Social Activities
Pearl Wright Senior Center
21131 Garden Lane, Ferndale, MI 48220
http://www.royaloaktwp.com/seniorcenter.html
(248) 542-6752
Cynthia Phillips
Royal Oak Twp.
H, 0, R, V
Pittsfield Township Senior Center
701 West Ellsworth Road, Ann Arbor, MI 48108
vyww.pittsfield-mi.gov
(734) 822-2117
Mark Gasche
Washtenaw County and surrounding counties
1,800
B, C, D, E, G, H, J, L, N, 0, P, Q, R, S, V
Ann Arbor Community Center
625 North Main, Ann Arbor, MI 48105
http://www.annarbor-communitycenter.org/
(734) 662-3128
Yolanda Whiten
Ann Arbor
G, H, N, 0, Q, W: Social Activities
Ann Arbor Senior Center
1320 Baldwin, Ann Arbor, MI 48104
www.a2gov.org/senior
(734) 794-6250
Pam Simmons
Ann Arbor
FY 2017
Printed On: 612712016 65
ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
FY 2017
B, D, E, G, H, J, M, 0, P, Q, S, V, W: Senior Housing Awareness, Publish
a TV Show, Social Activities
Arab-American and Chaldean Council
363 W Big Beaver Rd, Suite 300, Troy, MI 48084
www.nnyacc.org
(248) 559-1990
Arab and Chaldean Elders
community outreach, food pantry, job training, healthcare, substance
abuse
Area Agency on Aging 1-B LivingstonNVashtenaw Access Center
3941 Research Park Dr., Suite B, Ann Arbor, Ml 48108
www.aaa1b.com
(734) 213-6704
Tina Abbate Marzolf
Livingston and Washtenaw Counties
59,704
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
www.aaa1b.com
(586) 226-0309
Tina Abbate Marzolf
Macomb County
122,870
L, W: Information and Assistance, Care Management, Advocacy
Area Agency on Aging 1-B Monroe Access Center
14930 La Plaisance, Suite 130, Monroe, MI 48161
vyww.aaalb.com
(734) 241-2012
Tina Abbate Marzolf
Monroe County
20,844
L, W: Information and Assistance, Care Management, Advocacy
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FY 2017-2019
Area Agency On Aging 1-B FY 2017
Name: Area Agency on Aging 1-B Oakland Office
Address: 29100 Northwestern Hwy., Suite 400, Southfield, MI 48034
Website: www.aaa1b.corn
Telephone Number: (800) 852-7795
Contact Person: Tina Abbate_Marzolf
Service Boundaries: Oakland County
No. of persons within boundary: 166,009
Services Provided: L, W: Information and Assistance, Care Management, Advocacy
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Armada Twp. Senior Center
75400 N. Ave., PO Box 306, Armada, MI 48005
http://armadatwp.org/Departments/SeniorCenter.aspx
(586) 784-8050
Jan Mueller
Armada Twp.
C, E, I, 0, P, R, S, W: Information and Referral, Social Activities
Ash Seniors
700 Carleton Rockwood Rd., PO Box 21, Carleton, MI 48117
http://ashtownship.org/index.html
(734) 586-8063
Rita Sanders
Ash Twp.
1,072
K, V, W: Social Activities
Association of Chinese Americans
32585 Concord Dr., Madison Heights, MI 48071
www.acadetroit.org
(248) 585-9343
Joyce Li
Chinese Elders
B. C. E, H, J, L, N, 0, P. Q, R, 5, V
Auburn Hills Senior Center
1827 North Squirrel, Auburn Hills, MI 48326
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AIDHFIS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Website:
Telephone Number:
Contact Person:
Service Boundaries:
_No. of-persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
www.auburnhills.org
(248) 370-9353
Karen S. Adcock
City of Auburn Hills
2,016
A, B, C, D, E, F, G, H, I, J, K, L, M, N, 0, P, S, T, U, V
Bedford Senior Community Center
1653 Samaria, Temperance, MI 48182
www.bedfordseniorcenter.com
(734) 856-3330
Dianne Carroll
Southeastern Monroe County
6,670
C, D, E, F, H, I, J, K, M, 0, Q, S, T, U, V
FY 2017
Name: Berkley Parks and Recreation
Address: 2400 Robina, Berkley, MI 48072
Website: http://www.berkleymich.org/seniors_home.shtm
Telephone Number: (248) 658-3470
Contact Person; Susan Thornton
Service Boundaries: City of Berkley
No. of persons within boundary: 1,702
Services Provided: A, B, G, I, J, L, 0, Q, R, S, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Birmingham NEXT
2121 Midvale Street, Birmingham, MI 48009
www.birminghamnext.org
(248) 203-5270
Cris Braun
Birmingham, Villages of Beverly Hills, Bingham Farms, Franklin,
Bloomfield Hills, Bloomfield Township, West Bloomfield, Troy and
Southfield
8,500
A, B, C, ID, 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.
Bloomfield Township Senior Services
4315 Andover Road, Bloomfield Township, MI 48302
Printed On: 6/27/2016 68
AIDI7j 1-1 ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
Website:
Telephone Number:
Contact Person:
Service Boundaries:
_ Ncy of_persons_within boundary:
Services Provided:
www.bloomfieldtwp.org/seniors
(248) 723-3500
Christine Tvaroha
Bloomfield Township
20,000 _
B, D, E, G, H, I, L, 0, P, Q, R, S, V, W: Adult Day Service
FY 2017
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Bowen Senior Center
52 Bagley St., Pontiac, MI 48341
(248) 209-2692
Micky Howard
Pontiac
5,569
B, E, 0, W: Social Activities
Brighton Senior Center
850 Spencer Road, Brighton, MI 48116
www,brightoncommunityed.com
(810) 299-3817
Justin Ricketts
Livingston County
22,854
B, C, E, G, H, J, L, 0, Q, R, S, U, V
Capac Senior Center
315W. Meier St., Capac, MI 48014
(810) 395-7889
Jan Hathcock
Berlin Twp., Capac, Emmett Twp., Mussey Twp., Riley Twp.
1,642
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
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FY 2017-2019
Area Agency On Aging 1-B
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Lawrence Voight
Washtenaw County
35,478
L, P, Q, V, W Respite, Information and Referral
FY 2017
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
Chaldean American Ladies of Charity
2033 Austin Dr, Troy, MI
www.CALConline.org
(248) 538-8300
Zina Asnnar Salem
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
Chaldean Federation of America
29850 Northwestern Hwy., Suite 250, Farmington Hills, MI 48034
www.chaldeanfederation.org
(248) 996-8384
Joseph T. Kassab
Chaldean Elders
G, J, K, V, W: Refugee Assistance
Charter Twp. of Chesterfield Senior Center
47275 Sugarbush, Chesterfield Twp., MI 48047
www.chesterfieldtwp.org
(586) 949-0400
Carol Rose
Chesterfield Twp., New Baltimore
4,334
H, J, 0, R, S, V
Chelsea Senior Citizen Activity Center
512 E. Washington St., Chelsea, MI 48118
www.chelseaseniors.org
(734) 475-9242
Trihn Pifer
Chelsea, Sylvan Twp., Lima Twp., Lyndon Twp,
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41D1-IHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
No. of persons within boundary:
Services Provided: C, D, E, F, G, H, I, J, L, 0, P, Q, S, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Name:
Address:
Website:
Telephone Number:
Contact Person:
Service Boundaries:
No. of persons within boundary:
Services Provided:
Cherry Beach Senior Center
7232 S. River Rd., Marine City, MI 48039
(810) 765-3523
Debbie Heraty
Algonac, Casco Twp., China Twp., Clay Twp., Columbus Twp.,
Cottrellville Twp., East China, Ira Twp., Marine City, St. Clair, St. Clair
Twp,
9,406
A, B, C, D, E, G, H, I, J, K, L, N, 0, P, Q, R, S, T, U, V
Clawson Senior Center
509 Fisher Ct., Clawson, MI 48017
www.cityofclawson.corn
(248) 583-6700
Kathy Leenhouts
City of Clawson and surrounding area
1,761
B, C, E, I, J, 0, Q, R, 5, V
Clinton Township Senior Adult Life Center
40730 Romeo Plank Road, Clinton Township, MI 48038
www.clintontownship-mi.goviseniors
(586) 286-9333
Matthew Makowski
Macomb County
122,870
B, C, D, E, H, J, L, 0, P, Q, R, 5, T, V
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AUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
FY 2017
Other Grants and Initiatives
1. Describe other grants and/or initiatives the area agency is participating in with AASA or other
partners.
SameAddress
AAA 1-B launched this new Social Enterprise in 2015 to expand our mission by also serving the needs of
older adults through the private pay market and also provide services not currently provided with MI Choice
and AASA funding. It is fully staffed and operating as an integrated program of the agency, making
non-biased referrals between programs based on the needs and financial resources of the inquirers. Profit
generated by SameAddress will be directed to support other core services of the agency. Since the launch,
SameAddress has taken over 1,000 calls, performed close to 200 assessments and has provided services
to over 100 older adults. SameAddress has established relationships with nearly 50 organizations, all
carefully monitored to assure optimal performance in health care management, professional services, home
safety and daily living support. From 2017-19, SanneAddress will continue to increase the strength of the
brand, develop products to meet the growing needs of older adults, and expand into new geographic
markets[tam1] .
Expansion of Senior Wellness Programming
A grant from the Area Agencies on Aging Association of Michigan (with Michigan Health Endowment Fund
dollars) has supported the expansion of the agency's wellness program capabilities. From November 2015
through January 2016, 92 individuals were certified to deliver evidence-based wellness programs. The
agency engaged nearly 40 contingent staff trainers, and plans to cross-train many of them in 2016-2019 to
deliver the 12 wellness programs currently offered by AAA 1-B. The grant also enabled the agency to
customize a SalesForce cloud-based training database which has the capacity to track and capture data
about thousands of trainers and program participants. Work over the next three years will focus on generating
revenue through partnerships and private pay models toward realizing the vision of AAA 1-B being
recognized as the leading provider of high quality, outcome-based wellness programs for older adults.
The grant also provided AAA, 1-B guidance in designing a Diabetes Self-Management Training Program
(DSMT), which is a Medicare-fundable service. DSMT consists of one-on-one nutrition counseling, guidance
on goal setting, and group training using the Diabetes PATH curriculum. In early 2017, the agency plans to
deliver DSMT to residents of Oakland and VVashtenaw counties, to communities identified as high-need and
socioeconomically challenged. We will expand the program geographically as external revenues to support it
are generated. Individuals who have Medicare Part B insurance are eligible for this Medicare benefit, and
AAA 1-B will contract with other health-related organizations to underwrite the cost of the program for
individuals who cannot access the Medicare benefit.
MDHHS Older Adult Refugee Grant — The MDHHS-funded Older Adult Refugee grant is used to provide
access to community services and resources and reduce social isolation for the over 60 refugee population
primarily Chaldean/Iraqi population in Oakland and Macomb Counties. The Chaldean American Ladies of
Charities have been subcontracted to provide these services.
Medicare/Medicaid Assistance Program (MMAP) —AAA 1-B is committed to meeting the required
performance measures for the MMAP program as determined by MMAP Inc., and Administration for
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AUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Community Living. In FY 2017, the AAA 1-B will attain at minimum, 42,700 contacts with Medicare
beneficiaries, reach 45,400 individuals through presentations and events and will meet the required
performance measures overall and in each county as determined by MMAP Inc., for FY 2017. In addition, the
AAA 1-B will meet established contacts with low income Medicare beneficiaries and disabled beneficiaries.
Medicare fraud prevention activities are an integral part_of MMAP. The AAA 1-B will continue to provide, at
minimum, 200 presentations on Medicare fraud during FY 2017 and will assist 477 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 2016, the MA 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 2017, dependent on funding availability, with at minimum, one MMAP training for new volunteers provided
and possibly additional trainings depending on the capacity of the MMAP trainer and the implementation of
web-based training.
Senior Reach
AAA 1-B will partner with Easter Seals in Oakland County and Livingston County Mental Health Authority to
refer older adults to the Senior Reach evidence-based program. Senior Reach identifies isolated, at-risk
older adults and connects them to behavioral health and care management services in the community. This
program provides an opportunity for AAA 1-B to offer additional assistance to individuals with behavioral
health needs.
2. Describe how these grants and other initiatives will improve the quality of life of older adults within
the PSA.
See #1 above.
3. Describe how these grants and other initiatives reinforce the area agency's planned program
development efforts for FY 2017-2019.
See #1 above.
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aDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Appendices
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IUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
APPENDIX A
Board of Directors Membership
Asian/Pacific
Islander
African
American
Native
American/
Alaskan
Hispanic
Origin
Persons
with
Disabilities
Female Total
Membership
Membership
Demographics 1 2 0 0 4 8 20
Aged 60 and Over 0 1 0 0 4 5 10
Board Member Name Geographic Area Affiliation Elected
Offi.ci.al Appointed Community
Representative
Vurn Bartley, Jr. St. Clair County Older Adult
Representative
Yes
Gary Childs Livingston County Livingston County Board
of Commissioners
Yes
Dr. Betty Chu Healthcare/Medical Yes
Jan Dolan Oakland County Older Adult
Representative
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/Foundation
S
Yes
Ruth Ann Jamnick 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
Mark Rottermond Finance Yes
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IstioDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
Robert Smith Macomb County Macomb County Board
of Commissioners
Yes
Karl Tomion St. Clair County St. Clair County Board of
Commissioners
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
Helaine Zack Oakland County Oakland County Board of
Commissioners
Yes
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aDFIFI S ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
APPENDIX B
Advisory Board Membership
Asian/
Pacific
Islander
African
American
Native
American/A
laskan
Hispanic
Origin
Persons
with
Disabilities
Female Membership
Total
Membership
Demographics 0 3 0 1 3 10 21
Aged 60 and Over 0 2 0 0 3 6 13
Board Member Name Geographic Area Affiliation
Gloria Edwards Washtenaw County Older Adult
Representative
Steve Faine Oakland County Older Adult
Representative
Jim Forrer Private Sector:
Nonprofit/Business
Dennis K. Griffin Oakland County Older Adult
Representative
Deborah Hinson Public Sector: Veterans
Administration
Dorothy Keskitalo Public Sector: Title Ill
Social Services Provider
John Kinch Public Sector: MCCMH
Marsha Koet Public Sector: Title III
Nutrition Provider
Blanca Mares Public Sector: Centro
Multicultural La Familia
Catherine Martin Public Sector: UAW
Retirees
Floreine Mentel Monroe County Older Adult
Representative
Theresa Monsour Macomb County Older Adult
Representative
Dan Sier Macomb County Older Adult
Representative
Dr. Joseph Sucher Oakland County Older Adult
Representative
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aDFIHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
FY 2017
Mark Swanson Livingston County Older Adult
Representative
Sue Anne Sweeney Private Sector:
Education/Gerontology
Scott Turske Private Sector: MPRO
Kevin Watson _ Private Sector_DSP
Provider
SaraMarie Watson Macomb County Older Adult
Representative
Jim Whalen Private Sector: Disability
Network
Tom Zaremba Macomb County Older Adult
Representative
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IUDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B FY 2017
APPENDIX C
Proposal Selection Criteria
Date criteria approved by Area Agency on Aging Board: 11/20/2015
Outline new or changed criteria that will be used to select providers:
At the November 2015 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 Committee (ARC) members.
The ARC is responsible for reviewing all provider applications submitted through the FY 17-19 RFP
process. The ARC uses a standardized tool to review all applications. Applications were due to AAA
1-B by June 3, 2016. The ARC reviews applications through June and meets in 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 in August and contracts become
effective October 1, 2016.
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.
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AirlDHHS ANNUAL & MULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
FY 2017
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 Aging
and Adult Services Agency (AASA), 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 AASA 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 AASA.
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: 6/27/2016 80
NULHJIION SERVICES SUP POR iIVE SERVICES otal Local Cash I I Local In-Kind 87,138 896,572 156,231 79,557 1,054,928 166,231 79,557 /1,098 1,132,4/0 /1,098 I 137,138 1,290,705 TOTAL Federal Administratron Expenditures FTEs 1. Salaries/Wages 17.00 1,551,882 2. Fringe Benefits 466,247 3. Office Operations 717,717 Total: 2,735,846 7h Match Detail n-Kind Match Detail Source Amount Source Amount Interest Income 10,685 Board/Advisory Council _ _ 9,326 County match 60,414 Caregivers 77,812 Total: 71,098 Total: 87,138 FUND SOURCE 1. Federal Title Ill-12 Services 2. Fed. Title III-Cl (Congregate) 3. State Congregate Nutrition 4. Federal Title III-C2 (HDM) 5. State Home Delivered Meals 8. Fed. Title III-D (Prey. Health) 9. Federal Title III-E (NFCSP) 10. Federal Title VII-A 10. Federal Title VII-EAP 11. State Access 12. State In-Home 13. 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. MATF & St CO Support 20. TOM/Medicaid & MSO 21. NSIP 22. Program Income SERVICES -SUMMARY 2,365,485 2,978,032 59,742 1,544,061 2,619,809 163,955 1,018,517 17,012 40,666 178,323 1,396,529 701,993 863,653 351,112 440,058 1,358,905 330,282 920,686 27,308 807,405 1,444,849 2,304,901 2,166,310 330,282 920,686 27,308 1,444,849 2,842,671 10,112,254 11,758,/99 22,4/1,053 ADMIMS I RAI101k1 2,619,809 163,955 Revenues 2,365,485 State Administration 2,978,032 MATF & St. CG Support Administration 59,742 Other Admin 1,544,061 I otal AIP Admm: 1,018,517 17,012 40,666 178,323 1,396,529 701,993 863,653 351,112 440,058 537,770 Agency: Area Agency on Aging FY 2017 AREA PLAN GRANT BUDGET Budget Period: Date: 06/23/16 10101/16 to Rev. 412016 09/30/17 PSA: 1-B Rev. No.: 0 Page 1of 3 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. CEO 6.24.16 Signature Title Date
Agency: PSA: Area Agency on Aging FY 2017 AREA AGENCY GRANT FUNDS-SUPPORT SERVICES DETAIL Budget Period: Date: 10/01/16 R to v. No.: 09130117 Rev. 4/2016 page 2 of 3 1-0 06123/16 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. Respite (Escheat) MATF & St CO Sup. iCM-medwe Program Income Cash Match In-Kind Match TOTAL 1. Access a. Care Management 11,169 4,104 13,821 70,905 5,000 3,281 9,842 118,122 b. Case Coord/supp 286,905 128,707 150,930 792,747 147,954 47,073 256,037 1,810,363 C. Disaster Advocacy - d. Information & Assis 130,000 201,475 9,983 34,077 435 11,750 35,251 422,971 e. Outreach 319,074 157,997 244,000 15,334 15,986 84,163 836,555 1. Transportation 16,990 24,314 2,644 287 862 45,097 2. In-Horne a. Chore 495,248 12,690 17,305 88,120 513,363 b. Home Care Assis - - - c, Home Injury Cntd 100,000 12.590 4,458 49577 166,725 d. Homemaking - - - e. Home Health Aide - - - 0. Medication Mgt 10,000 2,644 199 598 13,441 g. Personal Care - - - h. Assistive Device&Tech 21,953 55,585 9,095 2,252 42,961 130,946 i. Respite Care 54,478 56,176 117,982 65,545 25,380 4,158 48,679 372,398 1. Friendly Reassure - - 3. Legal Assistance 205,386 12.690 7,323 58,172 283,570 &Community Services a. Adult Day Care 20,000 414,349 12,690 5,561 52,888 505,488 b. Dementia ADC 11.000 132,018 336,911 25,380 1,048 3,145 509,602 c. Disease Prevent 133,955 12,690 4,533 49,803 200,981 d. Health Screening - - - .. e. Assist to Deaf 45.000 12,690 3,266 46,003 106,959 f. Home Repair - - - g. LTC Ombudsman 27,019 17,012 73,035 27,308 12,690 - - 157,064 h. Sr Ctr Operations - - - I. Sr Ctr Staffing - - - j. Vision Services 1,000 2,644 105 314 4,063 k. Elder Abuse Prevnt . 19,334 40,666 12.590 - - 72,690 I. Counseling - - - m. Creat.Conf.CG® CCC 30,000 6,451 1,115 39,550 77,116 n. Caregiver Supplmt - _ - a, Knship Support 25,000 12,690 1.133 39.602 78,425 q. Caregiver E,S,T 25.000 - - 25,000 5. Program Develop 454,715 27,834 14,933 81,002 578,484 6. Region Specific CLPS 202,592 421,756 - 3,589 1,284,768 690993 80,282 152,753 294,291 372,339 3,503,362 - - - - - - - . - - - 7. CLP/ADRC Services - . - - S. MATF & St CG Sup Mm 79,567 79,567 SUPPRT SERV TOTAL 2,365,485 163,955 1,018,517 57,678 178,323 1,396,529 701,993 863,653 351,112 330,282 920,686 27,308 537,770 440,058 1,358,995 I 10712,254
Agency: PSA, FY 2017 NUTRITION! Area Agency on Aging OMBUDSMAN! Budget Period: Date: RESPITE! 10/01/16 KINSHIP to Rev. Number - PROGRAM 9130/17 BUDGET DETAIL Rev. page 3 4/2016 of 3 1-B 06/23/16 0 FY 2017 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 Match TOTAL Nutrition Services I. Congregate Meals 2,933,032 59,742 170,690 446,550 135,506 3,745,520 2. Home Delivered Meals 1,524,061 2,619,809 1,274,159 1,858,351 664,677 7,941,057 3. Nutrition Counseling - 4. Nutrition Education _ 5. AAA RD/Nutritionisr 45,000 20,000 7,222 72,222 Nutrition Services Total 2,978,032 1,544,061 59,742 2,619,809 1,444,849 2,304,901 - 807,405 11,758,799 *Registered Dietitian, Nutritionist or individual with comparable certification, as approved by OSA. FY 2017 AREA PLAN GRANT BUDGET-TITLE VII LTC OMBUDSMAN DETAIL SERVICE CATEGORY Title III-B Title VII-A Title VII-EAP State NHO MS0 Fund Program Income Cash Match In-Kind Match TOTAL LTC Ombudsman Services 1. LTC Ombudsman 27,019 17,012 73,035 27,308 12,690 „ - 157,064 2. Elder Abuse Prevention 19,334 40,666 12,690 - - 72,690 3. Region Specific - - - - - - , , LTC Ombudsman Ser. Total 46,353 17,012 40,666 73,035 27,308 25,380 - - 229,754 FY 2017 AREA PLAN GRANT BUDGET- RESPITE SERVICE DETAIL SERVICES PROVIDED AS A FORM OF RESPITE CARE Title III-13 Title 1[1-E State Alt Care State Escheats State In-Home Merit Award Trust Fund Program Income Cash/In-Kind Match TOTAL 1. Chore - - - - - - - - - 2. Homemaking - - - - - - - - - 3. Home Care Assistance - . - - - , - - 4. Home Health Aide - - - - - - - - - 5. Meal Preparation/HDM - - - - - - - - - 6. Personal Care - - . - - - - - - Respite Service Total - - - - - - - - FY 2017 AREA PLAN GRANT BUDGET-TITLE E- KINSHIP SERVICES DETAIL SERVICE CATEGORY Title III-B Title III-E Program Income Cash Match In-Kind Match TOTAL Kinship Ser. Amounts Only 1. Caregiver Sup. Services - - - - - - 2. Kinship Support Services - 25,000 12,690 1,133 39,602 78,425 3. Caregiver E,S,T , - - - - - 4. - - - , - - Kinship Services Total - 25,000 12,690 1,133 39,602 78,425
Planned Services Summary Page for FY 2017 PSA: 1-B
Service
Budgeted
Funds
Percent
of the
Total
Method of Provision
Purchased Contract Direct
ACCESS SERVICES I
Care Management $ 118,122 0.53% x
Case Coordination & Support $ 1,810,363 8.06% . : . : . .
.
• x
Disaster Advocacy & Outreach Program $ - 0.00%
Information & Assistance $ 422,971 1.88% • I : . x .
Outreach -$ 836,555 3.72% x . Transportation $ 45,097 0.20% x :
• : IN-HOME SERVICES :
: • Chore $ 613,363 2.73% x x
Home Care Assistance $ - 0.00% i
Home Injury Control $ 166,725 0.74% x . Homemaking $ - 0.00% • Home Delivered Meals $ 7,941,057 35.34% x 1 ' x
Home Health Aide $ _ 0.00% . : . .
• Medication Management $ 13,441 0.06% x
Personal Care $ - 0.00% : • . ' • Personal Emergency Response System $ 130,946 0.58% x
Respite Care $ 372,398 1.66% x i : . x :
Friendly Reassurance $ - 0.00%
i
COMMUNITY SERVICES !
Adult Day Services $ 505,488 2.25% x x • • Dementia Adult Day Care $ 509,502 2.27% : x
Congregate Meals $ 3,745,520 16.67% : X i i
Nutrition Counseling $ - 0.00%
Nutrition Education $ - 0.00% i .-
Disease Prevention/Health Promotion $ 200,981 0.89% x x
Health Screening $ - 0.00% -
Assistance to the Hearing Impaired & Deaf $ 106,959 0.48% x
Home Repair $ - 0.00% .• -
Legal Assistance $ 283,570 1.26% : i x
Long Term Care Ombudsman/Advocacy $ 157,064 0.70% • i x .•
Senior Center Operations $ - 0.00%
Senior Center Staffing $ - 0.00% : I .
Vision Services $ 4,063 0.02% x
Programs for Prevention of Elder Abuse, $ 72,690 0.32% : : x
Counseling Services $ - 0.00% : •
Creating Confident Caregivers® (CCC) $ 77,116 0.34% x x I
Caregiver Supplemental Services $ - 0.00% I
Kinship Support Services $ 78,425 0.35% : x .
Caregiver Education, Support, & Training $ 25,000 0.11% x
AAA RD/Nutritionist $ 72,222 0.32% x
PROGRAM DEVELOPMENT $ 578,484 2.57% x
. REGION-SPECIFIC .• .•
CLPS $ 3,503,362 15.59% x i
b. $ - 0.00%
c. $ - 0.00%
d. $ 0.00% .-
e. $ - 0.00%
CLP/ADRC SERVICES $ - 0.00%
MATF & ST CO ADMINSTRATION $ 79,56/ 0.35% x
TOTAL PERCENT 100.00% 31.64% 53.24% 15.12%
TOTAL FUNDING $ 22,471,053 $7,108,996 $11,964,412 $3,397,645 I
Note: Rounding variances may occur between the Budgeted Funds column total and the Total Funding under the Method of Provision columns
due to percentages in the formula. Rounding variances of + or (-) $1 are not considered material.
Area
Agency on
‘Aging 1-B
Advocacy • Action • Answers on Aging
A Snapshot of the Older Adult needs in the AAA 1-B Region:
2016 Community Forums Synopsis
Community Forums on the needs of Older Adults were held in February and March of 2016 in each of
the six counties that the Area Agency on Aging 1-B serves (Livingston, Oakland, Macomb, Monroe, St.
Clair & Washtenaw). 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. The feedback provided at the forums was utilized to
prepare the Fiscal Year 2017-19 Area Plan on how and what older adult and caregiver services and
programs will be provided throughout the region.
Forum participants were invited to provide testimony on unmet needs, and influence the
establishment of priorities for older adult services. Participants were also asked to complete a survey
listing what services he/she believes should be a priority in the communities the Area Agency on
Aging 1-B serves. Over 260 community members attended the forums, in addition to AAA 1-B staff,
Board of Directors and Advisory Council members.
Participants that completed the paper survey at the forums (n=160) indicated that these four services
should be protected from cuts or possibly receive funding increases: Home Delivered Meals,
Community Living Program Services (in-home care), Adult Day Health Services and Elder Abuse
Prevention. In response to what services the participants thought could be reduced or eliminated if
funding is cut, participants chose the following services: Grandparents Raising Grandchildren, Legal
Services, Assistance to the Deaf or Hearing Impaired, and Public Education.
While each county's community forum had unique discussions and concerns specific to their
community, several major themes or trends in discussion occurred across the forums.
A major trend that arose during the forums was that the participants were concerned about funding.
Reportedly, decreases in funding are affecting programs and services offered to older adults in all
counties. There are concerns with keeping up with the growing older adult population with no
increase in funding. This issue was of particular concern for in-home services and care traditionally
provided by the AAA 1-B through the Community Living Program, which has seen a significant growth
in demand in recent years resulting in a waitlist.
Nutrition was a discussion topic among Livingston, Macomb, Monroe and St. Clair counties. It was
reported that funding is continuing to decrease, yet home delivered meals and congregate
participation numbers are increasing. If fewer funds become available to the counties and they don't
have local funding support, they feel they might not be able to sustain these levels therefore resulting
in a decrease in the meal services. All counties felt that Home Delivered Meals should be the top
priority, but are concerned about protecting the value of congregate meals in preventing social
isolation.
4/7/16
4/7/16
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. Programs such as the Resource Advocacy
Program, Public Education and Information and Assistance services are important to inform the
community about what resources are beneficial for older adults. Participants also shared the
importance of these programs to ensure that older adult county residents are able to have the choice
to remain in their homes. The value of Resource Advocates and their role in connecting older adults
and caregivers came up at nearly every forum.
Home Injury Control (installation of fall prevention devices) and Chore services, including minor home
repairs, were discussed in most counties. Older adults are concerned about potential waitlists for
these services as devices like ramps or some simple home repairs are key to keeping them in their
own homes.
Discussions in Livingston and Washtenaw counties in particular centered on the value of senior
centers, especially the need for initiatives to keep people attending their programs and strained
funding sources. AAA 1-B primarily supports senior centers through advocacy and promotion of their
activities, in addition to funding for congregate meal programs and evidence-based disease
prevention programs held at the centers.
Transportation was identified as a top priority for AAA 1-B by the older adult community forum
participants in nearly all counties. Extensive discussion was held on this topic in Oakland, Macomb
and Washtenaw counties as it relates to the Regional Transportation Authority initiative. Participants
were overwhelmingly in favor of improved regional transportation and would utilize it for social and
medical activities.
The Area Agency on Aging 1-B greatly appreciates the participation of older adults, caregivers, service
providers and other community representatives in the community forums. We also want to thank
our forum partners and hosts:
• The Blueprint on Aging (Washtenaw County)
• The Council on Aging, Serving St. Clair County
• Frenchtown Senior Center (Monroe)
• Hartland Senior Center (Livingston County)
• Livingston Leadership Council on Aging
• Oakland County Senior Advisory Council
• Monroe Commission on Aging
• Pittsfield Township Senior Center (Washtenaw County)
• Sterling Heights Senior Center (Macomb County)
• Waterford Senior Center (Oakland County)
A report specific to each county can be found on the AAA 1-B website at www.aaa1b.com . An
updated service priority list is also available on the website. The Fiscal Year 2017-19 Multi-Year Plan
will be available for public review on the AAA 1-B website by mid May 2016 and a final version
available in August 2016.
LCX.R;,
LIVINGSTON COUNTY
CATHOLIC
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19.10 E. Grand RhSuire 104 .1-100/04 Mi4-8g4:1 OiJive: ($17) VAX:. (Sr) 5.45-73g0 4 Livirgsvotvcitthokiltrities,01-14
May 26, 2016
Tina Abbate-Marzolf
Area Agency on Aging 1-8
Thank you for this opportunity to provide input into the FY 2017-2019 Strategic Planning
process, The draft is very comprehensive and I will only provide input to a couple of items.
First, I fully support the prioritization process. The AAA I -13 has been very thorough in
soliciting diverse input into this process. While I may not agree with the final outcome of this
process, the process has been very inclusive and I feel that my input is valued.
One item noted as an "area to improve" is the ability of the network to reach those in the farthest
areas of the six counties, Ifully agree with this goal. The rural areas of Livingston County can
be difficult to access and many of us in this community are very conscious of this struggle. I
believe that one issue to keep in mind is the flexibility of unit definition for some services,
particularly as we seek to reach and serve those living distances from offices and/or population
centers. For example, a Resource Advocate can spend as much as 90 minutes for a round trip to
the most isolated areas in Livingston County.
From my perspective, the AAA 1-B does a good job being present and active in Livingston
County. The AAA 1-B participation in the HSCB, LLCOA and other local coalitions is very
valuable. The willingness to partner in the local communities for training and other local
supports is greatly appreciated. As a member of the HSCB and as a co-chair of the LLCOA, my
appreciation for Nancy Thompson is high.
Related to this, I am very appreciative of the leadership that AAA 1-B provides for professional
development opportunities. Several times each year, quality training that is very appropriate to
the needs of senior-serving professionals and includes CEU's is offered.
Finally, I saw the note about consideiing NCQA accreditation. AAA 1-B recently was
accredited by CARF and I believe that there is significant overlap between these two
accreditation bodies. I am concerned that there is sufficient cost/benefit to the changing
accreditation. Most entities that require accreditation accept these equally.
I look forward to many more years of partnership.,
Mark T. Robinson, ACSW, LMSW
Executive Director
Deaf &Hearing Impaired Services, Inc. — 25882 Orchard Lake Rd., Suite 100,
Farmington Hills, MI 48336 248-473-1888
May 23.2016
Area Agency on Aging 143
29100 Northwestern Hwy.
Suite 400
Southfield, MI 48034
Attn: Andrea Mulheisen
Re: Public Hearing — Draft - 2017-2019
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 S th in Deaf
population of the 50 states and it is only 47 11' 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 143 to continue its funding to provide its Region I B 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 4111 mostchronic 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 (DBIS) 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
°court-Mg due to the isolation. Identifying persons with hearing loss is crucial to their health. Providing the
follow up refen-als and necessary information regarding listening and signaling devices is vital to seniors
living with a chronic disease.
Regarding the Deaf: 'fhe.language of the Deaf.. is.a visual language and is clearly nota written language.
Additionally, the Deaf have their own separate and unique culture. Interpreters for the Deaf are trained
bilingually and hiculturally. The DeatBlind 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,
hearinacp, 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 DHIS 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 home
placement. Interpreting Services are provided by Deaf & Hearing Impaired Services, Inc. in Region IB 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
funding for face-to-face services for the Deaf and hard of hearing older adult populations through group
programs arid 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 I-B to meet the disability needs for equal access to healthcare and
community services.
Sincerely,
Linda M. Booth, Executive Director
Revised 3/22/16
At/I'm -dr y • Act ion • Answers on Aging
Area
Agency on N. Aging 1-B
AAA 1-B Services Priority Ranking
Fiscal Years 2017-19
Change from
2013 rating
i`
Priority Service
Rating
Highest Priority 1 Community Living Program Services*
2 Home Delivered Meals
3 Adult Day Health Services
4 AAA 1-B's Information & Assistance
5 Home Injury Control
6 Resource Advocacy
7 Elder Abuse Prevention
8 Volunteer Caregiver
9 Care Management
10 Chore Services
11 Public Education
12 Legal Services
13 Congregate Meals
14 Assistive Devices/Technology
15 Medication Management
16 Long Term Care Ombudsman
17 Evidence Based Disease Prevention
18 Hearing Impaired & Deaf Services
Average
Priority Rank
1.67
2.67
4.00
4.33
5.67
7.00
8.67
9.00
9.33
10.00
11.33
12.00
12.33
13.33
14.00
14.33
14.33
17.33
Lower Priority 19 Grandparents Raising Grandchildren
18.33
KEY
Priorities developed in March 2016 based on 3 data sources:
1. 2016 Older Adult surveys from 6 Community Forums
2. 2016 Survey of Service Providers & Advocates
3. 2015 AAA 1-B Call Center Statistics
moved up
\I, moved down
- no significant change
Bold arrows indicate move of 3 or more
spots from 2013 list
*Community Living Program Services includes personal care, homemaking, and in-home respite services.
Services listed in this priority ranking are non-Medicaid Waiver services.
Services included on this list are traditionally provided to older adults (60+) or caregivers, and are funded
through the Federal Older Americans Act and the Michigan Aging & Adult Services Agency.
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 counties
For more information on these services, visit www.aaalb.com or call 800-852-7795
Star Prioritization
EACH PARTICIPANT BEGINS WITH 5 STARS. STARS ARE REMOVED AS PRIORITY CATEGORIES ARE ADDED
Not Enough Info to
Priority Subtract 1 Star if Assess Maintain 1 Star
Equal to or less than No income information Income greater than
Income $2,400/month provided - maintain 1 star S2,400/month
Equal to or less than No asset information provided -
Assets $2,400/month Maintain 1 star Assets greater than $10,000
Activities of Daily Living
Alone or having little to no
assistance with needs
Age 75+ and/or diagnosis of
cognitive impairment
Support system unknown -
subtract 1 star Lives alone and has supports Living Arrangement
Age/Impairment
Suspected cognitive Age 74 or under at time of
impairment - subtract 1 star reprioritization
Needs help with 2 or more
ADLs (Dressing, bathing, Needs help with one or fewer
toileting, transferring, No ADL information - maintain ADL or has appropriate
continence, feeding) 1 star assistance
Total the stars after screening
Participants with 0 stars are the highest priority:
Monroe County resident
Open APS (Adult Protective Services) Case
Hospice involvement
Caregiver burnout/RRR referrals - professional
judgment of Resource Specialist/AASA Intake Staff
Transfer from other regions
AAA 1-B 2016 SWOT Analysis: Strengths, Weaknesses, Opportunities, Threats
The Area Agency on Aging 1-B SWOT Analysis was completed with input from AAA 1-B senior
management and members of the AAA 1-B Board of Directors and Advisory Council. Below is a
summary of the agency's Strengths/Weaknesses/Opportunities/Threats.
Strengths
Innovative/Responsive
Leadership is strong, visionary and proactive
Reviews and analyses market and trends
Innovative and creative with an entrepreneurial spirit
Metrics/Dashboard focused tied to big picture
Board is proactive and engaged
Market Position
• Trusted source
• Positive reputation
• Market size is growing
• Non profit status- good cause
• Recognized as a leader and respected within the community and network
Structure/Management
• Established goals and objectives
• Size of the agency compared to other companies/agencies
• Strong partner network
• Part of a national network
• Large geographic service area
• Broad range of services
• Tenure and knowledge of staff
• Staff engaged in mission
• Focus on quality and customer service
Weaknesses
Financial
• Lack of resources to implement ideas
• Largely dependent on government funding
• Future revenue sources uncertain
• Revenue streams are not diversified enough
Market Position
• Brand/name recognition is low
• Services are not widely known
• Viewed as bureaucratic
• Viewed as low income resource (adverse selection)
• Lack of fundraising/donors
• Lacking a for profit business IQ/model
• Unpredictable cost of service
• Funding mismatch to high acuity AAA 1-B participants
Structure
• Trying to be all things to all people/ too many priorities/lack of focus
• Major programs are complex
• Reliant on providers to deliver
• Staff turnover
• National Area Agency on Aging network is fragmented and unfocused
• Competition is part of the AAA 1-B's provider pool
• Small organization in a big and growing industry
• Lack of coordinated efforts between nonprofits, AAA's and for profit business
Technology/Process
• Lack of information — hard to pull data
• Not reaching clients/staff through technology
• Process improvement needed
Staffing
• Pay is lower than in for profit world
• Retention of high performing staff
• Recruiting skilled staff
Opportunities
Expand Current Programs
• Partner with the network/vendors to provide opportunities
• Create new business segments/revenue streams
• Increase focus on Heath/wellness/prevention
• Partner with other organizations to provide services/revenue
• Continued growth of SameAddress
• Create new programs/services for growing population
• Provide continuum of care services
Marketing/branding
• Define unique position and point for differentiation
• Drive loyalty with multi generations (caregivers and receivers)
• Improve brand recognition
Fund Raising
• Create endowment and long term investment strategy
Improve Efficiency
• Improve/create technology capability for clients, caregivers, and staff to drive efficiency,
quality and reduce costs
• Expand roles based on understanding the needs in the community
Resource Utilization
• Hire P/T nurses who are retiring from hospitals
• Advertising as recurring revenue
• Better recruiting /utilization of students
Threats
Competition
• Consolidation of other AAA's
• Competing with others in health care field
• Vertical integration
Regulations/Funding
• Elections impact on regulations, resources, program focus and funding
• Increase in government regulations
• Government cost control/strings attached to funding by government
• Uncertainty in program direction and resources
• Outcome quality payment model (based on results not only delivery)
• IT costs and security threats
Market
• Boomers have lack of $ for programs/services and life span increase
• Consumerism - consumers can find what they want/need, no need for AAA 1-13 to
provide info
• Price transparency for people paying
• Increased acuity of participants
• Chronic health issues of younger aging population
• Adverse selection of people served (looked at as a low income resource only)
• Clients are not forward thinking about needs
Staffing
• Staffing to meet the increased demand
• Labor costs and ability to recruit talent
Efficiency
• Technology replacing people
FY 2017-2019 MYP Aging and Adult Services Agency Planning & Service Area PSA 1-B Ediicaton PreVention :TOptienkCburiseling •d " or Matron: &$upport Care Management• Hospital wellness classes and individual counseling; private direct service providers' wellness classes; health plan seminars, web-based information portals, individual counseling; PCMH physician counseling of DMSM, Beaumont Geriatric Education Center Hospital systems: Beaumont, St. Joseph Mercy, DMC, St. John Providence, McLaren, University of Michigan, Promedica United Way 211, Easter Seals resource center, Michigan Visiting Nurse Association, Hospital systems' social workers, discharge planners, care transitions programs, and community ad departments; health plans See hospitals in first column. Hospital care transitions programs and affiliated home care agencies; private home care agencies; health plans Hospital affiliated home care agencies; private home care and care management organizations; health plans Healthcare .1 and Medical Continuum 5: EBDP Programs through AAA 1-B and contractors: 12 programs; Aging Matters professional training through AA A 1-B. Elder Abuse prevention/awareness through ,MA 1-B contracted services and community organizations: Oakland SAVE, CCRC of Oakland and Wayne Counties; Macomb Senior Fest, AM 1-B Caregiver Expo, Livingston County caregiver expo, other expos and events. AAA & A Services, 211 Systems, ADRCs, Disability Network Oakland Macomb, Ann Arbor Center for Independent Living, Blue Water Center for Independent Living, Senior Resource Guides from Livingston County, Washtenaw County and Monroe County, both web-based and hard copy; Expos as in column 1; Hispanic Coalition of Macomb social services fair, AAA 1-B website, MichiganHomeCareGuide.com, myride2.com AAA Case Coordination and Support, SameAddress, Jewish Family Services, Easter Seals, Catholic Charities/Social Services, MDHHS regional offices, Centro Multicultural La Familia, Spectrum Human Services, ACCESS W Care Mgt, MDHHS Adult Services, MI Choice Waiver Program, CTS Services, Jewish Family Services see list in CCS column. DUAL SERVICE COORDINATION CONTINUUM Community-Based Aging and Health Care System The Dual Service Coordination Continuum serves as a way to graphically represent two service coordination continuums. The upper continuum represents health care services and the lower continuum represents community-based services. Together they show the entire range of service coordination options available to the consumer. Area agency-related options are primarily reflected on the community-based continuum. Boxes 2-5 are to describe service coordination program options. Box 1, Education and Prevention, describes early-on options that can help avoid premature use of more costly service coordination options. Enter specific information in the continuum boxes provided to show the coordination of service program options available in the planning and service area. If you cannot fit all area programs in the space provided, list only the primary ones. Upload your completed continuum under the Budget and Other Documents tab. (For technical assistance, see completed sample in the Documents Library.)
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Resolution #16171 July 20, 2016
Moved by Hoffman supported by Zack the resolutions (with fiscal notes attached) on the Consent Agenda
be adopted (with accompanying reports being accepted).
AYES: Dwyer, Fleming, Gershenson, Gosselin, Hoffman, Kochenderfer, Kowall, Long,
Middleton, Quarles, Scott, Taub, Weipert, Woodward, Zack, Bowman, Crawford. (17)
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).
(115i'ilIEBYAPPROV 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 20, 2016,
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 20th day of July, 2016.
Lisa Brown, Oakland County