HomeMy WebLinkAboutResolutions - 2017.07.19 - 23015MISCELLANEOUS RESOLUTION #17198 July 10, 2017
BY: Commissioner Christine Long, Chairperson, General Government Committee
IN RE: BOARD OF COMMISSIONERS — AREA AGENCY ON AGING 1-B — FY 2017-2019 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 2018 Annual Implementation 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.
Commissioner Christine Long, District #7
Chairperson, General Government Committee
GENERAL GOVERNMENT COMMITTEE VOTE:
Motion carried unanimously on a roll call vote with KowaII and Woodward absent.
Advocacy • Action • Answers on Aging
29100 Northwestern Highway
Suite 400
Southfield, MI 48034
800,852-7795
Fax: 248-948-9691
WWW. aaa 1 b. org
Area
Agency on
Aging 1-B
June 23, 2017
Commissioner Michael Gingell, Chairperson
Oakland County Board of Commissioners
County Service Center, Bldg 12 East
1200 N. Telegraph
Pontiac, MI 48341
Dear Commissioner Gingell:
Enclosed please find the Area Agency on Aging 1-B (AAA 1-B) FY 2018 Annual Implementation
Plan (ALP). The FY 2018 AIP was adopted by action of the AAA 1-B Board of Directors on June
23, 2017, and has been submitted to the Michigan Aging & Adult Services Agency for approval.
The AAA 1-B Board of Directors' review and approval process involves two appointees from
each Region 1-B county Board of Commissioners, a member commissioner and an older adult
representative. As you may know, the AAA 1-B Board of Directors consists of a majority of
county commission appointees. The plan has also been reviewed and approved by the AAA 1-B
Advisory Council, and has been the subject of a public hearing, where favorable comments on
the plan were received.
This document is being sent to you in accordance with a directive from the Michigan Aging &
Adult Services Agency, which allows each county Board of Commissioners to adopt a resolution
of approval for the plan. A model resolution is enclosed for your convenience. State policy
stipulates that if a county chooses to take such action, it must be completed by July 31, 2017.
Please forward any adopted resolution, or minutes of the meeting where such action is taken, to
the AAA 1-B, Attention: Amanda Sears or send by email to asearsaaaal b.com by July 31,
2017.
Thank you for your consideration of this request. If you have questions or require assistance
relative to the plan, please contact Arm Langford, Director of Community and Business
Advancement, at (248) 262-9942.
Sincerely,
James McGuire
Interim Chief Executive Officer
Enclosures
c: Oakland County Commissioner Helaine Zack, member, AAA 1-B Board of Directors
Ron Borngesser, member, AAA 1-B Board of Directors
Enhancing the lives of older adults and adults with disabilities in
Livingston, Macomb, Monroe, Oaidand, Sr. Clair, and Washtenaw counties since 1974
A.N.O_L_Ccey4;
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2017-2019 Multi Year Plan
FY 2018 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, MI 48034
248-357-2255 • 1-800-852-7795
248-948-9691 (fax)
Jim McGuire, interim CEO
www.aaalb.com
Field Representative Cindy Albrecht
albrechtc@michigan.gov
517-284-0162
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Table of Contents
County/Local Unit of Government Review
Approved Multi-Year Plan Highlights
2018 AIP Highlights
Public Hearings
Regional Service Definitions
Access Services
Direct Service Request
Regional Direct Service Request
Approved MYP Program Development Objectives
2018 AP Program Development Objectives
Budget & Other Documents
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Area Agency On Aging 1-B
FY 2018
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 Annual Implementation Plan (AIP) during
their June meetings. Upon Board approval, the AAA 1-B mails a copy of the AIP and a draft resolution to the
chairperson of each county 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 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 AIR In
the past all six county boards of commissioners have approved the plans. No action by a BOC is considered
approval. The AAA 1-B notifies AASA by August 3 of the status of county level approval of the AIP.
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Approved Multi-Year 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 Washtenaw
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, a 21% 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 2018
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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Area Agency On Aging 1-B FY 2018
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.
MA 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 CARF, 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.
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, AM 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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2018 AIP Highlights
The following list describes the changes or updates to the previously-submitted FY2017-2019 Multi-Year Plan.
1. Provision of vision services has been discontinued in the 2017 fiscal year and will not be funded in FYI 8. In
prior years, the service had been rarely utilized. Requests for assistance with vision matters are now handled by
the Information & Assistance resource specialists, who refer callers to 47vision-related providers in its Resource
Center database.
2. The Community Living Program Services regional service definition has been redesigned, removing
transportation, adult day care, and medication management serviced from the definition, AAA 1-B will seek
approval of this revision from AASA and the state Commission on Aging. Transportation, adult day care and other
forms of respite, and medication management will continue to be offered, funded as separate services within the
AIP.
3. AAA 1-B will request approval for a new regional service definition, titled Community Living Program (CLP)
Supports Coordination. This service will incorporate most elements of the Case Coordination and Support service
definition, but allow for consultation and coordination to be delivered telephonically and without use of an extensive
assessment tool.
4. The care transitions program partnership with DMC/Huron Valley Hospital has ended due to a low volume of
patient referrals to the program.
5. MA 1-B has received accreditation from the American Association of Diabetes Educators for its diabetes
self-management program, Take Charge of Diabetes. Accreditation allows the program to be included as a
Medicare Part B benefit, and the agency is currently in discussions with private Medicare health plans to offer the
program to plan members. The program includes a multi-week diabetes self-management workshop curriculum
and before/during/after-workshop consultation with a registered dietitian.
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Public Hearings
Date Location Time Barrier Free? No. of Attendees
05/10/2017 Southfield, MI 09:00 AM Yes 23
Community Forum
A community forum was held on May 10, 2017 at the Area Agency on Aging 1-B offices in Southfield,
Michigan. The purpose was to gather feedback and suggestions from the community regarding AAA 1-B
programs and services. The forum was held in a barrier free setting and was available for participation by
telephone. It was advertised on the AAA 1-B website, sent by email to service providers, appeared on the
agency Facebook page, and in local newspapers. Feedback from forum participants is included in this AIP
document, and program development consideration will be given.
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Regional Service Definitions
Service Name/Definition
peraen-centered consultation with individuals age 60 and over With -a complementing role brokering , , . .% . , ... . , . .: , - ...
'Opting Community services and enhancing informal 6141apar.it 'systems When :poSSible.CoMmunity Living. ;
Program Supports Coordination (cp)se.) includes consultation and :re-consultation . on leng-terniCare
goals, development and monitoring of a supports plan, identification of and .communication With
appropriate community agencies tplarranbe .serViCeS, evaluation of the :effectiveness and benefit Of .
services provided. Participants are triaged during enrollment to one OftWotiei.s ..of service's; Telephonic
support from a dare Team of Registered Nurses, Social Workers and Community Health Worker
professionals, or In-Home support for individuals With communication barrier's or who at intake are
determined to have 'risks Which require an'in-persen level of support to Maintain community independence:
Rationale (Explain why activities cannot be funded under an existing service definition.)
Between 2017 and 2030, the age 60+ population in the AAA 1-B planning and service area is expected to
increase by 19% from 685,000 to 749,158. The age 75+ population is anticipated to increase by 49% over
this time period from 200,869 to 220,342. The increase in the aging population will translate to a greater
number of individuals in need of, and requesting case coordination and support as well as in-home services
in the coming years. This will compound the growing waitlist of more than 1,400
Service Category Fund Source Unit of Service
WI Access
0 In-Home
0 Community
IZE Title III PartB 0 Title III PartD VI Title Ill PartE
0 Title VII 0 State Alternative Care 10 State Access
0 State in-home 0 State Respite
El Other State Care Mgt.
component
Provision of one
hour of
CLPSC
Minimum Standards
1, Intake may be conducted in person or over the telephone. All intake records will include:
a. Individual's name, address and telephone number
b. Individual's date of birth
C. Emergency contact information
d. Diagnosed medical problems
e. Perceived support service needs as reported by the individual or his/her representatives
f. Race (optional)
g. Gender (optional)
h. Self-reported income for intake and reporting purposes (optional)
2. If intake indicates single service need on a one-time or infrequent basis, the individual should be
provided with information and assistance services. When intake suggests ongoing and/or multiple service
needs, a consultation of need shall be performed. Initial and semi-annual consultations may be conducted
in-person or by telephone based upon service level tier and each consultation should attempt to gather as
much of the following information as possible:
a. Basic Information
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I. Individual's name, address, telephone number and alternative contact method if desired.
ii. Age, date of birth
iii. Gender
iv. Marital Status
v. Race/ethnicity
vi, Living arrangements
vii. Self-reported income and other financial resources by source
viii. Social information including special interests and hobbies
b. Functional Status
i. Vision
ii. Hearing
Speech
iv. Prosthesis
v. Psychological functioning
vi. Activities of Daily Living limitations (ADL/IADL)
vii. History of chronic and acute illnesses
viii. Eating patterns (diet history)
FY 2018
c. Supporting Resources
i. Services currently receiving, or received in the past (including those funded through Medicaid)
ii. Extent of family and informal support network including the identification of caregivers
iii. Home safety equipment, assistive devices, and/or emergency response system utilized
d. Need Identification
i. Client/family perceived
H. Consultor perceived and/or identified by referral source/professional community
Each participant shall receive a re-consultation at least every 6 months either by phone or in-person based
upon the service tier, or as needed to determine the results of implementation of the supports plan. If
re-consultation determines the client's identified needs have been adequately addressed, the case shall be
closed.
3. A supports plan shall be developed for a person determined eligible and in need of Community Living
Program Supports Coordination (CLPSC). The supports plan shall be developed in cooperation with and be
approved by the participant, participant's legal guardian, or designated representative. Supports plan
development shall have written policy and procedures to guide the development, implementation and
management of support plans. The supports plan shall include at a minimum:
a. Identification of service tier: Telephonic or In-Home. Participants will be made in-home if/when language
barriers or other communication challenges prevent effective telephonic communication; at the request of the
participant or participant's representative; or when clinical staff determine necessity. The In-Home tier of
services provides quarterly contact and supports plan monitoring.
b. Description of methods and/or approaches to be used in addressing needs.
c. Identification of services and the respective time frames they are to be obtained/provided from other
community agencies.
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Area Agency On Aging 1-B FY 2018
4. Comprehensive and complete electronic records will be maintained on all participants and will include at
a minimum:
a. Details of referral to CLPSC program.
b. Intake records.
c. Consultation/re-consultation records.
d. Supports plan (with notation of any revisions)
e. Listing of all clinical contacts with the participant, dates and units of service to participant within 24 hours
of contact.
f. Listing all service contacts with service providers on behalf of participants.
g. Case note documentation in response to all participant or family contacts (telephone or personal) within
24 hours of contact.
h. Comments verifying participants receipt of service from other providers and whether service adequately
addressed the needs of the participant.
i. Record all release of information about the participant, signed release of information form, and all case
files shall be kept confidential in controlled access files. Each program shall use a standardized release of
information form which is time limited and specific as to the information being released.
5. Each case file must be assigned a status in one of the following categories:
a. Open. From initial referral or reassessment of inactive case through current activity in implementing a
service plan.
b. Closed. Participant decides to discontinue service, participant needs have been met, another program
or agency has assumed responsibility for a participant, participant unable to be served and referral case is
not possible, or participant's death.
6, A current listing of isolated older persons, with active case files, which can be made readily available to
agencies providing emergency services in the event of a disaster.
7. All caseworkers will have a minimum of a bachelor's degree in a human services field, or who by training
or experience have the ability to effectively determine an older person's needs and match those needs with
appropriate services. Any caseworker without a bachelors degree will be supervised by degreed Social
Workers and/or Registered Nurses.
8. Program staff shall receive in-service training at least four times per fiscal year which is specifically
designed to increase their knowledge and understanding of the program and participants, and to improve
their skills for tasks performed in the provision of service.
9. Monthly quality case note, intake and re-consultation audits are completed for all caseworkers with a
minimum of two audits per type per caseworker. A goal of 90% accuracy on all audits is set for all
caseworkers. Results of audits are reviewed monthly at individual coaching sessions with caseworkers.
10. Monthly telephonic supports coordination call monitoring and quality follow-up will be conducted for all
caseworkers.
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Area Agency On Aging 1-B FY 2018
Access Services
Case Coordination and Support
Starting Date 10/01/2017
Total of Federal Dollars $402,129.00
Geographic area to be served
AAA 1-B planning and service area
Ending Date 09/30/2018
Total of State Dollars $863,653.00
Specify the planned goals and activities that will be undertaken to provide the service.
Objective 1: Prioritize requests for services to ensure the most functionally, economically, and socially at-risk
older adults in the AAA 1-B planning and service area receive Case Coordination and Support with minimal to
no wait.
Expected Outcome(s) 1: The AAA 1-B will use a service request prioritization system based upon AASA
Operating Standards for Service Programs guidance to reach the most vulnerable older adults in our service
region. Many of whom are waiting for services through the 1V1i-Choice waiver program. Through Case
Coordination and Support and service provision, we expect to prevent or delay premature institutionalization.
Objective 2: Utilize a Care Team approach to increase the number of lives touched by Case Coordination
and Support and the Community Living Program regional service definition.
Expected Outcome(s) 2: Licensed Registered Nurse and Social Work professionals will perform clinical
tasks with non-clinical task support from Community Health Workers who by training and experience are able
to effectively determine the needs of older adults and provide linkage to available resources. Increase lives
touched by Case Coordination and Support by 10% in FY 18.This approach will also improve access for both
program participants and contracted vendors.
Objective 3: Secure additional revenue to support the Community Living Program regional service definition
to increase the number of lives touched,
Expected Outcome(s): In partnership with planning and service area counties, AAA 1-B will secure 8-10% of
annual funding available to support access and in-home services from sources other than state and federal
resources.
Information and Assistance
Starting Date 10/01/2017
Total of Federal Dollars $400,000.00
Geographic area to be served
AAA 1-B planning and service area
Ending Date 09/30/2018
Total of State Dollars $0.00
Specify the planned goals and activities that will be undertaken to provide the service.
Objective 1: Increase access to Information and Assistance services using non-traditional methods including
walk-in, website, email and fax inquiries.
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Expected Outcome(s): Increase non -telephonic Information and Assistance provided by 10%.
Outreach
Starting Date 10/01/2017 Ending Date 09/30/2018
FY 2018
Total of Federal Dollars $560,116.00 Total of State Dollars $178,323.00
Geographic area to be served
AAA 1-B planning and service area
Specify the planned goals and activities that will be undertaken to provide the service.
Objective 1: Participate in events or conduct at least 10 presentations annually about AAA 1-B programs and
services to undersenred communities (low income or ethnic minority) in our service area, Expected Outcome:
Annual increase in access and utilization of services by underserved populations.
Objective 2: 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 3: 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.
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 four 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.
Care Management
Starting Date 10/01/2017
Total of Federal Dollars $0.00
Geographic area to be served
AAA 1-B planning and service area
Ending Date 09/30/2018
Total of State Dollars $0.00
Specify the planned goals and activities that will be undertaken to provide the service.
Objective: The philosophy of the MA 1-B is to reach as many older adults in need as possible. As of March
30, 2017 the AAA 1-B had a waitlist of over 1400 individuals requesting access and in-home services. To
maximize available resources, the AAA 1 -B will reallocate funding for the Care Management
service which requires a Medicaid Waiver level of supports coordination in order to direct resources to Case
Coordination and Support which provides comprehensive levels of service with less costly supports
coordination requirements. Individuals currently receiving Community Care Management services will be
transitioned into the Community Living Program In-Home, the most comprehensive tier of service. As a result
of the Community Living Program service request prioritization, individuals with the greatest need, such as
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ULTI YEAR IMPLEMENTATION PLAN
FY 2017-2019
.ANNONL=8*..:
Current Year: 1,800
Current Year: 20
Current Year: 10
Current Year: 10
Current Year: 1:40
Planned Next Year: 0
Planned Next Year: 0
Planned Next Year: 0
Planned Next Year: 0
Planned Next Year: 0
Area Agency On Aging 1-B FY 2018
those previously served in Community Care Management will be identified at the point of intake and will be
triaged to receive services with minimal to no wait.
Expected Outcome(s): The AAA 1-B will be able to provide requested access and in-home services to a
greater number of older adults most at risk in the planning and service area.
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
Printed On: 6/23/2017
tUDFIFIS ANNLIALANIUtItYgARAIPLEMF.NTATION PLAN
Area Agency On Aging 1-B
FY 2018
Direct Service Request
Total of Federal Dollars Total of State Dollars
Geocraphic Area Served
Planned goals and activities that will be undertaken to provide the service in the appropriate text
box for each service category.
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.
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.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
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aDHFIS ANNvAL&....mov. Ygm.k..-imPLFmENTATIQN ;NAN:.
pra-m
Area Agency On Aging 1-B FY 2018
Regional Direct Service Request
Total of Federal Dollars Total of State Dollars
Geographic Area Served
Planned goals and activities that will be undertaken to provide the service in the appropriate text box
for each service category.
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.
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.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
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aDFIFIS
inrazr:
• A.N.N.V.A1.4.-M.U.T. 'Y•p,A1.R .1..mPLF:Ma.NTATIQN PLAN
FY 2O172Oi9
Area Agency On Aging 1-B
FY 2018
Approved MYP 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: 10/01/2016 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.
Progress
Agreement between Area Agency on Aging 1-B and Centro La Familia Multicultural was made to co-host a focus
group of Hispanic individuals in Spring/Summer 2017.
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
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ANNUAL & MULTI YEAR IMPLEMENTATION PLAN.:
Area Agency On Aging 1-B FY 2018
Activities
Provide training on voluntary cost-sharing best practices (2018). Engage private sector sponsorship of AAA
1-B-funded services (2017-19).
Expected Outcome
AAA 1-B and at least 50% of providers will report less reliance on state and federal funds by 9/30/19
Progress
Area Agency on Aging 1-B created a corporate donor program titled Silver Key Circle. Organizations are asked
to join the Circle by making a donation to support the Community Living Program, which provides supports
coordination and in-home services that enable individuals to remain living in their home of choice, The Silver Key
Circle is intended to provide the corporate sector an opportunity to help reduce the Community Living Program's
growing wait list. Promotional collateral has been developed and staff is in discussion with approximately 15
organizations since the program's inception in March, 2017. This effort has received minimal effort; no
organizations have joined to date.
2. Increase access to dialysis services for older adults.
Timeline: 10/01/2016 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.
Progress
No progress to report.
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.
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AIDFIFIS
i..27....71-1-.71.7110 11,t
ANNUAL YEAR.:1...MKEMP4TATION P.!4AN:.
FY 2Oi72Q19 •
Area Agency On Aging 1-B FY 2018
Progress
The program, Powerful Tools for Caregivers launched in FY2017, with 11 individuals having completed the
program. This program is designed for informal caregivers of older adults who have general caregiving needs;
opposed to the Creating Confident Caregiver program which is designed for caregivers of older adults who suffer
from a form of dementia. The second program, Respite Education and Support Tools, R.E.S,T. also launched in
FY2017. This program is designed for individuals who either volunteer as caregivers or who provide caregiving
services as an employee of an in-home services organization. Organizations who currently provide services with
AAA 1-B funding are the first wave of targeted organizations. To date, 43 individuals have completed the R.E.S.T
program and 7 R.E.S.T leaders have been trained.
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
Activities
Train and certify 6 trainers in these ES 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 600 older adults or care givers by 9/30/2019, earning a 20% profit
margin from Medicare, private-pay consumers or sponsors.
Progress
Seven individuals have been trained to deliver Powerful Tools for Caregivers and two individuals have been
trained to deliver the Chronic Pain Self Management program.
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.
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aD1-11-1S ANNVAL:k.MOLTI.:YEAR:ilMPLeMENTATION PLAN
PA Cgs., If
Area Agency On Aging 1-B FY 2018
Objectives
1. Undertake basic research and demonstration projects that provide evidence for data-driven decision making
for program advocacy and management.
Timeline: 10/01/2016 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.
Progress
The AAA 1-B has produced a series of Issue Briefs for Region 1-B counties with significant Community Living
Program wait lists, for distribution to elected officials and funding sources. The briefs describe the characteristics
and needs of the wait list populations for each county. An analysis of the cost to serve individuals on in-home
service wait lists at the beginning of FY 2017 was prepared for the Silver Key Coalition to support their advocacy
request. An analysis of service requests from callers of the AAA 1-B Resource Center was provided to identify the
services most frequently requested, and their underlying needs.
2. Implement the AAA 1-13 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 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
Progress
The AAA 1-B developed the 2017 — 2018 Legislative Advocacy Platform in collaboration with the Advisory
Council, which is used to guide public policy advocacy and priorities. Monthly issues of The Advocate were
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ANNUAL MULTI YEAR. IIVIPLEMNTATION PLAN
FY 2017-2019
Area Agency On Aging 1-B
FY 2018
published, and Board positions were taken on two legislative proposals. Testimony was provided in support for
in-home service funding increases before the House and Senate Appropriations Subcommittee for the
Department of Health and Human Services. The AAA 1-B was active in educating members of Congress and
advocates about the enhancements to Medicare benefits achieved through passage of the Affordable Care Act,
and in advocating that these benefits be preserved during any repeal and replacement proposals.
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: 10/01/2016 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 1-6 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
Prooress
One AAA 1-B staff person has been named as a mentor by SAGE to work with other AAAs in the state who wish
to develop LGBT-friendly practices. Also, the Rainbow Guide, a compilation of organizations who have identified
as LGBT-friendly, has been completed and is available to the community. Finally, the staff person who serves on
the SAGE board of directors has left the employ of AAA 1-B. Since the appointment was made to the individual,
not to the agency, AAA 1-B involvement on the SAGE board has ended.
2. Track and analyze uniform outcomes for funded services in collaboration with the aging network.
Timeline: 10/01/2016 to 09/30/2017
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.
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aDHFIS ANIKVALA::MVLTtyFARAMPIL.FMgNTAT...QN PLAN
i,4
Area Agency On Aging 1-B FY 2018
Expected Outcome
1-B staff and providers will have aligned outcomes data to utilize for program improvement, advocacy purposes,
and to garner additional funding.
Progress
The AAA 1-B was active in countering the Trump Administration allegations that the Meals on Wheels program
should be targeted for funding cuts through the elimination of the Community Development Block Grant, by
providing interviews and data to media outlets on the positive outcomes of the program. An outcome studyof the
Adult Day Service program is planned for later in the fiscal year.
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.
Progress
The Training Center for Excellence has been created. The agenda for the recent Management Training module
delivered to staff included Leadership Competencies, Managing in a Virtual Environment, and case studies, "The
Chronic Complainer" and "Thriving in Ambiguity."
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: 10/01/2016 to 09/30/2019
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
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aDliHS
14,11-5.3,
ANNuAL...:4-MKTI.yEAR.1m.Kpmp.4TATIQN PLAN::
. FY.20.1•4019:,
Area Agency On Aging 1-B FY 2018
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.
Prowess
Research documenting the positive outcomes of bundled services for the SameAddress Michigan Health
Endowment Fund grant was conducted to demonstrate that the service bundles are evidence based. Targeted
areas are care transitions, dementia/memory care, home safety, and diabetes management.
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.
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 (CFL)
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 CFL or equivalent designation.
Progress
No progress to report.
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2018 AIP Program Development Objectives
Area Agency on Aging Goal
A.
State Goal Match:
Narrative
Objectives
Timeline: to
Activities
Expected Outcome
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Community Living Program Case Coordination and Support
Regional Service Definition
Service Name Community Living Program Supports Coordination
Service Number N/A
Service Category Access
Service Definition Person-centered consultation with individuals age 60 and over with a
complementing role of brokering existing community services and enhancing
informal support systems when possible. Community Living Program Supports
Coordination (CLPSC) includes consultation and re-consultation on long-term
care goals, development and monitoring of a supports plan, identification of
and communication with appropriate community agencies to arrange services,
evaluation of the effectiveness and benefit of services provided. Participants
are triaged during enrollment to one of two tiers of services; Telephonic
support from a Care Team of Registered Nurses, Social Workers and
Community Health Worker professionals, or In-Home support for individuals
with communication barriers or who at intake are determined to have risks
which require an in-person level of support to maintain community
independence.
Unit of Service Provision of one hour of component CLPSC functions
Component Functions Telephonic or In-Home intake, consultation, re-consultation, development of
supports plan, resource brokering, and service arrangement and service
monitoring.
Funding igj Title 111-B Title 111-E IA State Care IVigmt, IA State Access
Rationale and Structure:
Between 2017 and 2030, the age 60+ population in the AAA 1-B planning and service area is expected to
increase by 19% from 685,000 to 749,158. The age 75+ population is anticipated to increase by 49% over
this time period from 200,869 to 220,342.' The increase in the aging population will translate to a
greater number of individuals in need of, and requesting case coordination and support as well as in-
home services in the coming years. This will compound the growing waitlist of more than 1,400
individuals seeking support services at the time this definition was authored.
This regional service definition enables an innovative model of service delivery that maximizes
efficiencies in need determination, person-centered service plan development, and in-home service
delivery to reach as many lives in need as possible. Through service request prioritization the most
functionally, economically and socially at risk older adults are triaged into the most appropriate tier of
service, telephonic or in-home with enrollment and consultation with little to no wait.
1 SEMCOG projections
1
Service Request Prioritization;
The AAA 1-13 Resource Center completes initial program screening. Individuals with a one-time need are
provided with Information and Assistance service. Individuals with ongoing needs that cannot be met
through community resources are screened for AAA 1-B clinical programs including the Community
Living program and/or the Medicaid Mi-Choice Waiver program depending upon age, income and
functional limitations. Individuals seeking the Community Living Program are screened for priority using
the following criteria to ensure the most vulnerable individuals receive services first and those with less
needs receive services as funding allows.
Table 1: CLP Service Request Prioritization
Greatest Need Least Greatest Need
Priority Level; 0 1 2 3 4 5
Income at or below
125% of FPL,
Assets at or below
$20,000 Meets 5/5 Meets 4/5 Meets 3/5 Meets 2/5 Meets 1/5 Meets 0/5
Support for 2 or more Criterion Criterion Criterion Criterion Criterion Criterion
ADLS needed
Age 75+ or Cognitive
impairment present
Lives alone or little to
no informal support
Service Level Triage:
Individuals with the greatest need are contacted by the Community Living Program Care Team who
begin the enrollment process. Licensed professional staff completes the initial program enrollment and
triage new enrollees into the appropriate tier of service, telephonic, or in-home. Individuals with
language barriers, complex needs, where safety risks are a concern, or at the request of the individual or
guardian will be triaged to the in-home tier of service.
Table 2: CLP Service Tiers
Telephonic (Phone Based) In-Home (In-Person)
Caseworker A Care Team of licensed RN, Social
Work and trained Community Health
Workers (CHW) are assigned to each
case as the primary worker. The
individual completing program
enrollment is assigned as the
secondary worker. Members of the
Care Team complete all below
functions.
Assigned to a RN Support Coordinator
as the primary worker. Individual CHW
assigned as secondary worker. RN
reviews all CHW case work.
Consultation/Service Occurs at intake and reviewed annually Occurs at intake by RN Support
2
Plan Development Coordinator
Contacts Every 6 months at a minimum or at the
request of the participant
Quarterly in-person contacts, or at the
request of the participant by CHW
Re-consultation Annual review of needs and service
plan
Reviewed every 6 months at quarterly
contact
Tier Evaluation Participants can move between telephonic and in-home tiers of service as
individual needs change.
Minimum Standards:
1. Intake may be conducted in person or over the telephone. All intake records will include:
a. Individual's name, address and telephone number
b. Individual's date of birth
C. Emergency contact information
d. Diagnosed medical problems
e. Perceived support service needs as reported by the Individual or his/her representatives
f. Race (optional)
g. Gender (optional)
h, Self-reported income for intake and reporting purposes (optional)
2. If intake indicates single service need on a one-time or infrequent basis, the individual should be
provided with information and assistance services. When intake suggests ongoing and/or
multiple service needs, a consultation of need shall be performed. Initial and semi-annual
consultations may be conducted in-person or by telephone based upon service level tier and
each consultation should attempt to gather as much of the following information as possible:
a. Basic Information
i. Individual's name, address, telephone number and alternative contact method if
desired.
ii. Age, date of birth
iii. Gender
iv. Marital Status
v. Race/ethnicity
vi. Living arrangements
vii. Self-reported income and other financial resources by source
viii. Social information including special interests and hobbies
b. Functional Status
i. Vision
ii. Hearing
iii. Speech
iv. Prosthesis
3
v. Psychological functioning
vi. Activities of Daily Living limitations (ADL/IADL)
vii. History of chronic and acute illnesses
viii. Eating patterns (diet history)
c. Supporting Resources
I. Services currently receiving, or received in the past (including those funded
through Medicaid)
ii. Extent of family and informal support network including the identification of
caregivers
iii. Home safety equipment, assistive devices, and/or emergency response system
utilized
d. Need identification
I Client/family perceived
ii. Consultor perceived and/or identified by referral source/professional
community
Each participant shall receive a re-consultation at least every 6 months either by phone or in-person
based upon the service tier, or as needed to determine the results of implementation of the supports
plan. If re-consultation determines the client's identified needs have been adequately addressed, the
case shall be closed.
3. A supports plan shall be developed for a person determined eligible and in need of Community
Living Program Supports Coordination (CLPSC). The supports plan shall be developed in
cooperation with and be approved by the participant, participant's legal guardian, or designated
representative. Supports plan development shall have written policy and procedures to guide
the development, implementation and management of support plans. The supports plan shall
include at a minimum:
a. Identification of service tier: Telephonic or In-Home. Participants will be made in-home
if/when language barriers or other communication challenges prevent effective
telephonic communication; at the request of the participant or participant's
representative; or when clinical staff determine necessity, The In-Home tier of services
provides quarterly contact and supports plan monitoring,
b. Description of methods and/or approaches to be used in addressing needs.
c. Identification of services and the respective time frames they are to be
obtained/provided from other community agencies.
4. Comprehensive and complete electronic records will be maintained on all participants and will
include at a minimum:
a. Details of referral to CLPSC program.
4
b. Intake records.
c. Consultation/re-consultation records.
d. Supports plan (with notation of any revisions)
e. Listing of all clinical contacts with the participant, dates and units of service to
participant within 24 hours of contact,
f. Listing all service contacts with service providers on behalf of participants.
g. Case note documentation in response to all participant or family contacts (telephone or
personal) within 24 hours of contact.
h. Comments verifying participants receipt of service from other providers and whether
service adequately addressed the needs of the participant,
i. Record all release of information about the participant, signed release of information
form, and all case files shall be kept confidential In controlled access files. Each program
shall use a standardized release of information form which is time limited and specific as
to the information being released.
5. Each case file must be assigned a status in one of the following categories:
a. Open. From initial referral or reassessment of inactive case through current activity in
implementing a service plan.
b. Closed. Participant decides to discontinue service, participant needs have been met,
another program or agency has assumed responsibility for a participant, participant
unable to be served and referral case is not possible, or participant's death.
6. A current listing of isolated older persons, with active case files, which can be made readily
available to agencies providing emergency services in the event of a disaster.
7. All caseworkers will have a minimum of a bachelor's degree in a human services field, or who by
training or experience have the ability to effectively determine an older person's needs and
match those needs with appropriate services. Any caseworker without a bachelors degree will
be supervised by degreed Social Workers and/or Registered Nurses.
8. Program staff shall receive in-service training at least four times per fiscal year which is
specifically designed to increase their knowledge and understanding of the program and
participants, and to improve their skills for tasks performed in the provision of service.
9. Monthly quality case note, intake and re-consultation audits are completed for all caseworkers
with a minimum of two audits per type per caseworker. A goal of 90% accuracy on all audits is
set for all caseworkers. Results of audits are reviewed monthly at individual coaching sessions
with caseworkers,
10. Monthly telephonic supports coordination call monitoring and quality follow-up will be
conducted for all caseworkers.
5
Community Living Program Services (CLPS) Regional Service Definition
Service Name Community Living Program Services
Service Number N/A
Service Category In-Home
Service Definition
Community Living Program Services (CLPS) promote an individual's health,
safety, independence and reasonable participation in the community. CLPS can
be provided in the participant's residence or in community settings as
necessary in order to meet support and service needs sufficient to address
nursing facility level of care needs.
Unit of Service 15 minutes of approved CLPS component functions
Service Code CLPS10, Comprehensive Community Support Services
Component Functions Homemaking and Personal Care. Errands —Aide's time in supporting
participant in completing errands and attending medical appointments.
Funding
Z Title lit-B Z Title 111-E Z State Access Z State In-Home
El St. Alt Care El State Merit Award
Minimum Standards:
1. 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; S) shopping for food
and other necessities of daily living.
2. Assistance, support and/or guidance with such activities as: 1) money management; 2)non-
medical care (not requiring MD or RN intervention); 3) social participation, relationship
maintenance, and building community connections to reduce social isolation; 4) transportation
from the participant's residence to community activities, among community activities, and from
community activities back to the participant's residence; 5) participation in regular community
activities incidental to meeting the participant's living preferences; 6) attendance at medical
appointments; and 7) acquiring goods and services necessary for home and community living, in
response to needs that cannot be otherwise met.
Note: Social/emotional support of participant may be offered in conjunction with assistance provided.
Costs associated with room/board or worker participation in activities is not included.
Minimum Standards for Agency Providers:
1. Each program shall maintain linkages and develop referral protocols with each Community
Living Consultant, CCS, CM, ML Choice Waiver and LTCC program operating in the project area.
1
2, All workers performing CLPS 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. CLPS worker shall have previous relevant experience or training and skills in housekeeping,
household management, good health practices, observation, reporting, and recording
participant information. Additionally, skill, knowledge, and/or experience with food preparation,
safe food handling procedures, and identify and reporting abuse and neglect are highly
desirable.
4. Semi-annual in-service training is required for all CLPS workers. Required topics include: safety,
sanitation, emergency procedures, body mechanics, universal precautions, and household
management.
5. CLPS 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
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 required task.
6. When the CLPS provided to the participant includes transportation worker time is authorized
under CLPS10, mileage must be authorized under the FICSPS code S0215@7002, Non'
emergency Transportation; Mileage, Per Mile * Private Transportation.
a. For any worker providing transportation, 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.
Minimum Standards for Individuals Employed by Participants:
L Individuals providing CLPS must be at least 18 years of age and have the ability to communicate
effectively both orally and in writing, to follow instructions, and be in good standing with the law
as validated by a criminal background check conducted by the Area Agency on Aging 1-B that is
shared with the participant. Members of a participant's family, expect for spouses, may provide
CLPS to the participant. If providing transportation incidental to this service, the individual must
possess a valid Michigan driver's license.
2. Individuals performing CLPS shall be trained in first aid, cardiopulmonary resuscitation, and in
universal precautions and blood-borne pathogens. Training in CPR can be waived if providing
services for a participant who has a Do Not Resuscitate (DNR) order on file with their physician .
2
The supervisor must assure that each worker can competently and confidently perform every
task assigned for each participant served.
3. Individuals performing CLPS shall have previous relevant experience or training and skills in
housekeeping, household management, good health practices, observation, reporting, and
recording participant information. Additionally, skill, knowledge, and/or experience with food
preparation, safe food handling procedures, and identify and reporting abuse and neglect are
highly desirable.
4. Individuals providing CLPS shall be deemed capable of performing the required tasks by the
respective program participant.
5. Individuals providing CLPS shall minimally comply with person-centered principle requirements
in minimum service standards.
3
1 Amanda Sears EXEC SERVICES MGR & CORP SECRETARY I John Krueger CHIEF FINANCIAL OFFICER I Lisa Dailey Jenny Jarvis HUMAN RESOURCES CHIEF STRATEGY MGR OFFICER I Marie Ba/oga CHIEF CLINICAL OPERATIONS r Gary Evans/Garry Cole SAM EADDRESS Area Agency on Aging 1-B June 22, 2017/FIR Oakland Office EXECUTIVE OVERVIEW (with functions) BOARD OF DIRECTORS E ADVISORY COUNCIL 1 Jim McGuire INTERIM CHIEF EXECUTIVE OFFICER COMMUNICATIONS COMMUNITY & BUSINESS ADVANCEMENT COMPLIANCE & REGULATORY IvIMAP PROGRAM MANAGEMENT AASA CLINICAL OPERATIONS MI HEALTH LINK PAHP CLINICAL OPERATIONS RESOURCE CENTER: INFO & ASSISTANCE RESEARCH, POLICY !NFO TECH & & ADVOCACY OPERATIONS
Area Agency on Aging 1-B June 22, 2017/HR Oakland Office EXECUTIVE SERVICES ORGANIZATION Amanda Sears MGR, EXEC & COMMUNITY SRVCS l i Sophia Michie OFFICE ASST Desiree Pettiford- Ratcliffe ADMIN ASST Laura Wilson ADMIN ASST
Area Agency on Aging 1-B June 22, 2017/HR Oakland Office FINANCE ORGANIZATION John Krueger CHIEF FINANCIAL OFFICER VACANT (HOLD) DI R, FINANCE VACANT (HOLD) SENIOR ACCOUNTANT Craig Bleckelman ACCOUNTING ANALYST Melissa Maxwell ACCOUNTS RECEIVABLE SPEC Charlene Thompson ACCOUNTS PAYABLE SPEC Sharon (TEMP) SR FINANCE ANALYST AASA Felicia Wilson ELIGIBILITY SUPV Tuneisha Hedgley BILLING SUPV Samantha Gooden ELIGIBILITY SPEC Ashley Todd ELIGIBILITY SPEC Kyle Rushing BILLING ANALYST
Area Agency on Aging 1-B June 22, 2017/HR Oakland Office HUMAN RESOURCES ORGANIZATION Lisa Dailey HR MGR Staci Douglas HR & PAYROLL SPEC
Area Agency on Aging 1-B June 22, 2017/HR Oakland Office STRATEGY ORGANIZATION Jenny Jarvis CHIEF STRATEGY OFFICER Arm tangford DIR, COMM & BUS ADVANCEMENT killy Evanson FROG MGR- MMAP MeGuire DM, RESEARCH, POLICY & ADVOCACY Kathleen Yanik MGR, COMM Alicia Jackson, TANG COOED Aneela Dixon ADMIN ASST Margina Moore PROG MST- MMAP Katie Cahill ADVOCACY SPEC Margaret Topous COMM SPEC Kristin Wilson PECIG MGR, WELLNESS SRVCS WELLNESS TRAINERS Eileen Abel Danele Apsey Patricia Bannasch Jean Barnas-Harotseris patriek Brannon Addle Cooley Kimberely Cemet-Bussard Susan Crawford Penny Davis Gail Deacon Mi Dong Susan Gibbs Sharon Cite Janet Hart Bonnie Hilberer Jennifer Jackson Michelle Jess Howard Kate Maria Kaupas Notate React Lisa Kulesaa Cameron McClure Jodi McGuire Joan MareditlhAilesee Plrf Ills Narklewicx Susan Peters Marcia Rodgers CharyIAnn Root Sandra Schiff Barbara Near Marine Zimmer Roberta Hanowski MGR, MOBILITY PROJECT LaVonna Howard RES/MOBILITY SPEC Debra Price-Ryan TRANSPORTATION PRO) COORS' Judy Rathbum MOBILITY Spec Amanda D'Angelo MGR, COMPLIANCE & RED PERFORMANCE IMIPAA OFFICER) PROGRAM MGR5 Cathy Racks, CAREGIVER & SOC/ALSRVCS Stephanie Gional NUTRITION SRVCS VACANT VENDOR SRVCS Nancy Thompson RESPITE & RESIDENTIAL SRKS SPEC Tiandra Wilcher TEAM LDR SRVCS & AUTHORIZATION Chevon Sherman SRVCS &AUTHORIZAT/ON COOED Lisa Muehmel SITE COORD—MMAP {021clandi VACANT SITE WORD —MMAP (Wash, tie, Monroe) Bev Clark SITE COORD — MMAP (Macomb, St. Clair) VACANT MMAP SPEC Dwayrtna Dawson CONTRACT & OSP COOED
Barb Lawry PIN MST OM, M141. & NEW SLOMESS STRATEGIES 1 VACANT IT& OPS DIR MIIPAOFFICEM IAllele R EWS UA 1CLPEgC TA. r dt RESCURCESPEC Karen Irey Kara Groom Sherfleparket 1/3 MI Racist Sher MasySmion Kelly Elsyeick RESSUFICE DATABASE SPEC Rebecca Kegler BUS ANALYST 1101115 01 Charles IT & DPSAIST Men TrwTeau SUN ANALYST Kelly Lowry Arc CtiMICes MGR SISAL & SPEC. PRO.IERS P505 (001W Chose ColEins Mart Denary Mishe !Eamon Katheelne Taylor N SUPPORTS caoR Renee ...Sarno Gretchen Ridenoor I. robs NW MST DIR. CLINICAL OPERATIONS Flynn [wattles dove SW CUTACAL MGR W5-AASA & ESOURCE CO hiTS R Serazlm un L m ieOneliolGrekSW ' PAM A Kristin FlynnEW TEAM CDR Hla Mk Hossein SW QUALM MIAMI Kesin Valenti SW TEAM LDS NFT) Kristy Mattingly, RN TEANS !DR COT .AASA. Cassandra Bowman SW CT MOLL MGR PAM IS Shen. Walton, SW CLINICAL MGR ENROLLMENE/E1 FT Menus Timm SW 1 TEAM CDR QUALITY & PERFORMANCE IMPROVEMENT Eerily OrleleesserSW TEAM 1.011 C55.11ASA TECITNOLOGY Rachel Notts TEAM LOR & PROG COOMI Matruh. Gray PROG COOAD RN SUPPORTSCOOR Susanne Eloyemre Sandra Omega, AsIM ETEmger Kathleen Fee Jennifer Swirlier VACANT 0) SW SUPPORTS COUNT Catherine Dogejsi-Inkien Marianne Caddy AmhnEnCarbin Mel McCrea Ellraberh McLaren Swan Miger Andrea Palle /Woad en e Rich. Mton AllssonScha err April Voss -Carlene Veldt II ROG CO ODD N SUPPORTS COON Rhonda Rune'. And,. MOW lessen Heiseeman Nancy Hoffman T• Cynthia Maorlsrna Judirh Pittenger Shan StvIlosi GetiNnSelme kg) Rathlwick 5W SUPPORTS COOED Paten's/nor magas PletrY Toni Dunn Dauer Alemndria Fabeg [ankh, Gresry,k Julie Ka enginsLy Yvan, Moss hleen OchroannkSOTT FROG COORD Barbaro trailer Kim Snw rt {scheduler) N SUPPORTS COUNT Janet Petah. Annette ErunenTO Nicole Davis Mary Seth Plalt WeTaa mSamelS SW SUPPORTS COCRO Son Marsh. Torn. Hereon Nue ProsoenINFT) AtoZoolnl Nancy Koster SWirrl HOUSING SPECIAL Courtney Slew./ FROG CO ORD N 513PPORIS COORCI thristineGa noon Ceram, Beard Seth Gernboo(VAL SW SUPPORTS mon Larry Bassin 15 Maxine 'Blair liebrea KrtOrp 0 Carrie Leman! Katrina Mech.-6 COMMUNITY HEALTH WORKER jennirsoBriermS1 Donna Dean Nicole Doherty Men Kottr LIsa Plan THOM. Welton Chelsea. tseNis, SW TEAM LOA Area Agency on Aging 1-B June 22, 2017/HR COMMUNITY SUPPORT SERVICES ORGANIZATION Oakland Office Community-Based Marie BaInea IMSIONYISA CHIEF OPCUNSCAL OPETIATIONS LoriSEAM ESECISTIVEASST Sarah Least Witriewskt SW FAMILY CORE COORO **. = and 30 day caller Contingent
Area Agency on Aging 1-B June 22, 2017/HR Oakland Office SAMEADDRESS ORGANIZATION Garry Cole VP, SALES & MARKETING Gary Evans VP, OPERATIONS Amy Harper SUPV, IN-HOME CARE ASSESSMENT Ken Potyczka HOME SAFETY ASSESSOR David Benoit MGR, OPERATIONS HANDYMAN PLUS Dale Bailey Florin Polocoser HANDYMAN APPRENTICE Wendy Berryman CLIENT SVCS COO RD Audrey Mercer CLIENT SVCS SPEC HOUSEKEEPER PLUS Mara Buie Christina Bulick Kell' Depauli Heather Downey John Galleher Gregory Harper Debora Harrison Janel Horton Audrey Leptinsky Elizabeth Pace Elizabeth Purdy Patricia Rea Danielle Ross Christine Sir] Parker Bowman
TOTAL Federal Administration 10/01/17 to Rev. No.: Rev. 1/2017 09/30/18 0 Page 1o13 ADMINISTRATION Local Cash I Local In-Kind Total 896,672 156,231 82,861 1,135,764 52,660 52,660 90,000 90,000 1,039,332 156,231 82,861 1,278,424 FUND SOURCE 1. Federal Title III-B Services 2. Fed. Title III-C1 (Congregate) 3. State Congregate Nutrition 4. Federal Title III-C2 (HDM) SUPPORTIVE NUTRITION SERVICES SERVICES 2365485 Agency: Area Agency on Aging PSA: 1-B SERVICES SUMMARY Y .4U113 AREA PLAN GRAN I BUD(7E I Budget Period: Date: 06123/17 Revenues 2,365,485 State Administration 1,178,032 MATF & St CG Support Administration 59,742 Other Admin 3,344.061 Total ALP Admin: 1,178,032 59,742 3,344,061 5. State Home Delivered Meals 2,619,809 2,619,809 8. Fed. Title III-D (Prey. Health) 163,955 163,955 9. Federal Title III-E (NFCSP) 1,018,517 1,018,517 10. Federal Title VI-A 8,506 8,506 10. Federal Title VII-EAP 40,666 40,666 11, State Access 12. State In-Home 13. State Alternative Care 14. State Care Management 16. St. ANS & St. NHO 17. Local Match 178,323 1,396,529 701,093 863,653 351,112 178,323 1,396,529 701,993 863,653 351,112 a. Cash 761,487 761.487 b. In-Kind 816,657 800,154 1,616,841 18. State Respite Care (Escheat) 19. MATF & St. CG Support 20. TCM/Medicald & MS0 21. NSIP 22. Program Income 330,282 837,824 27,308 1,48,021 1,044,307 2282,591 330,282 837,824 27,308 1,448,021 3,326,898 TOTAL: 10,906,6041 11,732,440 22,639,0441 Expenditures FTEs 1. Salaries/Wages 17.00 748,040 2. Fringe Benefits I.:., ... 255,678 3. Office Operations 274,708 Total: rL 1,278,426 1Cash Match Detail In-Kind Match Detail Source Amount Source Amount Interest Income 10,000 Board/Advisory Council 10,000 County Match 42,660 Caregivers 60,000 Total: 52,660 Total: 90,000 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. Interim Chief Executive Officer 06123/17 Signature Title Date
75,002 66,279 5,417 32,730 5,426 2,907.00 37,500.09 10,018.00 7,813.00 3,333.90 508,002 932,707 46,376 725,321 135,500 19,686 254,900 383,110 265,233 45,244 1,323,939 229,731 56,618 166,056 76,769 28,953 25,694 525,664 00/30/18 Rev. 112017 0 page 2o1 3 Cash In-Kind Match Match TOTAL 25,000 118,337 1,139 91,082 19574 969.00 to Rev. No.: Program Income 8,009 9652 820 106,080 11.500 310.00 4,900.09 12,500.00 12,948.00 39,233.00 8,500.00 43,534.00 800.00 1,111.00 431,452.00 162,527.00 15,970.00 7,646.00 25,050.00 18,080.00 360.00 8,514.00 2,736.00 100.00 22,565,00 7,523.00 1,75027 12,277.00 2,723.00 160.90 500.00 1,500,00 1,175.00 2,431.00 347.00 694.00 13,142.00 39,425.00 413,720.00 82,197.00 246,591.00 3,539,304 25,310.00 79,111.00 237,337.00 0,607,646 State Slate SL Alt, Stale Care 1-S1."ANS. St. Respite MATF & SERVICE CATEGORY Title Title 111-D Tithe E Title VII Access In Home Care Mgmt Verve;r4, (Escheat) SL CG Sup. 1. Access a. Care Management N. Case Ccord/supp c. Disaster Advocacy d. Information & Assis 253,000 e. Outreach 345,116 215.00C Transportation 2. In-Home a. Chore 495,429 b. Home Care Assis c. Home Injury Cntrl 100,000 d. Homemaking e. Home Health Aide f. MedIcation Mgt 15,500 g. Personal Care h. Assistive Device&Tech I, Respite Care j. Friendly Reassure 3. Legal Assistance 205,386 4. Community Services a. Adult Day Care N. Dementia ADC c. Disease Prevent 163,950 :5,000 d. Health Screening e. Assist to Deaf 45,000 f. Home Repair g. LTC Ombudsman 27,019 11, Sr CU' Operations i. Sr CU- Staffing j. Vision Services Is. Elder Abuse Prevnt 19,334 40.666 1. Counseling rn. Creat.Conf.CGO CCC 8,000 n. Caregiver SuPP4111 o. Kinship Support 25,000 q, Caregiver E,S,T 25,000 5. Program Develop 473,097 6. Region Specific CLP Services 467,992 1,296,529 701,993 lap Case Coordination & Support 386,604 15,525 063,653 FY 2018 AREA AGENCY GRANT FUNDS • SUPPORT SERVICES DETAIL Agency: Area Agency on Aging Budget Period: 101i01/17 PSA: 1-B Date: C6/23/17 1/6,323 41,000 '.00,101) 190,000 320,911 40,070 :.:278,0771: 435,913 330,282 02,861 82,561 49,172 178,323 I 1,396,529 1 701,993 I 863,653 1 351,112 I 330,2021 920,685 27,308 1,044,307 751,467 816,557 I 10,989,465 C. a. 7. CLPfADRC Services 8. MATF & St CO Sup AdM SUPPRT SERV TOTAL) 2,365,455) 163,955 I 1,018,517
Planned Services Summary Page for FY 2018 PSA: 1-B
Service
Budgeted
Funds
Percent
of the
Total
Method of Provision
Purchased Contract Direct
ACCESS SERVICES -
Care Management $ - 0,00% i 1 Case Coordination & Support $ - 0.00%
Disaster Advocacy & Outreach Program $ - 0.00% I i . Information & Assistance $ 508,002 2.24% .- x •
Outreach $ 932,707 4.10% x x
Transportation $ 46,376 0.20% x ' -
'IN-HOME SERVICES
Chore $ 725,321 3.19% x . Home Care Assistance $ 0.00%
Home Injury Control $ 136,500 0.60% x
Homemaking - 0.00%
Home Delivered Meals $ 9,529,015 41.94% 1 x i •
Home Health Aide $ 0.00%
Medication Management $ 19,686 0.09% x I
Personal Care $ - 0.00%
Personal Emergency Response System $ 254,000 1.12% x .
i Respite Care $ 383,110 1.69% x x
Friendly Reassurance $ - 0.00% : : • COMMUNITY SERVICES
Adult Day Services $ 45,244 0,20% x i
Dementia Adult Day Care $ 1,323,939 • . 5,83% . . x
Congregate Meals $ 2,125,647 9.36% i x
Nutrition Counseling $ 0.00%
Nutrition Education $ - 0.00%
Disease Prevention/Health Promotion $ 229,731 1.01 5./-0- 1 x x
Health Screening $ - 0.00%
Assistance to the Hearing Impaired & Deaf $ 56,618 0,25% I x
Home Repair $ : 0.00%
Legal Assistance $ 265,233 1.17% x
Long Term Care Ombudsman/Advocacy $ 166,056 0.73% x
Senior Center Operations $ 0.00%
Senior Center Staffing $ - 0,00% . '
Vision Services $ - ' 0,00%
Programs for Prevention of Eider Abuse, $ 76,760 0,34% x
Counseling Services $ - 0.00%
Creating Confident Caregivers® (CCC) $ 10,160 0.04% 1 x
Caregiver Supplemental Services $ : : 0.00% .
' Kinship Support Services $ 28,953 0,13% x
Caregiver Education, Support, & Training $ 25,694 .• 0.11% i . - ' x
AAA RD/Nutritionist $ 77,778 0.34%
PROGRAM DEVELOPMEN f $ 525,664 2.31°70
REGION SPECIFIC -
CLP Services $ 3,539,304 15.58% x
CLP Case Coordination & Support $ 1,607,546 , 7.07% x
C. - 0,00%
d. - .• 0.00% .
* e. $ - 0.00% 1
CLP/ADRC SERVICES $ - 0.00%
SUBTOTAL SERVICES $ 22,639,044 ' _
MATF & ST CG ADMINSTRATION $ 82,861 0.36% x
TOTAL PERCENT 100.00% 18.18% 66.39% 15.43%
TOTAL FUNDING $ 22,721,905 i $ 4,129,221 i $ 15,086,859 i $ 3,505,825
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,
Resolution #17198 July 19, 2017
Moved by Crawford supported by Quarles the resolutions (with fiscal notes attached) on the Consent
Agenda be adopted (with accompanying reports being accepted).
AYES: Crawford, Dwyer, Fleming, Gingell, Hoffman, Jackson, Kochenderfer, Kowall, McGillivray,
Middleton, Quarles, Spisz, Taub, Tietz, Weipert, Woodward, Zack, Berman, Bowman. (19)
NAYS: None. (0)
A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent
Agenda were adopted (with accompanying reports being accepted).
I HEREBY APPROVE THIS RESOLUTION
CHIEF DEPUTY COUNTY EXECUTIVE
ACTING PURSUANT TO MCL 45,559A (7)
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and
accurate copy of a resolution adopted by the Oakland County Board of Commissioners on July 19, 2017,
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 19th day of July, 2017.
Lisa Brown, Oakland County