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HomeMy WebLinkAboutResolutions - 2000.08.10 - 25932General Government Committee Vote: Motion carried on unanimous roll call vote with Sever absent August 10, 2000 Miscellaneous Resolution # 00200 _ BY: General Government Committee, Shelley G. Taub, Chairperson RE: Board of Commissioners — Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan and FY 2001 Annual Implementation Plan TO: Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS, in Michigan, the Older Michiganians Act (P.A. 180 of 1981) authorizes the Michigan Office of Services to the Aging to serve as the state unit on aging and specifies the powers and duties of the state's designated area agencies on aging; and WHEREAS, the Area Agency on Aging 1-B (AAA1-B) is a private nonprofit organization responsible for planning, coordinating, and funding older adult services in Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw Counties; and WHEREAS, the Area Agency on Aging 1-B has been supporting services to Oakland County residents since 1974; and WHEREAS, the Oakland County Board of Commissioners appoints two representatives to serve on the Board of Directors of the Area Agency Aging 1-B — a County Commissioner and a county resident who is at least 60 years of age; 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 needs; and WHEREAS, the proposed plans have been submitted for review by the public, and have been the subject of two public hearings; and WHEREAS, the comments at the public hearings on the proposed plans were overwhelmingly favorable; and WHEREAS, the State of Michigan Commission on Services to the Aging adopted a requirement on April 28, 2000 that requires all Area Agencies on Aging to present their multi-year area plan and annual implementation plan to each Board of Commissioners within their respective Planning and Service Area (PSA) for approval. NOW THEREFORE BE IT RESOLVED THAT the Oakland County Board of Commissioners does hereby approve the FY 2001-3 Multi-Year Area Plan and FY 2001 Annual Implementation Plan of the Area Agency on Aging 1-b, for the purpose of conveying such support to the Area Agency on Aging 1-B and the Michigan Office of Services to the Aging. Mr. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing Resolution. GENERAL GOVERNMENT COMMITTEE _5ez, Area Agency on Aging 1-13 specialists in aging Region 143 FY 2001-3 MULTI-YEAR AREA PLAN and FY 2001 ANNUAL IMPLEMENTATION PLAN Area Agency on Aging 1-B 29100 Northwestern Hwy., Suite 400 Southfield, Michigan 48034 248-357-2255 WWW.AAA1 B.ORG Sandra K. Reminga, Executive Director Serving the counties of Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw OS'22iCC.; .4.54 PM. :i.1.,PLAN`20C1 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page i Table of Contents I. Preface 1 II. Statement of Need 2 A. Demographics 2 B. Evaluation 12 C. Unmet Needs and Priority Setting 16 Ill. Advocacy Strategy 19 IV. Program Development 20 V. Service Delivery Plan 21 A. Targeting 21 B. Access 24 1. Information and Referral 24 2. Outreach 24 3. Transportation 24 4. Care Management / Case Coordination and Support 25 C. Respite and Adult Day Services 26 D. Funded Services 27 E. Care Management 30 VI. Community Focal Points 33 A. Definition and Rationale for Selection 33 B. Listing 34 VII. Documentation 51 A. Board of Directors Endorsement 52 B. Advisory Council Endorsement 53 C. Input Forums and Public Hearings Results 54 D. Review by County Boards of Commissioners or Local Units of Government 59 E. Single Point of Contact Submission 61 F. Affirmative Action Plan 62 G. Assurances and Certifications 68 H. Assurance of Compliance 70 VIII. Appendices 71 A. Board of Directors Membership 71 B. Advisory Council Membership 72 D. Proposal Selection Criteria 74 F. Planned Entrepreneurial Activities 77 G. Regional Service Definition(s) 78 06;22/00; 5:3a PM; GNOEPTsPAnAREAPLAM2001 Are3Piari,Firai MYAP-AP 2SO 1 -3.Coc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 1 PREFACE Agency: Area Agency on Aging 1-B FY 2001 — 2003 The Area Agency on Aging 1-B (AAA 1-B) is a private nonprofit organization responsible for planning, developing, coordinating, and funding older adult services in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw Counties. The AAA 1-B is one of sixteen regional area agencies on aging in Michigan, authorized by the Older Americans Act of 1965, as amended. Under this legislation, all area agencies in a given state are accountable to a state unit on aging, which in turn is responsible to the Administration on Aging, a unit of the federal government. In Michigan, the Older Michiganians Act (P.A. 180 of 1981) authorizes the Michigan Office of Services to the Aging to serve as the state unit on aging and specifies the powers and duties of the state's designated area agencies on aging. This combined FY 2001-2003 Area Plan and FY 2001 Annual Implementation Plan specifies how funds will be spent for social and nutrition services that benefit older persons and their families. The plans are based on the most recent projection of FY 2000 spending levels. Questions on the Multi-Year Area Plan, should be directed to James McGuire, AAA 1-B Director of Planning and Advocacy, at (248) 262-9216. CCi22/01 4 5-t PM: G :DEPT \PA‘AP.E.A; LAN'.2C0 -3 Ata3pi,-,;,F;r,3; 1_3 tzz Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 2 STATEMENT OF NEED Agency: Area Agency on Aging 1-B A. DEMOGRAPHICS FY 2001 —2003 Region 1-B 1990 Census Profile 60+ Population Below 150% Of Poverty By Race/Ethnic Asian/ Geographic Native Pacific Area White Black American Islander Other Hispanic Region 1-B 50,472 3,172 167 336 116 318 Livingston 1,745 0 14 0 0 6 Macomb 16,853 373 74 137 7 46 Monroe 3,824 128 15 0 18 30 Oakland 20,043 1,550 35 125 52 165 St. Clair 4,842 214 22 6 39 46 Washtenaw 3,165 907 7 68 0 25 CS/22/00. 4 54 pro: GAD::-:PrtPX:AREAPLAV:2-Xl IreaParv.F!nai M??.?-4:P 2CI:: _3 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 3 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION 60+ Below Poveny 60+ Below 150% of Population 60+ Poverty RACIMJET1INIC CATEGORY 60+ Geographic Total Area Population Asian/ % of % of % of Native Pacific Total Minority % of Total Total Total Total Total Total White Black American Islander Other Ilispanic Total I i US 41.857,998 37,063,096 3,470,170 165,842 672,975 485,915 1,714,925 5,952,082 14.2 Michigan 9,295,297 1,510,397 16. 1,338,795 157,080 4,328 5,722 4,472 15,363 181,715 12. Region I-II 2,478,781 373,773 15. 24,238 06.48 54,263 15. 359.358 10.702 603 - 2,558 552 3,059 17.474 05. Liviiigsion 115,645 13,405 12. 782 05.83 1,759 13. 13,309 33 34 26 3 53 149 01. Macomb 717,400 122,922 17. 7,124 05.8 17,444 14. 120,912 1,075 181 666 88 857 2,867 02. Monroe 133,600 19,427 15. 1,769 09.11 3,985 21. 18,975 343 43 26 40 193 645 03. Oakland 1,083,592 164,308 15. 10,321 06.28 21,805 13. 156,015 6,287 243 1,434 329 1,494 9,787 06. St. Clair 145,607 24,189 17. 2,203 09.11 5,123 21. 26,617 438 56 19 59 198 770 03.2 Washicilaw 282,937 29,522 10. 2,039 06.91 4,147 14. 26,530 2,526 46 . 387 33 264 3,256 11. 0302/00; 454 PM; G WEP111IA1AREAPLAN12001.3 AnniPkunfaiol MYAP.A11' 2001.34m: Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 4 REGION 1-13 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION 60+ Below 60+ Below 40% of LIVINGSTON COUNTY Population 60+ Poverty Poverty RACIAL/ETHNIC CATEGORY 60+ Geographic Total Area Population Asian/ % of % of % of Native Pacific Total % of . Total Total Total _ Total Total , Total White Black , American Islander , Other , Hispanic _ Minority , Total . _. LIVINGSTON COUNTY 115,645 13,405 12 782 6.0 1,759 _ 3.6 13,309 33 _ 34 26 3 53 96 _ 0.7 _ Brighton 5,686 806 14 22 2.8 93 12.0 800 2 2 2 0 I 6 _ 0.7 13righton Township 14,815 1,267 9 37 3.1 137 11.5 1,239 _ 18 2 _ 7 1 6 28 , 2.3 Cohoetati Township 2,693 308 11 20 7.1 78 27.7 306 0 I I 0 0 2 0.7 Conway Township 1,818 235 13 17 7.1 26 10.9 _. 232 0 _ 2 0 1 3 1.3 Deerfield Township 3,000 _ 310 10 17 5.9 37 12.9 , 309 _ 0 0 1 0 5 1 _ 0.3 _ Genoa Township Township _ 10,820 1,383 13 _ 61 4.3 161 11.4 1,376 1 4 2 _ 0 2 7 0.5 Green Oak Township 11,604 1,417 12 80 5.6 183 12.9 _ 1,404 1 6 _ 6 _ 0 5 13 _ 0.9 • llamburg Township 13,083 _ 1,386 _ 11 67 5.1 _ 151 11.5 1,381 2 1 0 7 5 0.4 _ Powleryille 2,648 363 14 38 11.0 90 21.6 362 0 1 0 0 0 1 0.3 Handy Township 2,840 316 11 25 _ 9.6 45 17.3 315 0 1 0 .1 0 1 1 0.3 Hartland Township 6,860 642 9 45 7.3 , 60 9.8 641 0 1 0 0 2 1 0.2 Howell 8,184 1,468 18 131 9.8 259 19.3 1,468 2 7 0 0 7 9 _ 0.6 I lowell Township 4,298 597 _ 14 51 _ 10.0 98 19.1 590 5 1 0 1 5 7 1.2 - losco Township _ 1,567 177 , 11 11 6.1 15 8.3 175 - 0 0 2 0 0 2 1.1 _ Marion Township 4,918 513 10 25 5.1 28 5.7 512 0 0 _ 0 1 3 1 0.3 Oceola Township 4,825 _ 502 10 18 3.7 75 15.2 500 1 1 0 0 1 2 0.4 Pinckney 1,603 155 10 19 _ 12.7 29 19.5 154 _ 0 1 0 0 1 1 0.6 _ l'u intim Township 4,580 461 10 24 0.5 _ 76 16.1 460 , 1 _ 0 0 1 1 0.2 Tyrone Township 6,854 695 _ 10 38 5.9 44 6.8 692 , 1 2 0 1 3 _ 0.4 Unadilla Township 2,949 _ 404 _ 14 _ 36 _ 9.0 _ 68 _ 17.1 402 _ 1 _ 0 4 2 i 0.5 _. 06122100 4 PM, GADEP.1 \PAV\ REAM-AM:MU 1.3 As uuPlut u.1 MYAP•AlP 2001.3.1.1% Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 5 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION 60+ Below Poverty 60+ Below 150% of MACOMB COUNTY Population 60+ Poverty RACIAL/ETHNIC CATEGORY 60+ Geographic Total Area Population I Asian/ I % of % of % of Native Pacific Total % of Total Total Total Total ' Total Total White Black American Islander Other I I ispanic Minority Total MACOMB COUNTY 717,400 _ 122,922 17 7,124 5.9 17,444 14.6 120,912 1,075 181 666 88 857 2,010 1.6 Armada 4,491 544 12 46 8.5 100 18.4 540 0 3 0 1 7 4 0.7 Bruce Township 4,193 441 11 47 9.1 57 12.3 438 0 0 ') 1 7 3 0.7 Centerline 9,026 2,775 31 312 11.2 700 26.9 2,760 5 2 5 3 19 15 0.5 Chesterfield Township 25,905 2,315 9 _ 115 5.2 236 10.6 2,993 4 5 12 1 11 22 1.0 Clinton Township 85,866 , 13,094 15 802 6.2 1,955 15.2 12,702 274 18 88 12 90 392 3.0 East Pointe 35,283 8,774 25 534 6.0 1,407 15.9 8,742 3 10 16 3 36 32 0.4 Fraser 13,899 2,485 18 167 6.5 401 _. 17.9 2,472 1 2 - 10 0 18 13 0.5 Ilarrison Township 24,685 3,162 13 200 6.5 379 12.2 3,140 6 3 7 6 28 22 0.7 Lake Township 105 58 55 0 0 0 0 58 0 0 0 0 1 0 0 New Haven 2,331 207 9 26 12.6 61 29.5 133 72 1 0 1 4 74 35.7 Lenox Township 3,069 _ 399 13 31 7.5 65 15.8 392 4 1 0 2 6 7 1.8 Macomb Township 22,714 2,229 10 _ 144 6.6 248 11.3 2,211 1 5 10 2 8 18 0.8 Memphis 896 , 126 14 14 11.1 31 24.6 122 4 0 0 0 4 4 3.2 Mt. Clemens 18,405 3,426 19 403 11.9 858 25.2 2,967 433 8 5 13 33 459 13.4 - New Baltimore 5,798 _ 884 15 69 7.9 139 16.1 876 2 I 5 , 4 _ 8 0.7 Ray Township 3,230 467 14 _ 24 5.2 67 14.6 465 0 2 0 0 1 2 0.4 Richmond 6,669 1,024 15 106 11.4 234 25.3 1,022 1 1 0 , 0 2 _ 2 _ 0.2- I Romeo 1.819 270 15 _ 22 8.2 35 12.9 341 2 0 0 _ 1 1 _ 28 _ 10.4 06/22/00. 4 54 PM; GADEP1 \PAMEAPLANVUO1 -3 AluaPia,AFRIbl MYAP-AIP 2001-3.doc Page 6 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION 60+ Below 60+ Below 150% of MACOMB COUNTY Population 60+ Poverty Poverty RACIAL/ETHNIC CATEGORY 60+ Page 2 Geographic Total Area Population Asian/ % of % of % of Native Pacific Total % of Total Total Total Total Total Total White Black American Islander Other Hispanic Minority Total - Roseville 51,412 9,823 19 678 7.1 1,787 18.8 9,662 86 21 49 5 83 161 1.6 St. Clair Shores 68,107 17,740 26 779 4.5 2,141 12.4 17,632 37 22 . 44 5 94 108 0.6 Shelby 48,655 5,489 11 189 3.4 517 9.3 5,439 7 10 30 3 24 50 0.9 - Sterling Heights 117,810 14,821 13 689 4.9 1,774 12.5 14,546 25 20 221 9 113 275 1.9 Utica 5,081 687 , 14 25 3.8 95 14.5 677 5 2 3 0 4 10 1.5 Warren 144,864 , 30,247 21 1,580 5.4 3,925 13.4 29,962 66 43 156 20 253 285 0.9 Washington 'lbw:Ishii) 11,386 1,095 _ 10 64 11.4 126 12.0 1,090 1 1 - 3 0 5 50 0.5 Warrren 144,864 30,247 _ 21 1,580 , 5.4 3,925 13.4 29,962 66 43 156 20 253 285 0.9 Washington Township 11,386 1,095 10 64 _ 11.4 126 12. 1,090 1 1 3 0 5 5 0.5 _ -4 _ 7 , - - _ I 013/225X1; 4 fi4 PM; G 10C PI WAtAREAPLANt2001.3 Nuu113•111 7ntal MYAP.Alr' 200 I.3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 7 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION 60+ Below 60+ Below 150% of MONROE COUNTY Population 60+ Poverty Poverty RACIAL/ETHNIC CATEGORY 60+ Geographic Total Area Population . Asian/ - % of % of % of Native Pacific Total % of Total Total Total Total Total Total White Black American Islander Other Hispanic Minority Total MONROE COUNTY 133,600 19,427 15 1,769 9.3 3,985 21.1 18,975 343 43 26 40 193 452 2,3 _ , Ash Township 4,710 606 13 42 7.2 131 22.3 603 1 1 1 0 2 3 0.5 Bedford Township 9,346 1,137 12 77 6.8 213 18.9 1,131 0 2 4 0 7 6 0.5 Berlin Township 6,286 773 12 53 7.2 113 15.3 767 0 4 0 2 11 6 0.8 Carleton 2,770 _ 280 10 42 15.3 74 26.4 278 0 _ 1 0 1 6 -) 0.7 Dundee 5,376 _ 796 15 64 7.7 146 17.6 792 2 1 0 1 6 4 0.2 Erie Township 4,492 609 14 27 4.4 102 16.6 598 0 1 0 10 25 II 1.8 Eater Township 3,253 440 14 54 13.7 109 27.6 _ 372 67 1 0 0 1 68 15.5 Frenclitown Township 18,21 2,667 15 152 6.2 453 18.4 7,416 II 6 0 1 14 18 0.7 Ida Township 4,554 _ 511 11 71 12.9 93 16.9 508 0 3 0 0 2 3 0.6 Lambertville 7,860 950 12 15 1.6 126 13.3 939 1 2 _ 6 2 4 II 1.1 La Salle Township 4,985 585 12 50 8.5 97 16.5 579 1 1 0 4 9 6 1.0 London Township 2,915 386 13 29 7.3 87_ 22.0 280 101 4 1 0 9 106 27.5 Luna Pier 1,507 _ 209 14 55 27.6 80_ 40.2 206 1 2 0 0 2 3 1.4 Milan 2,639 361 14_ 37 9.3_ 59 14.8 356 0 2 1 2 10 5 1.4 - Monroe 22,902 _ 4,434 19 645 -15.5 1,217 29.2 4,294 122 7 6 5 30 140 3.2 Monroe Township 11,909 1,978 17 232 11.9 436 22.5 1,952 14 1 4 7 32 26 1.3_ Petersburg 1,201 163 14 3 -1.8 26 16.2 _ 163 0 0 0 0 0 0 0 _ Raisinville Township 4,634 _. 580 13 19 3.3 40 6.9 _ 577 0 0 1 2 4 3 0.5 Surnmerfield Township 3.076 373 12 42 11.6 77 21.2 372 1 0 0 0 2 1 0.3 _ Temperance 6,542 , 973 15 35 3.7 _ 146 15.5 _ 968 1 3 0 1 4 5 0.5 Whiteford Township 4,433 630 14 25 , 4.0 110 , 17.7 , 607 20 0 1 , 2 10 23 3.6 01F./22/00, 4 S4 PM: G.ADEPTIPMAIIEAPLANI2U01-3 MYN'-A1P 2001-3. duc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 8 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION 1 OAKLAND COUNTY Population 60+ 60+ Below 60+ Below 150% Poverty of Poverty RACIAL/ETHNIC CATEGORY 60+ Geographic Total Area Population Asian/ % of % of % of Native Pacific Total % of _._ Total Total Total Total Total Total White Black American Islander Other Hispanic Minority Total OAKLAND COUNTY 1,083,592 164,308 15 10,321 6.5 21,805 13.7 156,015 _ 6,287 243 1,434 329 1,494 8,293 5.0 Addison Township 4,785 474 10 61 13.8 65 14.7 472 _ 1 0 _ 1 0 0 2 0.4 Auburn Hills 17,076 1,472 9 21 1.4 94 _ 6.4 1,407 _ 38 2 16 9 25 65 4.4 Berkley 16,960 3,045 18 _ 173 5.6 452 14.7 3,023 4 9 _ 9 0 11 22 0.7 Beverly Hills 10,610 2,672 25 54 2.1 89 3.4 2,640 12 0 19 1 18 32 1.2 Bingham Farms 1,001 _ 262 26 5 _ 1.9 10 3.7 258 0 0 4 0 0 4 1.5 _ Birmingham 19,997 _ 3,903 20 107 2.7 242 6.1 3,881 3 1 _ 18 0 18 22 0.6 Bloomfield Township 42,137 8,633 20 200 2.4 364 4.4 8,377 108 3 139 6 52 259 3.0 Bloomfield Hills 4,288 1,054 25 112 11.7 156 16.3 1,034 5 0 11 4 10 20 1.9 _ Brandon Township 10,799 _ 803 _ 7 51 6.5 142 18.0 797 0 2 _ 4 0 2 6 0.7 Clarkston 1,005 222 22 10 4.3 42 18.2 222 0 0 _ 0 0 0 0 Clawson 13,874 _ 2,649 19 178 _ 7.0 381 15.1 2,633 3 3 10 0 10 16 0.6 Commerce Township 22,228 _ 2,174 10 63 2.9 221 10.1 2,163 _ 1 3 5 2 14 11 0.5 Farmington 10,132 _ 3,043 , 30 124 4.2 _ 277 9.3 3,016 14 4 _ 8 1 12 27 0.9 _ Farmington Hills 74,652 12,346 17 657 5.5 1,243 10.4 12,125 _ 46 10 _ 161 4 82 121 1.0 Ferndale 25,084 : 3,932 16 393 10.2 884 22.9 3,862 24 16 29 1 26 70 1.8 Franklin 2,626 , 597 23 0 0 0 0 590 1 0 5 1 10 7 1.2 _ 1 Groveland Township 4,705 _ 363 8 _ 39 _ 10.8 73 20.2 357 2 0 0 _ 4 _ 1.6 05722100: 4154 PM: G:DEPT \PAIAREAPI.P.M.2001-3 Are:PlanTvls,IMYp,P-AIP 2001 -3.doe Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 9 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION OAKLAND COUNTY Total Population 60+ 60+ Below 60+ Below 150% of RACIAL/ETHNIC CATEGORY 60+ Page 2 Population Poverty Poverty Geographic Area ' 4 Asian/ % of % of % of Native Pacific Total % of Total Total Total Total Total Total White Black American Islander Other Hispanic Minority Total - 1 I Hazel Park 20,051 3,091 15 345 10.9 778 24.7 3,042 _ 19 11 18 1 20 49 1.6 - Highland Township 17,941 1,683 9 51 3.1 _ 95 5.7 1,673 4 1 4 _ 5 10 0.6 _ . 1,141 48 0 1 _ 4 9 53 4.4 Holly Township 8,852 1,194 13 82 6.9 _ 21918 4 Huntington Woods 6,419 1,203 19 _ 10 0.8 , 32 2.7 1,188 5 0 _ 10 _ 5 15 1.2 Independence Township 23,717 2,454 10 84 3.6 _ 233 _ 9.9 2,437 2 4 _ 9 _ 2 14 17 0.7 Keego Harbor 2,932 340 12 36 9.8 77 _ 21.0 337 0 1 2 _ 0 7 3 0.9 Lake Angelus 328 73 22 0 0 5 _ 6.0 72 o 0 0 _ 1 1 1 1.4 _ 5 8 1.4 Lake Orion 3,057 555 18 40 9.3 _ 86 _ 19.9 547 2 1 r 1 4 I- Lathrup Village 4,329 872 20 57 6.3 _ 57 _ 6.5 818 49 0 5 _ 0 7 54 6.2 7 . Leonard 357 50 14 2 3.6 I 10 17.9 50 0 0 0 _ 0 o 0 , Lyon Township 9,450 999 11 57 5.7 . , 106 10.8 991 0 3 4 2 8 0.8 - Madison Heights 32,196 5,354 17 499 9.6 _ 1,136 21.8 5,245 32 9 67 _ 1 40 109 2.0 _ _ . 1,484 _ 3 3 2 0 10 8 0.5 Milford 12,121 1,492 12 50 3.7 19414 4 7 Northville 3,367 486 14 _ 8 1.5 , 15 _ 2.8 482 0 0 4 0 0 4 0.8 Novi 33,148 3,853 12 158 4.5 , 271 7.7 3,804 5 5 39 _ 0 24 49 1.3 Oak Park 30,462 5,186 _ 17 547 • 10.8 _ 968 19.1 4,537 _ 551 2 _ 91 5 38 649 12.5 Oakland Township 8,227 892 11 24 2.7 , 93 _ 10.5 885 1 0 _ 4 0 0 4 0.8 , I Orchard Lake 2,286 271 12 _ 17 6.6 25 9.7 270 0 o _ 1 _ 0 1 1 0.4 i Orion 21,019 2,020 10 86 _ 4.5 192 10.0 2 002 _ , 3 8 4 _ 3 13 18 0.9 06122100 454 PM. G.'DEPP,PA\AREAPLANI2004 -3 Af ,aaPlanTinal MY/4P.M' 2':.`4 -3.cloc; Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 10 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION I 60+ Below 60+ Below 150% 1 I OAKLAND COUNTY population 60+ Poverty of Poverty RACIAL/ETHNIC CATEGORY 60+ Page 3 Geographic Total Area Population ' Asian/ % of % of % of Native Pacific Total % of Total Total Total Total Total Total White Black American Islander Other Hispanic Minority Total Ortonville 1,252 166 13 21 13.5 40 25.8 163 3 0 0 4 3 0.3 Oxford 11,933 1,400 12 151 10.9 230 16.6 1,394 1 2 3 0 6 6 0.4 _ Pleasant Ridge 2,775 463 17 29 6.0 62 12.8 459 0 1 2 1 3 4 0.9 Pontiac 71,166 8,561 12 1,519 18.6 2,578 31.6 5,491 2,793 40 44 193 421 3,070 35.9 Rochester 7,130 1,082 15 35 3.2 140 12.7 1,071 3 - 4 4 0 3 11 1.0 - Rochester Hills 61,766 7,585 12 389 5.4 851 11.9 7,455 28 8 85 9 56 130 1.7 Rose Township 4,926 426 9 31 7.3 137 32.3 415 10 1 0 0 3 11 2.6 Royal Oak 65,410 - 13,423 21 793 6.0 1,709 13.0 13,331 20 14 53 5 62 92 0.7 Royal Oak Township 5,011 1,425 28 343 24.9 584 42.4 738 682 2 3 0 7 687 48.2 .. _ South Lyon 5,857 1,341 23 96 7.8 160 13.0 1,336 1 2 2 0 3 5 0.4 Southfield 75,746 16,567 - 22 1,016 6.4 2,187 13.7 14,757 1,629 28 142 11 148 1,810 10.9 Springfield Township 9,927 - 797 8 78 10.3 126 16.6 778 11 0 5 3 14 19 2.4 _ Sylvan Lake 1,884 387 21 11 2.9 35 9.1 382 1 1 2 1 0 5 1.3 1 Troy 72,884 8,992 12 491 5.6 1,276 14.5 8,697 44 5 237 9 68 295 3.3 Walled Lake 6,278 981 16 64 6.5 202 20.6 - 974 1 2 4 0 3 7 0.7 . Waterford 66,692 9,249 14 532 5.9 1,258 13.9 9,138 25 22 31 33 108 111 1.2 West Bloomfield Township 54,842 8,252 15 170 2.1 480 5.8 8,088 47 3 107 7 58 164 3.0 - White Lake Township 22,608 2,336 10 130 5.6 316 13.6 2,331 0 1 2 2 18 5 0.2 Wixom 8,550 707 8 12 1.9 64 10.3 700 2 1 3 1 7 7 1.0 Wolverine Lake 4,727 456 12 9 1.9 39 8.2 455 1 0 0 0 1 1 0.2 _ r3S;22.100 4'54 Ni G TIEPT.PP.',AREtPLANI(2001 -3 Ara,21'in'51,1:,'Hyps-, Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 11 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION 60+ Below 60+ Below 150% of ST. CLAW COUNTY Population 60+ Poverty Poverty RACIAL/ETHNIC CATEGORY 60+ Geographic Total Area Population I----- - , Asian/ . % of % of % of Native Pacific Total % of Total Total Total Total Total Total White Black American Islander Other Hispanic Minority Total , , , ST. CLAIR COUNTY 145,607 24,189 . 17 2,203 , 9.4 5,123 21.9 23,617 438 56 19 59 198 572 2.4 _. Algonac 4,551 763 17 99 12.9 255 33.2 755 1 7 0 0 6 8 1.1 , Anchorville 3,202 432 13 19 4.5 53 12.6 427 1 3 0 1 1 5 1.2 I 1 Berlin Township 2,407 278 12 20 7.2 60 21.5 274 1 0 1 2 3 4 1.4 Brockway Township 1,609 200 12 13 6.4 42 20.8 200 0 0 () 0 4 0 0 Burtchville Township 3,559 540 15 34 1 6.7 49 9.6 540 0 0 0 0 0 0 0 1 , Capac 1,583 264 17 35 13.2 81 30.2 253 0 2 0 9 9 11 4.3 r r r Casco Township 4,552 425 9 42 9.3 87 19.2 425 0 0 0 0 1 0 0 n_ _ China Township 2,644 303 11 16 4.9 33 10.1 303 0 0 0 0 0 0 0 _ i Clay Township 8,862 1,708 17 137 8.0 331 19.4 1,703 I 0 5 I 0 0 2 5 0.3 4 1 Clyde Township 5,052 554 11 47 8.5 82 14.8 548 2 2 1 1 6 6 1.1 , Columbus Township 3,235 363 11 10 2.6 32 8.3 363 0 0 0 0 0 0 0 I Cottrellville Township 3,301 551 , 17 60 10.6 103 18.2 550 0 1 0 0 1 1 0.2 .. East China Township 3,216 758 24 55 8.4 188 L 28.7 757 1 0 0 0 2 1 0.1 , _ Emmett 1,816 238 , 13 18 7.3 49 19.8 237 0 1 0 0 5 1 0.4- I .- Fair Haven 1,505 243 16 9 3.3 46 16.7 243 0 0 0 0 0 0 o Fort Gratiot Township 8,968 1,494 17 78 5.9 219 16.7 1,481 10 0 1 2 9 13 0.9 , , Grant Township 1,210 176 15 5 2.9 29 16.8 176 0 0 0 0 1 0 0 _ Greenwood Township 1,037 151 15 13 . 8.3 37 23.6 151 0 _ o , 0 0 1 0 0 Cre/22.4U0 4•54 PM Cr.`DEPT‘PkrAREP,PLAN '12001-2 AteePlarif 2001-3.doc, Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 12 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION Poverty 60+ Below 150% of I ST. CLAIR COUNTY Population 60+ 60+ Below Poverty RACIAL/ETHNIC CATEGORY 60+ Page 2 Geographic Total Area Population Asian/ % of % of % of Native Pacific Total % of Total Total Total Total Total Total White Black American Islander Other Hispanic Minority Total Ira Township 880 153 17 7 3.7 _ 7 3.7 153 0 0 0 0 1 0 0 _ Kenockee Township 1,854 292 16 24 8.1 _ 87 29,3 290 1 1 0 0 2 2 0.7 ._ Kimball Township 7.247 916 13 100 11.9 242 27.5 878 35 3 0 0 1 38 6.0 _ Lynn Township 921 131 14 9 6.9 49 37.4 130 0 0 0 1 2 1 0.7 _ Marine City 4,556 912 20 71 8.0 242 27.3 910 0 2 0 _ 0 , 2 2 0.2 _ Marysville 8,515 1,915 22 _ 84 4.5 311 16.8 1,913 0 0 2 0 9 2 0.1 Memphis 325 74 , 23 6 8.3 _ 21 29.2 74 0 0 0 0 1 0 0 Mussey Township 1,530 192 13 12 7.0 12 7.0 190 0 1 0 1 3 2 0.1 Port Huron 33,694 6,086 18 860 15.0 1,601 27.9 5,740 278 22 10 36 96 346 6.0 _ Port Huron Township 7,621 1,280 17 132 10.4 _ 227 18.0 1,196 75 _ 4 1 4 _ 23 84 7.0 Riley Township 2,154 226 10 21 10.1 _ 47 22.7 223 1 0 0 2 2 3 0.1 St. Clair 5,116 1,052 21 79 7.5 232 22.0 1,048 2 o 2 0_ 0 4 0.4 St. Clair Township 4,614 700 15 22 2.1 84 11.9 , 697 2 1 0 0 1 3 0.4 Wales Township 2,294 342 15 _ 18 5.8 60 19.3 314 28 0 0 0 0 28 8.9 Yale 1,977 477 24 39 10.1 125 32.5 475 0 1 1 0 3 2 0.4 _ - 0612.2.'GO- 4-54 PM: G.TEPTTAVNIREAPLAN 2001-'3 pd=r-larkiii-Fi:;:-,VJ Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 13 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION II i WASHTENAW COUNTY 60+ Below 60+ Below 150% Population 60+ Poverty of Poverty RACIAL/ETHNIC CATEGORY 60+ Geographic Area Total Population . , Asian/ % of % of % of Native Pacific Total % of Total Total , Total Total „ Total Total , White , Black American • Islander Other . Hispanic Minority Total _ WASHTENAW COUNTY 282,937 29,522 10 2,039 7.2 _ 4,147 _ 14.6 26,530 _ 2,526 46 _ 387 33 264 2,992 10.4 . Ann Arbor 109,592 10,650 10 677 6.6 _ 1,274 12.4 9,555 _ 814 14 251 16 122 1,095 10.3 Ann Arbor Township 3,473 554 16 _ 19 3.5 19 3.5 - 531 _ 11 0 12 0 3 23 4.2 Augusta Township 4,415 . 577 13 _ 28 5.3 79 _ 14.9 515 62 0 _ 0 0 0 62 12.0 Barton Hills 320 88 28 0 0 0 _ 0 85 _ 1 0 2 0 0 3 3.4 Bridgewater Township 1,304 203 , 16 14 6.1 , 24 10.4 203 _ 0 0 0 0 3 0 Chelsea 3,772 908 24 19 2.7 , 63 8.9 901 6 _ 1 0 0 2 7 0.8 , Dexter 5,904 749 13 62 7.9 204 26.0 743 _2 3 _ 1 0 2 6 0.8 _ Freedom Township 1,486 255 17 28 11.1 _ 52 20.5 255 _ 0 0 0 0 1 0 0 Lima Township 2,132 293 14 , 17 5.3 38 1._ 11.8 293 1- 0 0 0 0 0 0 0 Lodi Township 3,902 384 10 3 0.7 , 23 6.0 382 , 0 1 1 0 3 2 0.5 , Lyndon Township 2,228 229 _ 10 16 7.2 37 16.6 212 , 16 1 0 0 1 17 7.4 Manchester 3,492 507 15 27 5.6 79 16.3 507 _ 0 0 _ 0 0 5 0 0, .. Milan 3,060 482 . 16 42 8.1 _ 99 19.1 474 - 3 0 1 4 11 8 1.6 Northfield Township 5,175 , 640 _ 12 33 6.2 82 15.5 617 -T 20 0 3 0 7 23 3.6- Pittsfield Township 17,668 1,315 7 _ 91 7.8 _ 214 18.3 1,218 69 , 2 26 0 20 97 7.4 Salem Township 3,734 441 12 0 0 7 1.6 431 _ 10 0 0 0 2 ._ 10 2.3 . Saline 7,936 1,084 14 51 5.9 . _ 82 9.6 1,077 1 0 5 1 0 7 0.6 . _ Scio Township 9,580 1,128 12 28 2.3 90 7.3 1,096 13 , 1 17 1 4 32 2.8 4:5=1PM GADEPP,IV,\:',REAPLAIT,2001-3 MYAP-AIP 2X11-3.doc: Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 14 REGION 1-B 1990 CENSUS POPULATION PROFILE BY MUNICIPAL CIVIC DIVISION 60+ Below 60+ Below 150% WASHTENAW COUNTY Population 60+ Poverty of Poverty RACIAL/ETHNIC CATEGORY 60+ Page 2 Geographic Total Area Population Asian/ % of % of % of Native Pacific Total % of Total Total Total Total Total Total White Blac American Islander Othe Hispanic Minority Total k r Sharon Township 1,366 190 _ 14 11 5.8 36 19.0 190 0 0 0 0 0 0 0 Superior Township 8,720 , 793 9 28 3.4 133 16.0 589 196 2 6 0 6 204 25.7 Sylvan Township 2,508 306 _ 12 0 0 5 - 1.7 306 0 — 0 0 0 2 0 0 Webster Township 3,235 382 _ 12 29 8.3 44 12.6 374 5 1 2 0 1 8 2.1 Whitmore Lake 1,557 175 _ 11 5 3.7 _ 5 3.7 175 0 0 0 0 0 0 0 York Township 6,225 539 09 23 4.9 38 8.2 506 21 1 2 6 12 33 6.1 Ypsilanti 24,846 2,262 _ 09 386 17.7 , 646 29.6 1,465 765 , 10 19 3 17 797 35.2 Ypsilanti Township 45,307 4,388 , 10 402 9.2 774 17.6 3,830 508 9 39 2 38 558 12.7 . _ 54 PM: ,.-;:DEPITAY,REI ,PLANI200 Arsartan'TP ID! MYAr-Al' Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 15 B. EVALUATION Studies have consistently documented that approximately 80 percent of all community-based assistance provided to the elderly is provided by informal caregivers, such as family and friends. Public and private resources are utilized for the remaining 20 percent of care. However, the level of public resources available to address the social and nutritional service needs of older persons are not adequate to address current demand for assistance. This is evidenced by three pervasive characteristics of the AAA 1-B funded service delivery system: 1. waiting lists for most supportive and nutritional services; 2. rationing of services by provider agencies to existing clients; and 3. the limited scope of many services, which are too often only available on week days, during business hours. Even in the two Region 1-B counties with senior millages, Monroe and St. Clair, at least two of the three above mentioned characteristics are present. It is unlikely that there will be increases in Older Americans Act or Older Michiganians Act funding that are commensurate with the need for service, so the AAA 1-B must seek partnerships with other public and private programs and organizations to address unmet assistance needs of older Region 1-B residents. The area which holds some promise is the state's conversion of Medicaid long term care services to managed care, which should provide incentives for the provision of preventive services. The AAA 1-B will explore possible collaborative relationships with health and managed care organizations participating in these programs, and the possibility of becoming a managed care organization itself. Efforts will be undertaken to communicate with service providers about the potential impact of any new collaborative relationship. The problems of older persons served through area agencies on aging are usually intertwined with housing and transportation issues. Considerable effort must be made to assure that transportation barriers to accessing needed resources are overcome, and that housing options are affordable, particularly for those requiring assisted housing. Other collaborative efforts that will be considered include working with local United Ways, county multi-purpose collaborative bodies, health care providers, and other funding sources to address the unmet needs of older persons. C.;:.1221C,C, ,1 54 PM. C•\DEPM.P.41r,f.:.,•,i'''',..:.:,"::!!:,, Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 16 C. UNMET NEEDS AND PRIORITY SETTING The Area Agency on Aging 1-B (AAA 1-B) utilizes a variety of methods for identifying and verifying unmet needs among older persons in the planning and service area. Methods include: the conduct of Community Forums on the Needs of Older Adults; analysis of relevant secondary data and needs studies such as the Oakland County Needs Assessment of the 60 and Over Population conducted by the Oakland Livingston Human Service Agency; unmet need reports from the AAA 1-B information and referral program; and recommendations from Ad Hoc Issue Study Committees of the AAA 1-B Advisory Council. An analysis of these various data sources and activities has led to four basic conclusions: 1. There is a continued need for the AAA 1-B's current funding priorities, with evidence that the demand for these services exceeds the supply that can be provided with existing resources. 2. The services provided to older persons in the areas of health, housing, transportation, and income benefits have a need for expansion and modification by other systems in order to make them more sensitive and responsive to the needs of older persons. 3. There are a number of unique but serious problems that affect small subsets of the older adult population, which appear to be growing and which warrant further attention, study, and program development. 4. Greater assistance is needed for family caregivers to assist in sustaining their caregiving responsibilities, and linking them with needed resources. SERVICE PRIORITIZATION The AAA 1-B prioritizes older adult service needs with consideration to resources that benefit older persons through other service delivery systems. Service needs are classified into the following categories, in ranking order: 1. Services that warrant funding from the AAA 1-B. 2. Services that should be the focus of AAA 1-B planning, program development, and advocacy activities. 3. Service needs that are limited and/or emerging, and that require further study and program development. Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 17 FUNDING PRIORITY Nutrition • Congregate Meals 3 Home Delivered Meals Access Services v Resource Advocacy 3 Regional Information and Assistance • Health Benefits Education and Access 3 Care Management 3 Transportation In-Home Services 3 Homemaking 3 Personal Care 3 In-Home Respite V Chore Services 3 Home Injury Control 3 In-Home Unmet Need Community Services 3 Adult Day Service 3 Elder Abuse Prevention V' Hearing Impaired Assistance 3 Interfaith Volunteer Caregiving 3 Long Term Care Ombudsman 3 Out-of-Home Respite 3 Vision Impaired Assistance 3 Senior Center Staffing 3 Legal Assistance v Counseling PLANNING, ADVOCACY, POLICY AND RESOURCE DEVELOPMENT PRIORITY Community-based health and long term care services Public transportation services Decent and affordable housing alternatives Employment and income maintenance services Comprehensive need assessment and data collection PROGRAM DEVELOPMENT PRIORITY Assistance for grandparents raising grandchildren Medication administration and/or queing assistance Volunteer respite At-risk older driver assistance Affordable health insurance for the uninsured Dental services Specialized supportive housing for the frail and mentally ill Major home modifications, such as ramps Money management/bill paying assistance 0,3i22;00. 4 5-i PM G Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 18 Assistance for older gay and lesbian individuals Assistance for those who have been victimized by, or are vulnerable to consumer fraud Assistance for persons who are victims of domestic violence Assistance for persons who are at risk of losing their home through property tax foreclosure Affordable prescription drugs Support for persons requiring guardianship Health promotion and prevention services and education 06:22100. ,i 5.1 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 19 ADVOCACY STRATEGY Agency: Area Agency on Aging 1-B FY 2001 — 2003 The Area Agency on Aging 1-B (AAA 1-B) advocacy strategy will focus on issues identified as priorities under this Area Plan, and will be modified to respond to emerging issues over the three year planning period. Advocacy efforts relating to Funding Priority services will focus on expanding resources needed to satisfy the demand for services. Advocacy efforts relative to Planning, Advocacy, Policy and Resource Development Priority services will emphasize effecting policy and systems change to make these services more responsive to the needs of older persons. Program Development Priority services receive advocacy attention emphasizing support for research, demonstration projects, and development of innovative partnerships. AAA 1-B advocacy priorities and objectives are determined by actions of the AAA 1-B Advisory Council, with consent of the 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. Advocacy activities will include efforts to empower older persons to advocate on their own behalf, through development of a strong Senior Advocacy Network. 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. G6,2210C. 4 5.4 PP (3 ,ZEPTIPAkAriariPLAV:.-..! Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 20 PROGRAM DEVELOPMENT Agency: Area Agency on Aging 1-B FY 2001 —2003 The emphasis of AAA 1-B program development efforts and objectives are on activities that: 1. increase public awareness and support for older adult issues, 2. seek to enhance service coordination, 3. build public/private partnerships that strengthen the continuum of services for older adults, 4. investigate emerging issues of concern to older persons, and 5. promote advocacy on behalf of the needs of older persons. All program development activities are undertaken with special consideration given to the need for targeting to assure that services are provided to vulnerable, socially, and economically disadvantaged older persons. In addition, activities will target geographic areas with high concentrations of low income or minority elders, areas that are under-served, and areas that are unserved. Initiatives that address expansion of service include seeking diversified funding sources, increasing program income, entering into partnerships with other organizations, coordination of services, identifying additional service vendors including ethnic and minority- based organizations, and clustering the purchase of services in geographic concentrations to make more efficient use of vendor workers. Program development objectives are selected based on an analysis of available needs information as well as an evaluation of other resources to support such initiatives. For fiscal years 2001 - 2003, particular emphasis will be given toward expanding the supply and geographic coverage of AAA 1-B funded services; enhancing access to acute and long term care health services; expanding or preserving decent, affordable, and supportive housing alternatives; assuring reasonable income supports and employment opportunities; and enhancing mobility through expanded public transportation services and older driver supports. Emerging issues will also be identified throughout the three-year period and addressed through annual or quarterly objectives. 06122I00, 4 54 PM. G',DEPTiPA‘..APE,4,F.i,k;-.,-.;: Agency: Area Agency on Aging 1-B FY 2001 — 2003 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 21 SERVICE DELIVERY PLAN A. TARGETING Baseline Data Source: Year-End Report for FY 1999 Native Asian/ Low- Indicate the number served by group African Am./ Low- and the percentage of that group Am. Native Pacific Hispanic Income Income 60+ population that the number Alaskan Islander Minority represents. Number Served 3,913 168 619 527 2,592 I 10,778 Supportive Services Percentage 37% 28% 24% 17% 63% 20% Number Served 324 31 183 14 606 3,169 Congregate Nutrition Percentage 3% 5% 7% .01% 15% 6% Home Delivered Number Served 807 7 41 49 525 3,688 Meals Percentage 8% 1% 1% .02% 13% 7% DESIRED OUTCOME(S): (Outline by year, for each year of the plan.) FY 01 Maintain minority participation in the region. Increase Hispanic participation in nutrition programs. Increase targeting efforts to low income persons in nutrition programs. FY 02 Maintain minority participation in the region. Increase Hispanic participation in nutrition programs. Increase targeting efforts to low income persons in nutrition programs. FY 03 Maintain minority participation in the region. Increase Hispanic participation in nutrition programs. Increase targeting efforts to low income persons in nutrition programs. ACTION: (Outline by year, for each year of the plan.) FY 01 ›- Improve methods for collection and analysis of NAPIS registration/unit data. 54 PM. G CEP1 P.: Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 22 ›- Expand Resource Advocacy Service Standard to include: 1) specific ethnic groups to be targeted for service delivery; 2) recommendation to hire minority Resource Advocates; 3) recommendation to coordinate Resource Advocacy activities with minority organizations. Continue to require Title III contractors to submit targeting plans for their service area. Update targeting plan criteria to obtain outcome data. ›- Continue efforts to develop ethnic menus and distribute to nutrition provider's region wide. Continue to establish ethnic meal sites region wide. • Coordinate training sessions and educational workshops with minority organizations and designated minority focal points. • Work with nutrition providers in selected areas to develop a plan to improve Hispanic participation in nutrition programs. ›- Convene a meeting with nutrition providers to emphasize targeting strategies for low-income persons. Monitor serving levels through NAPIS and other reporting mechanisms. • Monitor service quality through annual assessments and telephone surveys. FY 02 ›- Adjust and continue FY 01 activities as needed. FY 03 • Evaluate FY 02 activities. >- Continue activities as appropriate. UTILIZATION OF FUNDS: FY 01 Continue funding Resource Advocacy under the expanded service standard. >- Continue funding Senior Center Staffing with minority targeting initiatives. FY 02 ›- Continue funding Resource Advocacy under the expanded service standard. 06122/00, ,1 PM G.TEPTi.P.A,..L.RE,,,i. Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 23 ›- Continue funding Senior Center Staffing with minority targeting initiatives. FY 03 ›- Continue funding Resource Advocacy under the expanded service standard (with targeting guidelines). ›.- Continue funding Senior Center Staffing with minority targeting initiatives. CS/22100, d F3.1 PM. G \DEPT'tPA,ARE.,,,E.;,..:,:n.:„..,, .G A,,i,F,r,;::,7 ,,.., , Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 24 B. ACCESS 1. INFORMATION & REFERRAL: The Area Agency on Aging 1-B (AAA 1-B) has a comprehensive, automated database which contains two thousand (2,000) agencies and five thousand (5,000) services. The AAA 1-B Information & Referral service is linked to our six (6) county planning and service areas through a toll free number. It is available to all older individuals, their families, and service providers. The toll free number is published in the AAA 1-B brochures, flyers, and the quarterly Access newspaper tabloid. In 1999, the Information & Referral Department handled over ten thousand (10,000) calls. 2. OUTREACH: The AAA 1-B contracts for outreach activities with various providers throughout the Planning and Service Area (PSA) in FY 01 under the Resource Advocacy regional service definition. For clients requiring in-home support services, a comprehensive assessment is performed by a AAA 1-B Care Manager. Resource Advocates are part of the AAA 1-B Care Access Team in serving Community Care Management and In-Home Services Program clients so that referrals will flow between the AAA 1-B and the Resource Advocacy workers. Resource Advocates participate in quarterly team meetings with AAA 1-B Care Managers to enhance coordination of service delivery to older adults in the PSA. Resource Advocates conduct outreach activities and engage in direct intervention to assist older persons with needs that do not relate to in-home services. In addition, the AAA 1-B has expanded the service definition to include: 1.) Specific ethnic groups to be targeted for service delivery 2.) Recommendation to hire Minority Resource Advocates 3.) Recommendation to coordinate resource advocacy activities with minority organizations The AAA 1-B Community Care Management (CCM) program and funded Resource Advocacy programs will share responsibility for outreach to persons residing in rural areas, persons with greatest economic and social need with particular attention to low-income minorities, persons with disabilities, persons with limited English-speaking ability and persons with Alzheimer's disease or related disorders and the caregivers of those individuals. 3. TRANSPORTATION: The AAA 1-B works on several levels to assure that adequate transportation is available to older persons residing within the planning and service area. A strong emphasis is placed on program development and advocacy activities. Program development activities include: 06122/00. 4 51PM. 3 ,DEPT,P,A,ARE.L.• Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 25 documenting the need for additional older adult transportation services; working with local and public transit providers to improve coordination of service within and across local and county boundaries; working with hospital systems to identify unmet needs and improve access to health and medical facilities; securing state and federal transportation resources to assist older persons with mobility planning and safe driving; and assisting specialized services providers with securing capital and operating resources needed to continue or expand service. Advocacy activities include: participation on county coordination committees and public transit agency Local Advisory Councils, identification of new resources to support public or alternative transportation, and advocacy for local, state, and federal funding to support and expand public or alternative transportation to address unmet mobility needs. 4. CARE MANAGEMENT / IN-HOME SERVICES PROGRAM: The AAA 1-B will prioritize Community Care Management (CCM) services to older adults (and persons with disabilities, where fund sources allow) who have the fewest financial and family resources and the greatest need. CCM, the In-Home Services Program (1SP), and the Caregiver Respite (CR) and Medicaid Waiver programs, are all available in each county of Region 1-B, making the six county AAA 1-B offices into complete access sites for the centralized assessment/direct service purchase (DSP) system for key long term care services. The AAA 1-B will purchase services from a DSP pool of approved vendors in the community. Individuals needing home care will receive a comprehensive assessment for these services. Care Management will be coordinated through the local AAA 1-B office to allow a smooth transition between programs when an individual's health or functional status changes. A coordinated central assessment and DSP system will increase access to services for individuals and their families, improve responsiveness to the individual's particular need, and provide the opportunity for consumer choice in the service delivery. *.':n32'.1:i::;() 4 PM. G Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 26 C. RESPITE AND ADULT DAY SERVICES The AAA 1-B has developed a comprehensive Respite Plan to expand respite and Adult Day Service (ADS) opportunities in the 2001-2003 multi-year planning cycle. The plan is also referenced in Appendix J. FY 2001: Goal: Expand ADS and respite service in the region. Create ADS centers that are viable LTC options for caregivers and families by FY 2003. Activities: 1. Develop 6 Comprehensive Care (Dementia) ADS programs region wide. Comprehensive Care (Dementia) ADS programs will include: on-site personal care, specialized transportation; dementia specific programming; and extended hours of service (M-F 7-7; Sat. 8-3). 2. Adopt OSA Dementia ADS standards to develop the Comprehensive Care (Dementia) ADS centers. 3. Expand LTC Respite service. This includes in-home and out of home respite for In-Home Services Program (ISP) and Care Management (CM) clients, and other families requiring assistance. 4. Fund 1-2 demonstration respite projects which explore innovative service delivery. FY 2002: Goal: Continue to expand ADS and respite service in the region. Activities: 1. Fund 7 Comprehensive Care (Dementia) ADS centers region wide. 2. Continue other FY 2001 objectives. 3. Evaluate/Modify objectives as needed. FY 2003: Goal: Continue to expand ADS and respite service in the region. Activities: 1. Fund 8 Comprehensive Care (Dementia) ADS centers region wide. 2. Continue other FY 2002 objectives. 3. Evaluate/Modify objectives as needed. 06122/00, 4 54 PM. GADEPP.P.AiAREAPLA.'!,:.C,:'1-::. A Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 27 D. FUNDED SERVICES NUTRITION SERVICES: Home Delivered Meal services will continue to be targeted to low income and minority older persons, especially Hispanic minorities. Regular nutrition education for the home delivered meal recipients will also continue. Transfer of the home delivered meal assessment function to the AAA 1-B will continue to be phased in over the three-year Plan period. Currently, Livingston and Macomb clients are assessed by the AAA 1-B. Inadequate funding remains a barrier to meeting the complete need for service in the PSA. Current AAA 1-B contractors consistently report an older and more frail population of older adults participating in the meal program than was the case in previous years. Over the three-year plan period, AAA 1-B staff will work with nutrition contractors to develop their capacity for providing special diets and hot weekend meals, so that these components will be available throughout the PSA. Congregate Meals will also be funded, with an emphasis on serving low income and minority individuals through ethnic sites and/or menus especially for Hispanic minorities. The Congregate Meals service will include nutrition education for the meal recipients. In many cases, the congregate sites also serve as delivery points for home delivered meal services and facilitate access to other community-based programs within the Region 1-B long term care service system. ACCESS SERVICES: The AAA 1-B will continue to directly administer the Care Management and In-Home Service Program in the six counties of Region 1-B. The six local offices will serve as access centers for each county, eventually conducting comprehensive assessments for all home delivered meals and other long terrn care needs, and direct service purchase through the In-Home Services Program, in addition to the Care Management service. Resource Advocacy (see Appendix G) will be funded, with the expectation that this contracted service will complement the other access services provided through AAA 1-B staff located at each county office. The Resource Advocates will engage in direct intervention to assist older persons with needs that do not relate to in-home services. Resource Advocates, working under the contract arrangement, are also expected to function as part of the AAA 1-B care access team when assisting individuals with in-home service needs. If the plans for coordination of Resource Advocacy with the other access services are successful, the AAA 1-B will continue to fund this service category in subsequent fiscal years. Resource Advocacy contractors will be expected to provide special targeted minority outreach activities, to reach racial or ethnic minority individuals not currently participating in the service system. Community Focal Points, including local senior centers and organizations serving specific religious, cultural, or ethnic minority groups, provide Information and Assistance (I&A) services at the most immediate level of neighborhood or community. Early in its history, AAA 1-B provided start-up funding for county-wide Information and Assistance services, which are currently supported 0,3,22/00. 4 54 PM. G Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 28 through local resources. As a result of private fundraising efforts, the AAA 1-B has developed a regional computerized I&A service, with complete resource listings for the PSA. The elimination of non-essential contracts by health care systems to reduce their cost outlays has meant the significant reduction of private resources which were supporting the regional l&A. Therefore, the regional Information and Assistance must draw upon public services funds, as approved by the Office of Services to the Aging. This regional l&A service is also coordinated with the nationwide ElderCare Locator funded by the Administration on Aging. MEPPS (Michigan Emergency Prescription Program for Seniors) continues to be identified as an important and viable program. MEPPS will continue to be operated through the Region 1-B Resource Advocacy network, with the AAA 1-B Regional Coordinator providing technical assistance and trainings throughout the year. Training will focus on Medicaid and Qualified Medicare Beneficiary benefits, to enable Resource Advocates to help older adults access these benefits when appropriate. The AAA 1-B will use Title III-F funds for the Health Benefits Education and Access service, through partial support of the regional Medicare/Medicaid Assistance Program (MMAP). This program uses volunteers to assist older adults with questions about Medicare, supplemental health insurance, long term care insurance; and Medicaid. The AAA 1-B Regional Coordinator will continue to work closely with the county MMAP Coordinators to develop new sites and locate new volunteers. The Regional Coordinator will provide training and technical assistance to the volunteers, so that older adults who use the program can be assured of accurate and comprehensive information from the volunteer about the individual's rights regarding public benefit and insurance programs. Although there are waiting lists and needs for service expansion, the basic network of Information and Assistance, Resource Advocacy, in-home assessment and service purchasing, and Care Management, will provide the structure for older adults, and their families, to access community- based services in the Region 1-B long term care service system. The access network is enriched by the MMAP and MEPPS programs, implemented in the counties through volunteers and Resource Advocacy staff. IN-HOME SERVICES: Recent unmet needs data from the Region continue to support the AAA 1- B's earlier determination of need which found that priority must be given to services which maintain frail, vulnerable older persons in the most independent settings possible. Caregivers, older adults, and service providers have indicated the need for Homemaking, Personal Care, In-Home Respite, Home Injury Control, and Chore services. Home Injury Control and Chore services will continue to be funded through service contracts, using Title III-B funds for Chore and Title III-F funds for Home Injury Control. The III-F funds will be targeted to areas in Region 1-B that are medically underserved or where there are a large number of low income or minority older adults in need of home adaptations in order to prevent injuries. The 06i22/00. ‘i 5,1 PM. G Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 29 emphasis will be on the integration of the Chore and Home Injury Control services, and collaboration at the local level for the best use of volunteers and donated resources. Homemaking, Personal Care, and Respite services will continue to be purchased on behalf of Care Management and In-Home Service Program clients through vendors in the AAA 1-B Direct Service Purchase provider pool. The AAA 1-B will first identify the individual's home care needs through a comprehensive in-home assessment, then purchase needed services from a pool of qualified vendors. This approach has been effective in maximizing existing resources and increasing consumer choice. COMMUNITY SERVICES: The AAA 1-B will continue to fund the range of community services that best meets the needs identified by older adults, caregivers, and service providers in the region. These services include: Legal Assistance, Counseling, Adult Day Service, Out-of-Home Respite, Long Term Care Ombudsman, Elder Abuse Prevention, Interfaith Volunteer Caregiving, and services for those who are Vision or Hearing Impaired. Emphasis will be placed on developing 8 comprehensive care (Dementia) Adult Day Service centers Appendix J) in the region. Title III-G funds will be used to support services which prevent the abuse, neglect, or exploitation of older adults, in programs of both education and intervention. Senior Center Staffing funds will support Program Developers on a seed funding basis. Priority for these funds will go to inclusive programs developed to meet the needs of low income or minority older adults, and those who are isolated or otherwise disadvantaged, as well as for developing senior centers. Xi.'22../00 i $I PM. GADEPT‘PA'..APEAc.L.A!.; Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 30 E. CARE MANAGEMENT - -- Current Planned PROGRAM OBJECTIVES Year FY 2001 _ 1. Number of Client Prescreenings 800 900 2. Number of Initial Client Assessments 770 864 3. Number of Initial Client Care Plans 716 804 4. Total Number of Clients (Carry-Over plus New) 1,750 2,200 5. Staff to Client Ratio (Active and Maintenance per full time Care 37 40 Manager) NARRATIVE PROGRAM OBJECTIVES: 1. The AAA 1-B Community Care Management (CCM) and HCBS/ED Waiver programs are located in six local offices in the six counties of Region 1-B. The program is available county-wide in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties. The Waiver program is built on the CCM model. CCM services include a telephone screen to determine eligibility for assessment; an in-person comprehensive assessment conducted by a nurse-social worker team; development of an individual care plan responding to the needs identified; arranging and, if appropriate, purchasing services according to the care plan approved by the client; assignment of a Primary Care Manager for ongoing monitoring of services and client care; and in-person reassessment of the client's health and functional status every three or six months, depending on the stability and/or complexity of the individual's condition. 2. CCM responds to frail elderly residents who are age 60 or older, and need a nursing home level of care. The CCM program will continue to target those areas of each county with populations of lower economic and minority statuses. Outreach will be conducted on an ongoing basis to community referral sources, including local hospitals, home care agencies, and senior groups. At least 12 half-hour information sessions will be conducted during the fiscal year. The success of these outreach efforts will be measured by the number of appropriate referrals made to the CCM program, and the total number of individuals served by CCM in each fiscal year. The HCBS/ED Waiver program serves persons age 65 or older, and disabled individuals age 18 or older, who qualify financially and are medically eligible for nursing home 0,3122/00, 4 54 Pint! G Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 31 placement. Medicaid Waiver services are targeted to low-income areas of each county, including Howell, Warren, St. Clair Shores, Clinton Township, City of Monroe, Pontiac, Southfield, Royal Oak, Royal Oak Township, Port Huron, Ann Arbor, and Ypsilanti. Outreach for the HCBS/ED program will be conducted on an ongoing basis to local offices of the state Family Independence Agency, hospitals, home care agencies, other providers and senior groups. At least six half-hour information sessions will be conducted during the fiscal year. The success of these outreach efforts will be measured by the number of appropriate referrals made to the Waiver program, and the total number of individuals served in each fiscal year. Specific annual goals for total served through the CCM/Waiver programs in each county are: County Total CCM MAW Livingston 130 95 35 Macomb 435 110 325 Monroe 235 120 115 Oakland 930 200 730 St. Clair 190 75 115 Washtenaw 280 100 180 The annual service goal for the entire region is 2,200 persons served in the two programs. Intake and serving levels will be monitored on a monthly basis, and outreach efforts adjusted accordingly. 3. Other service objectives include: • Continue to generate funding from fee-for-service arrangements, increasing revenues from LifePlans and Probate Court agreements by 5% annually. • Maintain the average per client per day cost of the Waiver program to not more than 60% of comparable nursing home costs. QUALITY ASSURANCE: 1. Care Managers will maintain contact with clients on a monthly basis, specifically inquiring about the regularity and quality of services. Problems noted at these contacts, and efforts at resolution, will be tracked in the client record. A formal system of tracking client-reported problems with services and other provider-related concerns will be implemented through use of a Provider Feedback Log. Case conferences will be done both formally on a monthly basis, and informally on a day-to-day basis as needed at each office. At least 10% of all Direct Service Purchase vendors will receive a formal assessment each year, with use of a standard assessment tool, a written summary of assessment findings, and a timeframe for necessary corrective action. 2. CCM/Waiver client files are reviewed to assure appropriate programmatic implementation. Staff teams composed of members from each county office conduct clinical peer reviews of files from other offices two times yearly, every 180 days, using a standardized review tool. 0;i122.1(X). 54 PM: G \DEPT \PAo.AREAF.L.A:.i Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 32 A random sample method is utilized, with the sample size based on 10 percent of the current active caseload. Completed review tools are analyzed by the Quality Assurance Supervisor, and written summaries, with appropriate corrective action identified, are discussed with staff. 06122/00, 4 54 PM. Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 33 COMMUNITY FOCAL POINTS Agency: Area Agency on Aging 1-B FY 2001 — 2003 A. DEFINITION AND RATIONALE FOR SELECTION: AAA Definition for Community: A city, village or township which is defined as a municipal civil division under state law. Religious, racial or ethnic groups whose membership extends across municipal boundaries constitute a social community. Rationale for Definition: Each municipality is defined as a separate community because the majority of older Region 1-B residents identify most strongly with the municipal civil division in which they reside, and the municipalities are most often a primary sponsor of community focal points for the delivery of services to older adults. In addition, the nature of adjacent communities often differs significantly as one crosses municipal boundaries. However, many older adults maintain strong ties to religious, racial or ethnic organizations which preserve cultural heritage and foster a sense of community among members. Assimilation into American culture may have occurred among these groups, yet there remains a primary desire to identify oneself with a cultural affiliation, as opposed to one's municipality of residence. Rationale and Process for Selection of the Community Focal Points: All organizations that serve as a community-based source of information and services for older adults shall be considered a community focal point. Senior centers, county-level aging organizations including AAA 1-B county offices, and religious, racial or ethnic organizations function as community focal points. The process for designating community focal points begins with the identification of senior centers, county-level aging organizations and religious, racial or ethnic groups that serve as focal points in each Region 1-B municipality. Public officials are provided an opportunity to review and comment on proposed Community Focal Points at two public hearings on the AAA 1-B FY 2001-2003 Area Plan. If disagreement arises over the selection of the focal point, the criteria for designation is reviewed and discussed, and a mutually-agreed upon Focal Point selected. Based upon comments received at the public hearing, the AAA 1-B Advisory Council and Board of Directors act to designate the community focal points. 05.12.1,0U 4 54 PM. G CONTACT PERSON Shenlin Chen COMMUNITY Chinese Elders Arab and Chaldean Elders Asian Elders Chaldean Elders Finnish Elders Polish and Eastern European Elders (Ukrainian, Romanian, Yugoslavian, Albanian) Italian Elders Jewish Elders Jewish Elders Dr. Radwan Khoury Kathy Prudhomme Kelly DiCicco Betty Holmdo Richard Thidodeau Business Office Leslee Magidson Leslee Magidson Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 34 B. LISTING COMMUNITY FOCAL POINT Association of Chinese Americans Detroit Chinatown Drop-In/Outreach Center 420 Peterboro Detroit, Michigan 48201 (313) 831-1790 Arab-American and Chaldean Council 28551 Southfield Road, Suite 204 Lathrup Village, Michigan 48076 (248) 559-1990 Asian-Pacific Program 312 Woodward Street Rochester, Michigan 48307 (248) 608-0277 ext. 128 Chaldean Federation of America 18470W. 10 Mile Road Southfield, Michigan 48075 (248) 577-2362 Finnish Center Association 35200 W. 8 Mile Road Farmington Hills, Michigan 48335 (248) 478-6939 International Institute of Metropolitan of Detroit 111 E. Kirby Detroit, Michigan 48202 (313) 871-8600 Italian Cultural and Community Center 28111 Imperial Drive Warren, Michigan 48093 (810) 751-2874 Jewish Community Center-Oak Park 15110 West Ten Mile Road Oak Park, Michigan 48237 (248) 967-4030 Jewish Community Center 6600 West Maple Road West Bloomfield, Michigan 48322 (248) 6611-1000 1,3122/0,;, 4 54 PM. GAIDEPT ,PAO Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 35 COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON Manoogian Manor Armenian Elders Rosemarie Arakelian Michigan Home for the Armenian Aged, Inc. 15775 Middlebelt Road Livonia, Michigan 48154 (734) 522-5780 Michigan Indian Asian Family Services Indian Asian Elders 19111 West Ten Mile Road Southfield, Michigan 48075 (248) 351-0077 Our Lady of Grace Vietnamese Catholic Vietnamese Elders Rev. Vincent Ninh Community Church 19300 Stephens Eastpointe, Michigan 48021 (810) 477-0504 St Mark Coptic Church Egyptian Elders Father Mina Essak 3603 Livemois Troy, Michigan 48083 (248) 689-9099 Southeastern Michigan Indians Assoc., Inc. Native American Elders Lorraine Sherada 26641 Lawrence Street Center Line, Michigan 48015 (810) 756-1350 Taekeuk Village Korean Elders Julie Kim 3712 Williams Wayne, Michigan 48184 (734) 729-7920 or (734) 788-1259 Ukrainian Village Ukrainian Elders Christine Shumejko 26377 Ryan Road Warren, Michigan 48091 (810) 755-7720 Ccii,'22E01). 4 544 Pr,..1. Sandra K. Reminga Nancy Hall Don Knodle Wendy Ruey Alice Andrews Carol Ringle Mark Swanson M. Catherine Rea County-Wide Brighton Brighton Twp. Genoa Twp. Green Oak Cohoctah Twp. Conway Twp. Fowlerville Handy Twp. losco'Twp. Hamburg Twp. Hartland Twp. Oceola Twp. Tyrone Twp. Deerfield Twp. Genoa Twp. Howell City Howell Twp. Marion Twp. Oceola Twp. County-Wide 13,405 42 502 695 806 1,267 1,383 1,417 308 35 363 316 177 1,386 310 1,383 1,468 597 513 502 13,405 Pinckney Senior Center 375 Mill St. Pinckney, Michigan 48169 (734) 878-9414 Pinckney Putnam Twp. Unadilla Twp. 155 461 404 Eunice Buss Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 36 LIVINGSTON COUNTY COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT COMMUNITIES APPROXIMATE # OF 60 PLUS CONTACT PERSON WITHIN COMMUNITY Area Agency on Aging 1-B 2900 East Grand River Howell, Michigan 48843 (517) 545-0048 Brighton Senior Center 850 Spencer Road Brighton, Michigan 48116 (810) 229-1464 Fowlerville Senior Center 203 N. Collins Fowlerville, Michigan 48836 (517) 223-7102 Hamburg Senior Center 10407 Merrill Hamburg Twp., Michigan 48139 (810) 231-4266 Hartland Senior Center 3642 Washington St. P.O. 900 Hartland, Michigan 48353 (810) 632-6286 Howell Senior Center 925 W. Grand River Ave. Howell, Michigan 48843 (517) 545-0219 Oakland Livingston Human Service Agency 2300 E. Grand River, Suite 107 Howell, Michigan 48843 (517) 546-8500 r.16/22100 4 54 PM. G ',DEPTWA,ARE,ApiAr _ County-Wide Area Agency on Aging 1-B 44200 Garfield Suite 200 Clinton Township, Michigan 48038 (810) 226-0309 Sandra K. Reminga 122,922 Cathy Wylin Karen Heythaler Carol Rose Kathleen Hickey Mary Hovanec Chelsea Partlett Lori Hammond Larry Marco 544 2,775 2,315 13,094 8,775 30,247 2,485 3,162 Eastpointe Warren Fraser Harrison Twp. Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 37 MACOMB COUNTY COMMUNITY FOCAL POINTS: APPROXIMATE # OF 60 PLUS COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON WITHIN COMMUNITY Armada Twp. Armada Twp. Sr. Center 75400 N. Ave., P.O. Box 306 Armada, Michigan 48005 (810) 784-8050 Center Line Parks & Recreation Dept Center Line 25355 Lawrence Blvd. Center Line, Michigan 48015 (810) 757-1610 Charter Twp. of Chesterfield Chesterfield Twp. Senior Center 47275 Sugarbush Chesterfield Twp., Michigan 48047 (810) 949-0400 ext. 138 Clinton Twp. Senior Activity Center Clinton Twp. 40730 Romeo Plank Road Clinton Twp., Michigan 48038 (810) 286-9333 Eastpointe Senior Center 16600 Stephens Dr. Eastpointe, Michigan 48021 (810) 455-5084 Fitzgerald Recreation Center 4355 East Nine Mile Road Warren, Michigan 48091 (810) 759-0920 Fraser Senior Center 34935 Hidden Pine Drive Fraser, Michigan 48026 (810) 296-8483 Harrison Township Senior Center 26980 Ballard Harrison Twp., Michigan 48045 (810) 466-1498 Ceif22100. .54 PM. 0•.k.DEPTiPA,P.R.E-j..,,... Warren County-Wide County-Wide Macomb Twp. Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan COMMUNITY FOCAL POINT COMMUNITY Page 38 APPROXIMATE # OF 60 PLUS CONTACT PERSON WITHIN COMMUNITY Esther Beaudette Patricia Gibbs Kathy Dodge Marty Piepenbrok 30,247 122,922 606 126 884 884 884 122,922 2,229 3,426 30,247 1,024 307 30,247 711 1,819 1,435 Italian-American Cultural Senior Center 28111 Imperial Drive Warren, Michigan 48093 (810) 751-2855 Macomb County Community Services Agency 21885 Dunham Road Clinton Twp., Michigan 48036 (810) 469-6999 Macomb County Department of Senior Citizen Services 21885 Dunham Road Clinton Twp., Michigan 48036 (810) 469-6313 Macomb Township Senior Center 19925 23 Mile Road Macomb, Michigan 48042 (810) 286-0621 Mt. Clemens Sr. Citizens Program 300 N. Groesbeck Mt. Clemens, Michigan 48043 (810) 469-6880 Owen Jax Parks & Recreation Center Warren 8207 East Nine Mile Road Warren, Michigan 48089 (810) 757-7570 Richmond Community Schools Richmond 35250 Division Richmond Twp. Richmond, Michigan 48062 (810) 727-1657 Ridgewood Recreation Center Warren 13333 Racine Warren, Michigan 48093 (810) 751-8080 Romeo —Washington-Bruce-Parks & Recreation Senior Activity Center 361 Morton Romeo, Michigan 48065 (810) 752-9601 Mt. Clemens Bruce Twp. Romeo Washington Twp. Myrna Messenger Becky Rose Elizabeth Hoffman Becky Rose Bernice Webb CZ/2213C, 4 54 PM (1•\ DE P*I'',.PAn..AREP:..;::,.2r. 1,435 9,823 Warren Sandy Keown Washington Twp. Anthony Lipinski Roseville Sister Mary Jane Kleindorfer 30,247 Sterling Heights 14,821 Helen Cerny 17,740 Carole Kline 5,489 Lori DePauw 687 30,247 Ann Slavko St. Clair Shores Senior Activities Ctr. St. Clair Shores 20000 Stephens St. Clair Shores, Michigan 48080 (810) 445-5480 Shelby Township Senior Center Shelby Twp. 51670 Van Dyke Utica Shelby Twp., Michigan 48316 (810) 739-7540 City of Utica Pioneers 7650 Greely Utica, Michigan 48317 (810) 566-2653 687 El Schoeder Utica Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan COMMUNITY FOCAL POINT COMMUNITY Page 39 APPROXIMATE # OF 60 PLUS CONTACT PERSON WITHIN COMMUNITY Romeo-Washington-Bruce Parks & Recreation 57880 Van Dyke Washington, Michigan 48094 Romeo, Michigan 48065 (810) 786-0131 Roseville Parks & Recreation 18185 Sycamore St. Roseville, Michigan 48066 (810) 445-5480 St. Anne's Senior Center 6100 Arden Warren, Michigan 48092 (810) 939-3110 Sterling Heights Senior Citizen Ctr. 40200 Utica Road P.O. Box 8009 Sterling Heights, Michigan 48313 (810) 446-2750 Stilwell Manor/Joseph Coach Manor Warren 26600 Burg Road Warren, Michigan 48089 (810) 758-1310 (.)5l22190, 45.: PM. G•%, DE PT County-wide Ash Twp. Bedford Twp. Erie Twp. Ida Twp. Luna Pier Whiteford Twp. Dundee Twp. Petersburg Summerfield Twp. Berlin Twp. Carleton Exeter Twp. Frenchtown Twp. County-wide Sandra K. Reminga Kenneth Buckingham Vivian Brown Tisha DeLaRosa Barbara Mazur Frankie Foidl Terri Hamad Diana Stahl Aaron Simonton 19,427 886 3,060 609 511 209 630 796 163 373 6,694 440 2,300 19,427 19,427 19,427 580 4,434 1,978 480 County-wide La Salle Twp. Monroe Monroe Twp. Raisinville Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 40 MONROE COUNTY COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT COMMUNITIES APPROXIMATE # OF 60 PLUS CONTACT PERSON VVITHIN COMMUNITY Area Agency on Aging 1-B 502 West Elm, Rm. E203 Monroe, Michigan 48162 (734) 241-2012 Ash Senior P.O. Box 21 Carleton, Michigan 48117 (734) 654-2006 Bedford Senior Citizen Center 1653 Samaria Road Temperence, Michigan 48182 (734) 856-3330 Dundee Senior Citizen Center 284 Monroe Street Dundee, Michigan 48131 (734) 529-2401 Frenchtown Senior Citizen Center 2786 Vivian Road Monroe, Michigan 48162 (734) 243-6210 Living Independence for Everyone P.O. Box 646 14930 Laplasiance, Suite 131 Monroe, Michigan 48161 (313) 242-7250 Monroe County Commission on Aging County-wide 29 Washington Street Monroe, Michigan 48161 (734) 243-7098 Monroe County Opportunity Program 502 West Elm Avenue Monroe, Michigan 48162 (734) 241-2775 Monroe Senior Center 15275 South Dixie Highway Monroe, Michigan 48161 (734) 241-0404 05/22/0C. 4 5; PM. G Evelyn Bryant 609 585 209 1,978 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 41 APPROXIMATE # OF 60 PLUS COMMUNITY FOCAL POINT COMMUNITIES CONTACT PERSON WITHIN COMMUNITY Sullivan Senior Center London Twp. Mania Anderson 386 13613 Tuttlehill Road Milan 110 Milan, Michigan 48161 Milan Twp. 251 (734) 439-1733 Water Park Center 11345 Harold Drive Luna Pier, Michigan 48157 (734) 848-8700 Erie Twp. LaSalle Twp. Luna Pier Monroe Twp. Dr6i22!Of). 4.4 PM. G•TEFT1PA,A.REA.:'.:...,,N,:: Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 42 OAKLAND COUNTY COMMUNITY FOCAL POINTS: APPROXIMATE # OF 60 PLUS COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON WITHIN COMMUNITY Addison Township Senior Center Addison Twp. Jeanette Brown 474 1440 Rochester Road Leonard, Michigan 48367 (248) 628-3388 Area Agency on Aging 1-B County-Wide Sandra K. Reminga 164,308 29100 Northwestern Hwy., Ste. 400 Southfield, Michigan 48034 (248) 357-2255 Auburn Hills Department Auburn Hills Karen Adcock 1,472 Senior Services 1827 N. Squirrel Road Auburn Hills, Michigan 48326 (248) 370-9355 Berkley Recreation Dept Berkley Chris Doe 3,045 2400 Robina Berkley, Michigan 48072 (248) 546-2450 Birmingham Area Senior Birmingham Theresa Monsour 3,903 Coordinating Council (BASCC) 2121 Midvale Birmingham, Michigan 48009 (248) 642-1040 Bowen Senior Center Pontiac Tabatha Hickey 8,561 52 Bagley Street Pontiac, Michigan 48341 (248) 857-5723 Clawson City Senior Citizen Center Clawson Kay Phillips 13,874 425 N. Main St. Clawson, Michigan 48017 (248) 435-3240 Commerce-Richardson Nutrition Commerce Twp. Virginia Bullis 2,174 Senior Center 1485 Oakley-Park Drive Walled Lake, Michigan 48390 (248) 669-4510 Community Services of Oakland South County John Erich 345 E. Nine Mile Rd. Femdale, Michigan 48220 (810) 542-5860 06i22/00, .1 54 PM. GADEPT\PA.,4REAPI.A,:..::: COMMUNITY CONTACT PERSON APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY Pontiac Linda Chambers-Martin 8,561 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 43 COMMUNITY FOCAL POINT Ewalt Community Center 1460 North Perry Street Pontiac, Michigan 48342 (248) 373-7722 City of Farmington-Costick Activity Farmington Mary DiManno 2,043 Center Farmington Hills 12,346 28600 Eleven Mile Rd. Suite 111 Farmington Hills, Michigan 48336 (248) 473-1830 Femdale Senior Citizen Center Ferndale Paige Gembarski 150 Vester Femdale, Michigan 48220 (248) 546-2313 3,932 John Grace Community Center Southfield Nadine Ouellette 21030 Indian Road Southfield, Michigan 48034 (810) 354-9165 Hazel Park Senior Center Hazel Park Taheia D. Shofner 620 W. Woodward Heights Blvd. Hazel Park, Michigan 48030 (248) 546-4093 Highland Senior Center Highland Twp. Barbara Rollin 209 N. John Street, P.O. Box 249 Highland, Michigan 48357 (810) 887-1707 Hollyhock Adult Activities Senior Ctr. Holly Judy Blakemore 111 College Street Rose Twp. Holly, Michigan 48442 (248) 634-7571 Howard Dell Senior Center Pontiac Willie Martinez 345 Edison Street Pontiac, Michigan 48342 (248) 332-5977 Huntington Woods Parks & Huntington Woods Amy Kessler Recreation 26325 Scotia Raod Huntington Woods, Michigan 48070 (248) 541-3030 Huron Valley YMCA Senior Center Milford Twp. Rita Sandon 1050 Atlantic Milford, Michigan 48381 (248) 685-9008 16,564 3,091 1,683 1,194 8,561 1,203 1,492 A.: C.6422i0C. 4 54 pm. CONTACT PERSON Margaret Bartof Leslee Magidson Virginia Chamberlain Raquel M. Casillas Mary Pollock Noreen Keating Jennifer Martin Christine Tvaroha Kim Neubeck Sue Koivula APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY 2,454 5,186 387 8,561 872 8,561 5,354 8,633 803 271 8,252 8,561 486 COMMUNITY Independence Twp. Oak Park Keego Harbor Sylvan Lake Pontiac Lathrup Village Pontiac Madison Heights Bloomfield Twp. Bloomfield Hills Orchard Lake West Bloomfield Twp. Pontiac Northville Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 44 COMMUNITY FOCAL POINT Independence Senior Center 6000 Clarkston Road Clarkston, Michigan 48348 (248) 625-8231 Jewish Community Center 15110W. Ten Mile Road Oak Park, Michigan 48237 (810) 967-4030 Keego Harbor Senior Center 2881 Orchard Lake Road Keego Harbor, Michigan 48320 (810) 681-6172 La Amistad Senior Center 382 E. Montcalm Pontiac, Michigan 48342 (248) 858-2307 City of Lathrup Village 27400 Southfield Road Lathrup Village, Michigan 48076 (248) 557-2600 Lighthouse of Oakland County P.O. Box 430508 196 Orchard Lake Road Pontiac, Michigan 48343 (248) 335-2462 Madison Heights Senior Center 29448 John R Madison Heights, Michigan 48071 (248) 545-3464 Mature Minglers Senior Center 7273 Wing Lake Road Bloomfield Hills, Michigan 48301 (248) 932-6235 North Hill Farms Senior Center 74 Cherry Hill Dr. Pontiac, Michigan 48340 (248) 334-7500 Northville Area Senior Center 215W. Cady Northville, Michigan 48167 (248) 349-4140 06/2210C. 54 PM. Novi Oak Park Janet McAlpine Rhoda Homer Ronald Borngesser Luisa Hartman Marye Miller Karen Muz Wilma Merritt Pennae McLean Evy Jorgensen Scott Pietrczsk 3,832 5,186 164,308 8,992 1,082 7,585 892 2,020 2,649 363 3,045 1,400 463 Troy Rochester Rochester Hills Oakland Twp. Orion Twp. Brandon Twp. Groveland Twp. Berkley Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 45 COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY Novi Senior Center 45175 W. Ten Mile Novi, Michigan (248) 347-0414 Oak Park Senior Center 14300 Oak Park Blvd. Oak Park, Michigan 48237 (248) 691-7577 Oakland Livingston Human Service County-Wide Agency 196 Oakland Ave. P.O. Box 430598 Pontiac, Michigan 48343 (810) 858-5126 Oakland Park Towers I 920 John R Troy, Michigan 48083 (810) 588-7611 Older Persons Commission 312 Woodward Avenue Rochester, Michigan 48307 (248) 656-1403 Orion Senior Center 21 East Church Street Lake Orion, Michigan 48362 (248) 693-2066 Ortonville Senior Center 345 Ball, P.O. Box 429 Ortonville, Michigan 48462 (248) 627-6447 Oxford Park Towers 2345 Oxford Street Berkley, Michigan 48072 (248) 399-9300 Oxford Senior Citizens Center Oxford Twp. 28 North Washington Oxford, Michigan 48051 (248) 628-9056 City of Pleasant Ridge 4 Ridge Road Pleasant Ridge, Michigan 48069 (248) 542-7322 Pleasant Ridge 05172100. 4 54 PM. G'',DEPIPA,AREAP:..L.4 COMMUNITY Pontiac Pontiac Royal Oak Madison Heights South Lyon Lyon Twp. 797 Sherry Austin Carla Vaughn Maria Spence Lannette Amon 8,992 981 9,249 2,336 Walled Lake Waterford Twp. White Lake Twp. Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 46 Southfield Senior Adult Center Southfield 23450 Civic Center Drive Southfield, Michigan 48034 (2489) 827-0700 COMMUNITY FOCAL POINT Pontiac Senior Center 990 Joslyn Rd. Pontiac, Michigan 48340 (248) 334-7212 Presbyterian Village North 420 S. Opdyke Road Pontiac, Michigan 48341 (248) 334-4379 Royal Oak Senior Center 3500 Marais Royal Oak, Michigan 48073 (248) 546-2060 Solberg Activity Center 27783 Dequindre Madison Heights, Michigan 48071 (248) 542-7272 South Lyon Senior Adult Community Center 1000 N. Lafayette South Lyon, Michigan 48178 (810) 437-0863 CONTACT PERSON Rebecca Williams Joan Lehoczky Kathleen Heikkila Tamara Deddeh Connie Wickersham William Mandt (acting director) Nicole Massina (director) APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY 8,561 8,561 13,423 5,354 1,341 999 16,564 Springfield Twp. Springfield Township Parks & Recreation P.O. Box 1038 495 Broadway Davisburg, Michigan 48350 (810) 634-0412 Troy Community Senior Center Troy 3179 Livernois Troy, Michigan 48083 (248) 524-3484 Walled Lake Villa Senior Center 1035 Walled Lake Villa Drive Walled Lake, Michigan 48390 (810) 669-4590 Waterford Senior Citizens 6455 Harper Street Waterford, Michigan 48329 (810) 623-6500 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 47 West Bloomfield Parks & Recreation West Bloomfield Marci Makowitz 4640 Walnut Lake Road W. Bloomfield, Michigan 48323 (248) 738-2500 Wixom Senior Citizen's Center Wixom Carol Kehoe 49045 Pontiac Trail Wixom, Michigan 48393 (810) 624-0870 Royal Oak Twp. Silena Johnson APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY 8,252 707 1,425 COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON COMMUNITY Pearl Wright Senior Center 21075 Wyoming Ferndale, Michigan 48220 (248) 542-6752 .06/22/00, 4.54 PM. G \DEPPRA‘f,R.EAPLAN.U,1 -:-: CONTACT PERSON Sandra K. Reminga APPROXIMATE # 0F60 PLUS WITHIN COMMUNITY 24,189 Debra Heraty 763 425 303 1,708 363 551 758 828 912 1,062 700 Mitchell Senior Center 3 First Street Yale, Michigan 48097 (810) 387-3720 Brockway Twp. Greenwood Twp. Lynn Twp. Yale Lucy Densteadt 200 151 131 477 Scott Crawford Laura Newsome 540 554 1,494 176 292 916 1,915 6,086 1,280 342 24,189 Tommie Joyce 278 264 238 456 226 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 48 ST. CLAIR COUNTY COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT COMMUNITIES Area Agency on Aging 1-B 1985 Gratiot, Suite 1-B Marysville, Michigan 48040 (810) 388-0096 County-Wide Cherry Beach Senior Center 7232 S. River Road Marine City, Michigan 48039 (810) 765-3523 Algonac Casco Twp. China Twp. Clay Twp. Columbus Twp. Cottrellville Twp. East China Ira Twp. Marine City St. Clair St. Clair Twp. Port Huron Senior Center 821 7th Street Port Huron, Michigan 48060 (810) 984-5061 St. Clair County Council on Aging P.O. Box 611927, 1321 8th Street Port Huron, Michigan 48061-1927 (810) 987-8811 West Central Senior Center 112 South Main Capac, Michigan 48014 (810) 395-7889 Burtchville Twp;. Clyde Twp. Fort Gratiot Twp. Grant Twp. Kenockee Twp. Kimball Twp. Marysville Port Huron Port Huron Twp. Wales Twp. County-wide Berlin Twp. Capac Emmett Twp. Mussey Twp. Riley Twp. DF122/00. 54 N.A. GADEETRA, COMMUNITIES Ann Arbor CONTACT PERSON Diane Allen APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY 10,650 Carol Wall Sandra K. Reminga Pat Kaminsky Cynthia White Nancy Margolis Helen Nafranowicz Site Manager Wendy Northrop 10,650 24,189 10,650 2,262 391 306 391 229 749 203 507 255 190 577 482 539 Chelsea Sylvan Twp. Lima Twp. Lyndon Twp. Dexter Ann Arbor Ypsilanti Bridgewater Twp. Manchester Twp. Freedom Twp. Sharon Twp. Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 49 WASHTENAW COUNTY COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT Ann Arbor Community Center 625 North Main Ann Arbor, Michigan 48104 (734) 662-3128 Ann Arbor Ann Arbor Senior Center 1320 Baldwin Ann Arbor, Michigan 48104 (734) 769-5911 Area Agency on Aging 1-B 119 Pearl St., Suite H1 Ypsilanti, Michigan 48197 (734) 480-4113 Chelsea Senior Citizen Activity Ctr. 500 Washington Street Chelsea, Michigan 48118 (734) 475-9242 Dexter Senior Nutrition Center 7714 Ann Arbor Street Dexter, Michigan 48130 (734) 426-5397 Jewish Community Center 2935 Birch Hollow Drive Ann Arbor, Michigan 48108 (734) 971-0990 Lincoln Senior Citizen's Center 8970 Whittaker Ypsilanti, Michigan 48197 (734) 483-8366 Manchester Senior Citizen Center 214 North Macomb Manchester, Michigan 48158 (734) 428-7181 Milan Senior & Community Activity Ctr 45 Neckel Court Milan, Michigan 48160 (734) 439-1549 County-wide Augusta Twp. Milan York Twp. Y3f22/UL54 PM. G'1DEFT •• COMMUNITIES Superior Twp. Whitmore Lake Pittsfield Twp. Lodi Twp. Pittsfield Twp. Saline Saline Twp. York Twp. CONTACT PERSON Dianne Baker Nancy Kuczma Carol Presley Altier Creck Sandy Knight Donna Lee Hornyak APPROXIMATE # 0F60 PLUS WITHIN COMMUNITY 793 1,557 1,315 384 1,315 908 176 539 2,262 4,388 793 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 50 COMMUNITY FOCAL POINT Northeast Seniors 5221 Church Road Ann Arbor, Michigan 48105 (734) 996-0070 Northfield Township Senior Center 9101 Main Street, PD. Box 431 Whitmore Lake, Michigan 48189 (734) 449-2295 Pittsfield Senior 701 W. Ellsworth Ann Arbor, Michigan 48108 (734) 996-3010 Saline Area Senior Center 7605 North Maple Road Saline, Michigan 48176 (734) 429-9274 Ypsilanti Senior Citizen Center Ypsilanti 1015 Congress Ypsilanti, Michigan 48193 (734) 483-5014 Ypsilanti Township Recreation Center Ypsilanti Twp. 2025 East Clark Road Superior Twp. Ypsilanti, Michigan 48198 (734) 485-2144 Cei22i0r: 51 PM P.P.AkA.RE.,j Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 51 DOCUMENTATION Agency: Area Agency on Aging 1-B FY 2001 —2003 G'6122/00. 4 54 PM, G'TEPT Signed: Vurn C. Bartley, Jr., Chaifjofson AAA 1-B Board of Direc ca.:,-9,ce: 1:22 PM: G:TSP7PAWREAPLA1T2C01:3 AreaPiar112001•3 Ares Pan Ccr.:::ments.dec: Area Agency on Aging 1-B specialists in aging AREA AGENCY ON AGING 1-B BOARD OF DIRECTORS County Access Centers Oakland/Central Office 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Phone: 248-948-1640 800-852-7795 Fax: 248-948-9691 Livingston 2900 East Grand River Howell, MI 48843 Phone: 517-545-0048 Fax: 517-545-1302 Macomb 44200 Garfield, Suite 200 Clinton TAT, MI 48038 Phone: 810-226-0309 Fax: 810-226-0408 Monroe 502 West Elm, Rm. E203 Monroe, MI 48162 Phone: 734-241-2012 Fax: 734-241-6877 St. Clair 1985 Gratiot, Suite 1-B Marysville, MI 48040 Phone: 810-388-0096 Fax: 810-388-0122 Washtenaw 32 North Washington Suite 11 Ypsilanti, MI 48197 Phone: 734-480-4113 Fax: 734-480-9373 Website: www.aaalb.org RESOLUTION The Area Agency on Aging 1-B Board of Directors hereby acknowledges and resolves that: WHEREAS, the Area Agency on Aging 1-B is designated to be the regional planning, coordinating, advocacy, and allocating body for older adult services in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties; and WHEREAS, the Area Agency on Aging 1-B has studied the needs of older persons in the Region, and held community input sessions for this purpose; and WHEREAS, the proposed FY 2001 — 2003 Multi-Year Area Plan and FY 2001 Annual Implementation Plan Were reviewed by the Area Agency on Aging Board of Directors and Advisory Council prior to the public hearings; and WHEREAS, the plans were reviewed by the Board of Directors and Advisory Council after the public hearings; and WHEREAS, the views on the proposed plans, and the views of the Advisory Council were taken into consideration in the final plan; and WHEREAS, the Board of Directors believes that the plans meet the Office of Services to the Aging Approval Criteria. . • THEREFORE BE IT RESOLVED THAT the Area Agency on Aging 1-B Board of Directors hereby approves the final FY 2001 — 2003 Mufti-Year Area Plan and FY 2001 Annual Implementation Plan for Region 1-B, and directs that such plan be submitted to the Michigan Office of Services to the Aging for approval. ‘/23 /e0 Date Area Agency on Aging 1-B specialists in aging AREA AGENCY ON AGING 1-B ADVISORY COUNCIL County Access Centers Oakland/Central Office 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Phone: 248-948-1640 800-852-7795 Fax: 248-948-9691 Livingston • 2900 East Grand River Howell, MI 48843 Phone: 517-545-0048 Fax: 517-545-1302 Macomb 44200 Garfield, Suite 200 Clinton T,.vp, MI 48038 Phone: 810-226-0309 Fax: 810-226-0408 Monroe 502 West Elm, Rm. E203 Monroe, MI 48162 Phone: 734-241-2012 Fax: 734-241-6877 St. Clair 1985 Gratiot, Suite 1-B Marysville, MI 48040 Phone: 810-388-0096 Fax: 810-388-0122 RESOLUTION The Area Agency on Aging 1-B Board of Directors hereby acknowledges and resolves that: WHEREAS, the Area Agency on Aging 1-B is designated to be the regional planning, coordinating, advocacy, and allocating body for older adult services in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties; and WHEREAS, the Area Agency on Aging 1-B Advisory Council has studied the needs of older persons in the Region, and held community input sessions for this purpose; and WHEREAS, the proposed FY 2001 — 2003 Multi-Year Area Plan and FY 2001 Annual Implementation Plan we're 'feViewed by the Area Agency on Aging Advisory Council prior to and after the public hearings; and WHEREAS, the views on the proposed plans and the views of the Advisory Council were taken into consideration in the final plan, and we believe that the plans meet the needs of the Region. THEREFORE BE IT RESOLVED THAT the Area Agency on Aging 1-B Advisory Council hereby approves the final FY 2001 — 2003 Multi-Year Area Plan and FY 2001 Annual Implementation Plan for Region 1-B, and directs that such plan be submitted to the AAA 1-B Board of Directors for approval. Signed: Washtenaw 32 North Washington Suite 11 Ypsilanti, MI 48197 Phone: 734-480-4113 Fax: 734-480-9373 Margaref Belton, Chairperson Date AAA 1-B Advisory Council - -e-e) Website: www.aaalb.org CE3:19:CO: 1:21 PM: G: DEPTPA'AREAPLAN ',2C01-3 AreaPlar02G0 1 -3 Area °tart documents...10c Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 54 DOCUMENTATION Agency: Area Agency on Aging 1-B FY 2001 —2003 C. INPUT FORUMS AND PUBLIC HEARINGS RESULTS The Area Agency on Aging 1-B (AAA 1-B) conducted two public hearings on its Proposed FY 2001-2003 Area Plan, and FY 2001 Annual Implementation Plan on June 7, 2000, in Ypsilanti and Southfield, Michigan. Older adults, service providers, elected officials, and other interested parties were invited to attend the hearings, and provide the AAA 1-B Board of Directors with feedback on the proposed Plans. Forty-two representatives of the public attended the hearings, including eleven older persons and one elected official. Comments provided at the hearings could be categorized into three general areas; support for very specific aspects of the plans, recommendations for items to be included or emphasized within the plans, discussion of needed advocacy and resource development to expand services for older persons and family caregivers. As a result of the comments received at the public hearings, the following three changes were made to the proposed Plans: 1) The following addition was included in the Unmet Needs and Priority Setting section of the Area Plan, under Planning, Advocacy, Policy and Resource Development Priority: Comprehensive need assessment and data collection 2) The following addition was included in the Unmet Needs and Priority Setting section of the Area Plan, under Program Development Priority: Support for persons requiring guardianship services 3) The following addition was included in the Unmet Needs and Priority Setting section of the Area Plan, under Program Development Priority: Health promotion and prevention services and education G:\DEPT\PA\AREAPLAN\2(-: • Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 55 The Area Agency on Aging 1-B Board of Directors conducted two public hearings on the proposed AAA 1-B FY 2001-3 Area Plan and FY 2001 Annual Implementation Plan on June 7, 2000 in Southfield and Ann Arbor. Older persons, service providers, media, elected officials, and other interested parties were notified and invited to provide oral or written comments on the proposed Plans. Copies of the document were made available via the Area Agency on Aging 1- B office in each of the six counties of Region 1-B. Participating in the public hearings were 11 older persons, 29 service providers, and two elected officials. In addition to the oral testimony presented at the hearings, there were four written comments received. PUBLIC HEARING TESTIMONY SUMMARY The following is a summary of testimony provided by service providers and older adults on the Area Agency on Aging 1-B Area Plan and Annual Implementation Plan: SPECIAL POPULATION ISSUES • Service provider testimony expressed appreciation for outreach efforts to target minority populations for services. Testimony recognized the importance of integrating unique, cultural beliefs and practices as a positive step to encouraging participation in existing older adult programs. Additional testimony suggested that the Plan also include the Census 2000 data so that minority populations are represented based on current statistics. IN HOME SERVICES PROGRAM • Service provider testimony called for the integration of Chore and Home Injury Control. Testimony supported AAA 1-B plans to coordinate these two programs to expand the use of these services for older adults. Additional testimony indicated that this would also be cost-effective. • Service provider testimony expressed appreciation to AAA 1-B for allocating funds to make senior center staffing a priority. • Service provider testimony described the significance of senior centers in the lives of older adults. Testimony suggested that senior centers are prevention centers because they provide many aspects of care, such as socialization, health promotion and transportation. G:TEPT\PA\ARE.--APLAM2C.0-.-:', Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 56 • Additional testimony indicated that for some older adults, senior centers present an opportunity to develop surrogate family relationships, adding to the quality of life for older adults. GUARDIANSHIP • Service provider testimony recommended that guardianship program assistance be considered in the Plan to address the needs of older adults and their family caregivers. Testimony indicated that some older adults might require guardianship care to help with long term care decision-making. • Service provider testimony described the need for the elderly mentally ill population and their family caregivers to have access to guardianship assistance. Testimony indicated that the deinstitutionalization of the mentally ill has brought this issue into focus. HOUSING • Service provider testimony indicated that affordable assisted living is important to provide housing options to older adults who otherwise would only consider nursing home residency. • Additional service provider testimony expressed a desire to partner with AAA 1-B to establish affordable housing for the elderly mentally ill in Oakland County. Testimony indicated that the elderly, mentally ill are often misplaced in nursing homes when they could remain in a community-based setting with support. Service provider testimony expressed appreciation and support to the AAA 1-B for it's dedication to examining Property Tax Foreclosure as an emerging concern for older adults. The new state law (Public Act 123) passed in 1999 quickens the process to foreclosure and older adults can now lose their homes in two years from the date of the first delinquency notice. Testimony suggested that the AAA 1-B take a leadership role in exploring ways to deflect the consequences of this new state law. Additional testimony advocated for identifying vulnerable older adults to educate them about the solicitation practices of scavengers. Testimony encouraged AAA 1- B to work collaboratively with other community-based organizations on the frontline of this issue and participate in Senior Housing Awareness Week hosted by the Housing Bureau for Seniors in Ann Arbor. GRANDPARENTS RAISING GRANDCHILDREN • Service provider testimony suggested that the number of older adults who are raising their grandchildren is increasing. Testimony advocated for funding to establish programs that provide support to older adults in this role. G:\DEPT\PA\AREA1---1..A,.N,,2 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 57 ALZHEIMERS' & DEMENTIA RELATED DISORDERS • Service provider testimony requested that the Plan include long term care planning for Alzheimer's and dementia related disorders. Testimony identified a need for well trained caregiver staff and funding to provide competitive salary and benefits to encourage low turnover and quality care. Additional testimony suggested that Alzheimer's education programs would be beneficial to family caregivers who often need guidance on how to best provide care to maximize their loved one's cognitive and physical abilities, as well as other services, like respite. PUBLIC RELATIONS • Older adult testimony expressed personal appreciation to the AAA 1-B staff for assistance provided to a family friend in her final days of life. Testimony identified the need for spreading the word to the community about the functions of AAA 1-B and other Area Agencies on Aging is great. • Service provider testimony suggested that the AAA 1-B allocate funding to increase the agency's visibility to the general public. Testimony described positive experiences with AAA 1-B staff and advocated for the development of commercials, newspaper coverage, and radio announcements to inform the public of the positive impact that the AAA 1-B has in the lives of older adults. FUNDING • Older adult testimony stated that because the government designates targeted areas to allocate funding, older adult concerns are neglected. Additional testimony encouraged AAA 1-B to develop an economic analysis that describes the cost effectiveness of programs, like the H.O.M.E. (Home care Options for Michigan's Elders) proposal to get the attention of the legislators. • Service provider testimony requested that the AAA 1-B fund Project Compassion. Testimony described the work of Project Compassion and how it assists older adults to reconnect with their spirit by spending time at nature-based campsites. The project is currently not operating, so the testimony advocated for the start-up funding. • Service provider testimony described older adult programs as under-funded. Testimony expressed concern that some policy makers are preoccupied with the future elderly rather than devoting efforts those who are currently elderly. Additional testimony expressed frustration with the competitive process for limited dollars for services for the aging population when other programs have many more potential funding sources. (3:\DEPT\PA\AREi-\PLPM,20i7).1-3 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 58 • Service provider testimony indicated that there is a perception that the elderly don't need help, and advocated that the needs of the older adult community be brought to the attention of funders. UNMET NEED • Service provider testimony indicated that older adults frequently need hearing aids, glasses, and dentures. Testimony indicated that Medicare does not provide coverage for these items, only Medicaid does. Testimony advocated for the addition of these items to the Unmet Need service definition. LONG TERM CARE • Service provider testimony stated that there are two generations of caregivers, and because we are living longer most people can expect to care for their parents and grandparents during their lifetime. ACCESSIBLIITY • Service provider testimony advocated for funding for ramp projects. Testimony expressed concern for older adults who are trapped in their homes, unable to go to doctor appointments. Additional testimony indicated that older adults have died waiting to receive a ramp. Testimony advocated for all new homes to be constructed with a ramp as part of the design. ADVOCACY • Service provider testimony advocated for making the vote of the older adults visible, encouraging absentee voting practices, and educating the legislators on the needs of the elderly. See attached Community Forums (5) G: \DU-7\RA \AREAPLANQC)0', -3 Community Health Forum On the Needs of Older Macomb County Residents February 11, 2000 A summary of older adult needs in Macomb County, as indicated by older persons, provider agencies, family caregivers, and expert witnesses at the Community Forum. Sponsored by: Area Agency on Aging 1-B Macomb Department of Senior Citizen Services St. John Health System Warren Senior Health Care Commission Community Forum on Older Adult Needs INTRODUCTION Over 150 persons participated in the Macomb County Community Forum, with 19 providing testimony. On February 11, 2000, a Community Forum on the Health Needs of Older Macomb County residents was held in Warren, Michigan. The purpose of the forum 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. Participants were invited to provide testimony on unmet needs, and influence the priorities that would be established for health and social programs for Macomb County. The forum was co-sponsored by the Area Agency on Aging 1-B (AAA 1-B), the Macomb County Department of Senior Citizen Services, St. John Health System, and the Warren Senior Health Care Commission. These sponsoring organizations play primary roles in the planning, funding, and provision of health and social services for county residents. The responsibility of the sponsoring organizations was to listen to the testimony provided at the forum, and use the information within their organizations to assure that their activities are responsive to the needs of older adults. The forum testimony is used by the AAA 1-B in the development of its Fiscal Year 2001 -2003 Multi-Year Area Plan, which distributes over $15 million in federal Older Americans Act and state funds to support a range of social, nutritional, access, and long term care services. In addition to the oral testimony provided at the forum, three pieces of written testimony were received, and one resident who was unable to attend the forum offered comments via telephone. The forum sponsors extended a special invitation to six expert witnesses, requesting testimony on specific areas of special interest. The following topics were addressed in this manner: 2 Coping with the Effects of Dementia Anne LiIla, Alzheimer's Association In attendance at the forum were representatives and elected officials from Congress, the Michigan Legislature, and the Macomb County Board of Cornmissioners • Gambling Addiction and Older Adults James McBryde, Michigan Department of Community Health Medicare and Managed Care William Charleton, AAA 1-B Medicare Medicaid Assistance Program Affordable Home Care Sandra Hann, Macomb County Department of Senior Citizen Services Affording Prescription Medications Gary Hill, St. John Health System Attending the forum were 101 older adults ; five elected officials or their representatives, induding members of Congress, the Michigan Legislature, and the Board of Commissioners ; and 44 other agency representatives or interested parties. This report summarizes the issues discussed at the forum, and documents the needs among older Macomb County residents. Prepared by: Area Agency on Aging 1-B Sandra K. Reminga, Executive Director 29100 Northwestern Highway, Suite 400 Southfield, Michigan 48034 (248) 357-2255 www.aaa1b.org 3 Community Forum on Older Adult Needs When the Warren Senior Health Care Commission held a forum 8 years ago, the three biggest issues were: 1) prescription drugs; 2) transportation; and 3) the need for a resource guide. - Gary Popiel, Bi-County Hospital MACOMB COUNTY COMMUNITY HEALTH FORUM ON THE NEEDS OF OLDER MACOMB COUNTY RESIDENTS TESTIMONY SUMMARY February 11, 2000 LONG TERM CARE Service provider testimony advocated that Medicare expand its benefits to include long term care services that assist family caregivers to provide care for older persons with functional or cognitive impairments. Testimony also expressed concerns about the ability of Michigan's long term care service delivery systems to provide adequate consideration to the needs of persons with dementia, and their family caregivers. State supported programs must recognize that cognitive impairments such as dementia should be given equal consideration to physical impairments. Older adult testimony expressed concern about the quality of care provided in Macomb County nursing homes. Testimony indicated that the incidence of quality indicators such as bed sores, dehydration, malnutrition, falls, hot water burns, etc., is too high. The amount of financing directed toward nursing home care should be sufficient to achieve a high quality of care. MEDICARE Older adult testimony advocated that the preservation of the fiscal integrity of Medicare be a high priority, due to the dependence upon the program by so many older persons. Service provider testimony advocated that Medicare health maintenance organizations offer prescription drug benefits with pay-out limits higher than the $1,000 limit that has become a standard, indicating that this limit is inadequate for many beneficiaries with high prescription drug costs. Additional service provider testimony stated that deaf older persons have difficulty accessing 4 Community Forum on Older Adult Needs An estimated 45.7(;) of Macomb County households had a vested interest in senior issues because they were a senior themselves, or had an elderly relative living in or near Macomb County. - Macomb County Health Department 1999 Behavioral Risk Factor Survey and understand many Medicare-provided services because of their inability to communicate with health care providers. Testimony requested that Medicare include coverage of interpreting services for hearing impaired persons, as a regular Medicare benefit. DENTAL CARE Older adult volunteer testimony indicated that there are many unmet dental needs among the older adult population, and stated that dental care is a health need that is often overlooked. Testimony indicated that issues related to denture care and replacement are the most troublesome for older persons. IN-HOME CARE Older adult testimony indicated there are many unmet needs in the county for in-home care, and advocated that family members be compensated for their caregiving. Service provider testimony indicated that their organization is receiving an increasing number of calls from older persons and family caregivers who need in-home services, but cannot afford to pay private market rates for care. Service provider testimony indicated that arranging home care is a serious problem for both those with low incomes, and the wealthy. Low-income persons cannot afford to pay the $7 - $8 per hour needed to bring someone into their home, and publicly-funded agencies do not have sufficient funding to take on new clients. In the northern area of the county, there are very few resources or agencies that even offer in-home services. Persons who can afford private market rates for in-home care often have difficulty hiring agencies with quality in-home care staff, due to their difficulty in hiring good workers. Additional service provider testimony expressed concern about the commitment to confidentiality that home care agencies maintain, and conveyed a story of a consumer who was well known and discussed among various home care agency staff. Service provider testimony indicated that they encounter many middle class families who cannot 5 Community Forum on Older Adult Needs An estimated 14,000 Macomb County residents have a form of dementia, such as Alzheimer's disease. - Alzheimer's Association, Detroit Area Chapter afford to purchase in-home care for their loved ones. Additional testimony identified many arthritis victims as needing in-home care. Service provider testimony suggested that additional training is needed by in-home workers and their supervisors, to improve the quality of in-home care and bring greater accountability to care providers. DEMENTIA ISSUES Service provider testimony stated that the two most pressing issues in the area of dementia are preventing Alzheimer's disease, and improving the services that are needed by the individual and families of a dementia victim. Approximately 14,000 Macomb County residents have a form of dementia. Another key policy issue is to maintain individual genetic privacy. There is concern that if individual conditions such as Alzheimer's disease can be predicted for individuals through genetic testing, that these individuals may be discriminated against by entities such as life and health insurance companies. PRESCRIPTION DRUGS Older adult testimony expressed their concern about the extremely high cost of prescription drugs, pointing out that this is an unjust burden on older adults and the poor whose health depends on medicine they cannot afford. Older adult testimony indicated that a Medicare prescription drug benefit is probably the greatest need for Medicare beneficiaries. Testimony also stated that physicians must know about prescription drug assistance programs to help link needy patients with these resources, and confirmed that most physicians are unaware of prescription drug resources. Older adult testimony suggested that community education programs be offered that educate the public on prescription medication interactions and programs to help pay for drugs. Service provider testimony advocated that prescription drug coverage be included as a benefit under Medicare. 6 Community Forum on Older Adult Needs Pharmacist testimony confirmed that the most common prescription drug problem is affording prescribed medications, and advocated for enhanced prescription drug benefits by Mechre health maintenance organizations. 6.8% of respondents with elder parents living in or near Macomb County take care of their parents daily, 20.3% care 2 to 6 days per week, and 16% provide care once per week. - Macomb County Health Department 1999 Behavioral Risk Factor Survey Service provider testimony cautioned that many prescription drugs are ineffective for patients who have immune system problems, as is the case for many arthritis victims. Often, exotic medications are required, but may not be covered by the individual's insurance benefit. CAREGIVERS Caregiver testimony indicated that many persons fall through the cracks, and cannot access needed benefits. Testimony described how a non-senior spouse caregiver with young children was disqualified for many public benefit programs due to age discrimination. Service provider testimony reported on findings that the average woman will care for older family members longer than she will care for her children. The 1999 Macomb County Behavioral Risk Factor Survey found that of all respondents with an elderly spouse or partner, 12.3% said that their spouse or partner has a significant mental or physical problem that makes it difficult for them to do daily activities. This represents a projected 7,998 elderly individuals living with a spouse or partner who require assistance with daily living activities. Of these, 31.2% reported having someone living with them or coming in to help take care of their spouse or partner, suggesting that 2,461 individuals are providing care without other assistance for a dependent elderly spouse in Macomb County. Nearly half (44.5%) of respondents with elderly parents living in or near Macomb County said they never spend time taking care of their parents, but 6.8% reported taking care of their parents daily, 20.3% said 2 to 6 days per week, and 16.4% said once a week. DEAF AND HEARING IMPAIRED Older adult volunteer testimony indicated that there is a great need for skilled interpreters, 7 Community Forum on Older Adult Needs particularly to assist deaf individuals access medical care. The problem is particularly acute for individuals who are both blind and deaf. There are approximately 82,439 Macomb County residents who provide care to their elderly Parents at least once per month in addition to the approximately 7,998 persons who provide care to an elderly spouse. Service provider testimony stated that American Sign Language is a unique visual language, and the deaf have their own separate and unique culture. Federal laws mandating equal access to services for all persons are not always effective, and health and social service providers should have plans in place to accommodate the needs of persons who require an interpreter. Additional testimony stressed the importance of the Deaf and Deaf-Blind having social and recreational opportunities, including educational and group programs. Service provider testimony advocated that reimbursement for interpreting services be covered under Medicare, and requested continued funding for face-to-face services for the deaf and hearing impaired. INFORMATION AND ASSISTANCE The 1999 Macomb County Behavioral Risk Factor Survey measured how familiar residents are with key supportive services. The survey found that the following percentages of respondents were very sure, somewhat sure, or not sure at all about whom to call for the following programs: - Macomb County Health Department 1999 Behavioral Risk Factor Survey Somewhat Sure Type of Assistance Not sure At All Meals delivered Transportation Personal Care Visiting Nurse Care Respite Care Alternative Housing Very Sure 44.5% 51.2% 44.7% 45.6% 35.1% 38.6% 22.4% 21.4% 21.7% 19.9% 20.2% 23.5% 33.1% 27.3% 33.6% 34.5% 44.7% 37.9% In general, between one half, and two thirds of the older adult respondents said they were very sure whom to call compared to only about one third of the younger respondents with elderly parents. 8 Community Forum on Older Adult Needs SENIOR ACTIVITIES There are approximately 90,000 Deaf and over 500,000 hard of hearing people in Michigan, with over 51% of these totals living in S outheast Michigan. Older adult testimony recommended that older persons remain active and involved in social and recreational activities. Testimony indicated that there is a clear positive relationship between activity and health for older persons. AGING SERVICE DELIVERY SYSTEM CAPACITY Service provider testimony expressed concern about the diminished capacity of many community agencies to offer services to older persons, indicating that some organizations have discontinued programs that previously assisted older county residents. COMMUNITY EDUCATION Service provider testimony indicated that there is inadequate public understanding about many health conditions affecting older persons, and the most effective methods of dealing with health problems. Testimony requested that area health care providers commit time to conducting community outreach and education programs to increase understanding of key health care issues. Service provider testimony indicated that a key finding of the county study on dementia was that residents want to know more about the disease and related issues. GAMBLING ADDICTION Service provider testimony indicated that approximately 5% of adults have a gambling addiction, and older adults are often targeted by casinos as a primary market. A disproportionately large number of older persons attend Michigan's casinos. Testimony indicated that there are scr.!ening instruments, which consist of 20 questions, that can be utilized to determine if sort., ne is possibly addicted to gambling. Testimony described the resources available to assist gambling addicts, which include a 24-hour toll-free helpline, and a network of over 50 counselors. 9 Community Forum on Older Adult Needs SPECIALIZED HOUSING The average woman today will spend more years caring for elderly family members than she will caring for her children. Service provider testimony indicated that special dementia care units are of benefit to older persons with dementia, however some facilities promoting this level of care offer consumers little more than care that is provided to other residents in non-dementia specific care units. Special care units should be required to disclose to potential consumers the exact nature of the special care, and how this care is distinguished from the basic services offered to other residents. TRANSPORTATION Older adult testimony indicated that many older persons require public transportation service that is curb to curb, versus the large buses that run down major arteries only. This service is needed on a demand response basis to take older persons to medical appointments and shopping. Public transit authority testimony explained that public transportation services have been limited by a 10% funding reduction over the past two years. The Suburban Mobility Authority for Regional Transportation (SMART) provides exteTisive funding and support for community-based transportation services that are designed to meet the demand response needs of older adults and persons who are disabled. SOCIAL SECURITY Caregiver testimony expressed frustration that Social Security benefits for children are counted as part of household income, when determining eligibility for many social service programs, thus excluding the family from receiving needed public benefits. Social Security benefits for a child of a deceased or disabled parent are directed to meet the child's needs, and should not disqualify other adults in the household from eligibility for welfare programs. Older adult testimony called for action to stabilize the fiscal integrity of the Social Security program, stressing the importance of the program to many older persons who depend on the income to maintain a dignified existence. 10 Community Forum on Older Adult Needs Of the approximately 129,810 county residents who are caregivers on a regular basis t 28.9% said they spend some of their own money to care for their parents, with the average monthly amount $148, and a range of $10 - $2,000. - Macomb County Health Department 1999 Behavioral Risk Factor Survey OLDER AMERICANS ACT Older adult testimony stressed the importance of monitoring Congressional action on the Older Americans Act, which allocates funding for various social, nutrition, and long term care services For older adults. A strong and better funded Older Americans Act is essential for the health and welfare of both current older adults, and future older generations. AREA AGENCY ON AGING 1-B SUPPORTED SERVICES Older adult testimony indicated that additional adult day service programs are needed in the county, stating that many families are not aware of existing programs, but could be utilizing services much more frequently that occurs today. Caregiver testimony expressed appreciation For respite care assistance, indicating that the break assists her to manage other aspects of her sandwich generation family. Service Provider testimony expressed thanks to the Area Agency on Aging 1-B and the Macomb County Department of Senior Citizen Services for the assistance that the two offices have provided to many persons assisted by the county parish nursing program. Service provider testimony expressed the desire to work with the Area Agency on Aging 1-B to provide specialized training on assisting persons with dementia, similar to a training model developed in Traverse City. Service provider testimony identified the need for adult day services in the city of Warren, and advocated for the County Board of Commissioners to provide funding to pay for operation of a new program. Service provider testimony indicated there is a need for additional in-home respite care and personal care among Macomb County family caregivers. 1 1 Community Forum On the Housing Needs of Older Monroe County Residents February 15, 2000 A summary of older adult needs in Monroe County, as indicated by older persons, provider agencies, family caregivers, and expert witnesses at the Community Forum. Sponsored by: Area Agency on Aging 1-B Monroe County Commission on Aging Monroe County Health Department Monroe County Network on Homelessness Monroe County Opportunity Program United Way of Monroe County Community Forum on Older Adult Needs INTRODUCTION Forty-six persons participated in the Monroe County Community Forum, with 15 providing testimony. On February 15, 2000, a Community Forum on the Housing Needs of Older Monroe County residents was held in Monroe, Michigan. The purpose of the forum 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. Participants were invited to provide testimony on unmet needs, and influence the priorities that would be established for housing and social programs for Monroe County. The forum was co-sponsored by the Area Agency on Aging 1-B (AAA 1-B), the Monroe County Opportunity Program, United Way of Monroe County, Monroe County Commission on Aging, Monroe County Health Department, and the Monroe County Network on Homelessness. These sponsoring organizations play primary roles in the planning, funding, and provisioi housing and social services for county residents. The responsibility of the sponsoring organizations was to listen tothe testimony provided at the forum, and use the information within their organizations to assure that their activities are responsive to the needs of older adults. The forum testimony is used by the AAA 1-B in the development of its Fiscal Year 2001 - 2003 Multi-Year Area Plan, which distributes over $15 million in federal Older Americans Act, and state funds to support a range of social, nutritional, access, and long term care services. The forum sponsors extended a special invitation to four expert witnesses, requesting testimony on areas of special interest. The following topics were addressed in this manner: Home Accessibility Sally Pritchett, Monroe County Opportunity Program Safe, Affordable Housing Options Beth Tobin, Housing Bureau for Seniors Assisted Living 2 Bernie Fagan, Bedford Elderly Care Center Domestic Violence and Older Adults Sharon Williams, Caring Alternatives In attendance at the forum were representatives and elected officials from Congress, the Monroe County Board of Commissioners, and the Monroe City Council. Attending the forum were nine older adults; five elected officials or their representatives including members of Congress, the Monroe County Board of Commissioners, Monroe County Commission on Aging, and the Monroe City Council; and 32 other agency representatives or interested parties. This report summarizes the issues discussed at the forum, and documents the needs among older Monroe County residents. Prepared by: Area Agency on Aging 1-B Sandra K. Reminga, Executive Director 29100 Northwestern Highway, Suite 400 Southfield, Michigan 48034 (248) 357-2255 www.aaa1b.org 3 MONROE COUNTY COMMUNITY HOUSING FORUM ON THE NEEDS OF OLDER MONROE COUNTY RESIDENTS TESTIMONY SUMMARY February 15, 2000 According to population projections, the 60 and older population in Monroe County is expected to increase by close to 55% by the year 2020. HOME ACCESSIBILITY Service provider testimony indicated that current funding is unable to meet the growing home accessibility needs of Monroe County residents, especially for ramp-building projects and modifications in mobile homes. While existing Home Injury Control dollars provide limited support for ramps, bath chairs, hand held showers and other home modifications, many individuals continue to live in unsafe environments. In addition, mobile home residents are often unable to obtain safe access to and from their homes. Many funders do not allow their dollars to be used for home modifications on mobile homes because they are considered "temporary" structures. However, we know that mobile home owners, many of whom are low-income older adults intend to stay in these homes permanently and age in place. Mobile home park owners are also reluctant to allow ramps to be built because they believe that they are permanent structures and cannot be removed. The need for accessible housing that is also affordable was raised by several providers. Many housing facilities have been unable to meet the increasing accessibility needs of older persons. 4 SAFE AND AFFORDABLE HOUSING Approximately 50% of renters previously owned their own residence, but were forced to leave due to declining health, delapitated housing, or limited financial resources. Service provider testimony identified the need for more education of both developers and management companies to ensure that new housing is developed that is accessible and affordable and that existing facilities adapt to meet the needs of older adults as they age in place. New assisted living facilities are being built in southeast Michigan, but the high rental costs make them prohibitive for most older adults. Education of consumers was also identified as a key component of maintaining older adults in their homes independently and for as long as possible. Programs to assist older adults who are facing eviction due to property tax foreclosure or non-payment of rent have been effective in other counties. A key feature of these programs is a revolving loan fund that can be utilized to pay delinquent property taxes. ASSISTED LIVING Assisted living owner testimony stressed that although nursing homes are part of the continuum of care, only 5% of the older population at any isolated point in time will live in a nursing facility longterm. Assisted living facilities, including Adult Foster Care, Homes for the Aged, and unlicensed facilities, are growing to meet the need for alternatives to nursing home care. However, in all of Monroe County, there are only two licensed Homes for the Aged, and seven Adult Foster Care Homes, with only one accepting Supplemental Security Income (SS!). Additional testimony expressed opposition to state rules, which often prevent older adult foster care home and home for the aged residents from being allowed to die in their homes. The prohibition of continuous nursing services for facility residents forces many to go to hospitals or nursing homes Community Forum on Older Adult Needs for their end stage of life, when it could be successfully managed in an adult foster care or home for the aged at a significantly less cost. Monroe County has two licensed Homes for the Aged and seven licensed Adult Foster Care Homes. DOMESTIC VIOLENCE AND OLDER ADULTS Service provider testimony indicated that although the need is not well documented in Monroe County, domestic violence among older adults appears to be increasing, with few programs adapted to assist the unique needs of the older population. Older adults tend to rarely leave their abusive situation, but if they choose to do so, domestic violence shelters are often not prepared to provide the supports needed by these older victims. These older victims may find themselves homeless, primarily because the one option available to then cannot meet their needs. COMMUNICATION ISSUES Older adult testimony advocated for additional interpreters for hearing impaired older adults at senior centers, housing complexes, and mobile home communities. Interpreter services currently available in Monroe County assist deaf older persons at a local senior center with health, transportation, housing, financial, and other issues. In-home assistance is needed for deaf older persons who are unable to get to the senior center, but require interpretation services. TRANSPORTATION Service providers testified that gaps in transportation service, along with a lack of affordable housing , often force older adults to make difficult decisions regarding their living arrangements. One service provider related a story of an older couple who were forced to move from their home in a rural part of Monroe County because transportation services were not available in their community. 6 Community Forum on Older Adult Needs DEMENTIA NEEDS Au:cm-din ,- to the Alzheinler's /\ssociation, by 2010, Alzheimer's Disease will be considered a "health crisis. Service providers identified the increased demand for services, such as housing, in-home supports, education, and support groups, targeted to persons with dementia and their families. The AAA 1-B's respite plan, which will utilize more than $700,000 in tobacco settlement dollars to provide enhanced respite services for individuals in Region 1-B, was praised for its recognition that comprehensive adult day services with dementia specific programming are greatly needed., NUTRITION Service provider testimony expressed concern about the reduction in funding for the congregate and home delivered meals programs, indicating that the one cent reduction in reimbursement per meal from the United States Department of Agriculture will harm efforts to maintain serving levels. IN-HOME CARE Service provider testimony warned that the impeding reduction in the number of home care visits allowed for Medicare reimbursement will result in problems delivering quality care to residents. 7 Community Forum On the Needs of Older Oakland County Residents March 28, 2000 A summary of older adult needs in Oakland County, as indicated by older persons, provider agencies, family caregivers, and expert witnesses at the Community Forum. Sponsored by: Area Agency on Aging 1-B Healthy People Healthy Oakland United Way of Oakland County Community Forum on Older Adult Needs INTRODUCTION Over 90 persons participated in the Oakland County Community Forum, with 16 providing testimony. On March 28, 2000, a Community Forum on the Needs of Older Oakland County Residents was held in Pontiac, Michigan. The purpose of the forum 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. Participants were invited to provide testimony on unmet needs, and influence the priorities that would be established for health and social programs for Oakland County. The forum was co-sponsored by the Area Agency on Aging 1-B (AAA 1 -B), Healthy People Healthy Oakland and United Way of Oakland County. These sponsoring organizations play primary roles in the planning, funding, and provision of health and social services for county residents. The responsibility of the sponsoring organizations was to listen to the testimony provided at the forum, and use the information within their organizations to assure that their activities are responsive to the needs of older adults. The forum testimony is used by the AAA 1 -B in the development of its Fiscal Year 2001 - 2003 Multi-Year Area Plan, which distributes over $15 million in federal Older Americans Act and state funds to support a range of social, nutritional, access, and long term care services. The forum sponsors extended a special invitation to three expert witnesses, requesting testimony on specific areas of special interest. The following topics were addressed in this manner: Transportation Issues for Older Adults Sally Jo Swayne, Brandon Township Clerk Home Care Issues Donna Fishman, Visiting Nurse Association Volunteerism and Older Adults Lynette Amon, Waterford Senior Center Attending the forum were 31 older adults, four elected officials or their representatives, including representation from Congress, the Oakland County Board of Commissioners and municipal 2 Community Forum on Older Adult Needs government, and 43 other agency representatives or interested parties. This report summarizes the issues discussed at the forum, and documents the needs among older Oakland County residents. In attendance at the forum were elected officials and representatives from Cong ress, the Oakland County Board of Commissioners and municipal governments. Prepared by: Area Agency on Aging 1-B Sandra K. Reminga, Executive Director 29100 Northwestern Highway, Suite 400 Southfield, Michigan 48034 (248) 357 -2255 www.aaa 1 b.org 3 Community Forum on Older Adult Needs "If seniors can't get to where they need to be, they can't pass on traditions, values, or love to young people. They must be able to travel." - elected official testimony OAKLAND COUNTY COMMUNITY FORUM ON THE NEEDS OF OLDER OAKLAND COUNTY RESIDENTS TESTIMONY SUMMARY March 28, 2000 TRANSPORTATION Older adult testimony indicated that many older persons require public transportation service that is door to door, versus the large buses that run down major arteries only. This service is needed on a demand response basis to take older persons to medical appointments and shopping. Older adult testimony also indicated that Pontiac has very poor transportation services and does very poor marketing to inform the community of the transportation that is available. There is also no wheelchair lift on the bus for persons with a disability. This is a very incapacitated population that needs support. They pay taxes and should see their money coming back to them in services that enhance their lives. Elected official testimony explained that there are many unmet transportation needs among older adults. The problems relate to a lack of funding from state and local government. Service provider testimony suggested that retirees advocate with the companies that they worked for to provide monies for transportation services. Elected official testimony stated that funding was needed to allow older persons to travel across city and county boundaries. A service provider, speaking for two older clients who were unable to be at the forum, testified that reliable transportation that is wheelchair accessible and crosses city and county boundaries is needed. Since public transportation does not always meet this need, often older adults must restrict their destinations or are left only with private transportation options. This can be very 4 difficult for many older adults to afford. For example, one of the clients was paying over $420 dollars per week for private transportation services to get back and forth for dialysis treatments. Public transportation that offered service through the cities the individual had to travel would have saved the client this great expense. The other client was an older amputee. The van in his city does not have a wheelchair lift needed for the person to travel to needed shopping, doctor appointments, or visits to friends. The lack of a lift on his local bus means a loss of his mobility. "Transportation that is door-to- door, wheelchair accessible, and crosses city and township boundaries is very much needed in Oakland County." - older adult testimony Elected official testimony suggested alternative transportation methods be considered, such as reimbursing volunteers for mileage and insurance costs to help meet transportation needs. Elected official testimony stated that information regarding transportation resources is difficult to access. The official suggested creating and publicizing an information clearing house to deal with this problem. Elected official testimony explained that modification of street and highway signs is needed to help older persons better see and judge road conditions. Larger signs with increased contrast would help many older drivers, especially at night. Benefits would also be gained by encouraging car manufacturers to include helpful aids such as running boards to assist getting in and out of automobiles. Public official testimony advocated for the use of licensure alternatives instead of simply revoking an older person's drivers license because they cannot drive safely. In certain conditions, this will help to keep older adults independent and promote safety for the older person and the community. Public transit authority testimony explained that public transportation services have been limited by a 10% funding reduction over the past two years. The Suburban Mobility Authority for Regional Transportation (SMART) provides extensive funding and support for community-based transportation services that are designed to meet the demand response needs of older adults and persons who are disabled. 5 IN-HOME CARE "There are over 35,000 hours of unmet bathing and personal care needs in the Oakland County Area." - Visiting Nurse Association 1999 Resident Care Need Survey Older adult testimony inquired how one could receive in-home care, expressing a personal need for assistance. Service provider testimony stated that the reimbursement rules for Medicare are changing rapidly. Hospitals cannot send an older patient home as early as in the past, and are often uncertain whether Medicare will provide reimbursement for convalescence care in the home. Testimony requested an increase in reimbursement for home care, but expressed doubt that Medicare will pay for more home care. Private market rates for home care can be very expensive, especially for low or middle-income frail persons that have few assets. Service provider testimony strongly advocated community support and volunteerism to address this problem. Service Provider testimony indicated that one of the biggest problems facing the home health care industry is the massive labor shortage that the current economy has created. Volunteers could help home health agencies fill in these needed employment gaps. For example, volunteers could call older persons for medication reminders and also drop off medications from area pharmacies. VOLUNTEERISM Service provider testimony stated that most agency programs could not run without volunteer assistance - over 400 volunteers annually donate their efforts to increase agency services by over one-half. Currently, volunteers are very difficult to find. With government assistance for senior programs lacking, volunteer assistance is needed now more than ever. For example, funding for the Meals on Wheels program was recently cut one penny per meal. This seemingly modest reduction in funding can be staggering unless costs are reduced. Volunteers help maintain and increase the same service level in the current social climate of decreased government funding. Service provider testimony stated that the time constraints of active lives and family involvement have decreased the amount of time that older persons can give to volunteer activities. Active senior-volunteer recruiting is needed in the community, especially for intergenerational programs, 6 "For Waterford Senior Center, volunteers make a big difference. Over half of our programs would not be able to operate if it wasn't for the time, effort, and dedication of our older adult volunteers." - service provider testimony which are often valued by older adult volunteers. Community Forum on Older Adult Needs PROPERTY TAXES Older adult testimony stated that older persons often have problems paying property tax bills and must choose what bills are paid with their limited incomes from social 'security. Tax bills can be especially difficult to pay during the winter months with additional costs for utilities. Testimony argued that school taxes are unfair since older persons often do not reap the direct benefit of these monies. COMMUNITY EDUCATION Older adult testimony promoted many local agency assistance programs for those older persons in need of aid and also gave suggestions regarding agencies that needed volunteer assistance. Oakland County's Health-O-Rama, Pontiac Rescue Mission, and Common Ground were among agencies described. PRESCRIPTION DRUGS Service provider testimony explained that older persons must often choose between buying groceries and prescriptions. Testimony urged advocacy at all government levels to reduce high prescription drug costs. UTILITY DEREGULATION Service provider testimony stated that utility deregulation would simply create a longer paper trail of more bills that older persons were required to pay. All charges should continue to be combined into one bill for older adults to ease their efforts and mailing costs. 7 Community Forum on Older Adult Needs QUALITY HEALTHCARE "Often, seniors have to choose between buying food and buying their prescriptions. A solution must be found to make prescription drugs cheaper - and it's not a bus to Canada." - service provider testimony Service provider testimony stated that the lack of quality healthcare in the state of Michigan and in the United States is appalling. Many older persons can not afford, or do not have access to, supplemental health insurance that will pay the cost of their health care that Medicare does not cover. On a national and state level, policy must be implemented that provides access to quality health care for all citizens. HOUSING Older adult testimony indicated that persons living in Pontiac senior housing communities are mixed with substance abusers and are scared and upset about their housing conditions. Testimony advocated that the government pass laws to assure that older persons can live in safe and comfortable environments where they can be a part of their community. Service provider testimony also stated that many older persons in subsidized senior housing communities live in constant fear of victimization due to the drugs, alcohol and violence that are often present in the complexes. Older persons should not have to tolerate these high costs or deplorable conditions. Service provider testimony stated that over 50% of the elderly need or will need assisted living services. The costs of assisted living services are extremely high, and the facilities are often not regulated or managed well. NURSING HOME CARE A service provider urged advocacy and community involvement in promoting quality elder care and elder abuse prevention. Community advocates for residents and families are needed. 8 "The government says that they can't keep substance abusers out of subsidized senior housing complexes, but we need to fight this! We need peace and quiet!" - older adult representative COMMUNITY SERVICES Service provider testimony called for more city-based senior groups to advocate for older adult issues and promote community resource building. HOME AND COMMUNITY-BASED MEDICAID WAIVER Service provider testimony stated that it is very difficult for many older adults to give up their often small amount of savings in order to become eligible for the Medicaid Waiver Program. PROGRAM DEVELOPMENT Older adult testimony challenged the sponsoring organizations to demonstrate that something will be done about issues raised at the forum within the next year. 9 "There are currently no openings for in- home services for persons above the low income threshold for 2-3 months. My seniors will be dead in 2-3 months without these services! We must find a SO lution." - public health nurse Community Forum On the Needs of Older St. Clair County Residents March 23, 2000 A summary of older adult needs in St. Clair County, as indicated by older persons, provider agencies, family caregivers, and expert witnesses at the Community Forum. Sponsored by: Area Agency on Aging 1 -B St. Clair County Commission on Aging United Way of St. Clair County INTRODUCTION Most women will spend an average of 17 years caring for children and 18 years helping an elderly parent." -Service provider On March 23, 2000, a Community Forum on the Needs of Older St. Clair County Residents was held in Marysville, Michigan. The purpose of the forum 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. Participants were invited to provide testimony on unmet needs, and influence the priorities that would be established for health and social programs for St. Clair County. The forum was co-sponsored by the Area Agency on Aging 1-B (AAA 1-B), the United Way of St. Clair County, and the St. Clair County Commission on Aging. These sponsoring organizations play primary roles in the planning, funding, and provision of health and social services for county residents. The responsibility of the sponsoring organizations was to listen to the testimony provided at the forum, and use the information within their organizations to assure that their activities are responsive to the needs of older adults. The forum testimony is used by the AAA 1-B in the development of its Fiscal Year 2001 - 2003 Multi-Year Area Plan, which distributes over $1 5 million in federal Older Americans Act and state funds to support a range of social, nutritional, access, and long term care services. Oral testimony was offered by older adults and service providers of St. Clair County. The Forum sponsors extended a special invitation to four expert witnesses, requesting testimony on specific areas of special interest. The following topics were addressed in this manner: In Home Care June Chene, Visiting Nurse Association Probate Issues Concerning Older Adults Judge John Monaghan, Probate Court Concerns of Minority Elders KC Norman, National Association for the Advancement of Colored People Senior Transportation Issues Jim Wilson, Blue Water Area Transit 2 Community Forum on Older Adult Needs Attending the forum were 8 older adults, 4 elected officials, and 26 other agency representatives or interested parties. This report summarizes the issues discussed at the forum, and documents the needs among older St. Clair County residents. There are approximately 25,06B persons over age 60 in St. Clair, by 2015 that figure will grow to nearly 35,754 persons. -Population projections by Michigan Department of Management and Budget Prepared by: Area Agency on Aging 1 -B Sandra K. Reminga, Executive Director 29100 Northwestern Highway, Suite 400 Southfield, Michigan 48034 (248) 357-2255 www.aaalb.org 3 Community Forum on Older Adult Needs are being evicted because of their inability to pay property taxes on their homes. LEGAL ASSISTANCE The top two caregiver stressors are, the lack of consistent help from other family members, and feeling isolated. -Service provider testimony from the National Family Caregivers Institute Service provider testimony indicated legal assistance is needed to help older adults in their effort to prevent eviction and understand property tax foreclosure laws. Testimony indicated the new probate codes will effect issues such as conservatorship, and guardianship. Elected official testimony advocated that legal aid providers cease providing will writing services For wealthy clients, and prioritize their limited time on other legal concerns. Testimony suggested that some will assistance for the wealthy is performed for the purpose of preserving the individual's assets, while allowing them to become eligible for Medicaid. Elected official testimony expressed concern over a recent proposal that would establish a functional test for persons that are the subject of a guardianship request. Testimony indicated that this proposal will be very costly, and is not necessary in Michigan's smaller counties that are able to carefully investigate their modest amount of guardianship cases. VETERANS CONCERNS An apple a day keeps the doctor away, a counselor out your way, keeps hospitalization at bay." Service provider testimony identified that there are Veterans who served during peace times that do not qualify for needed services. Testimony indicated a desire to work with other service providers to eliminate the gaps in services for peace time Veterans. COUNSELING -Service provider Service provider testimony identifed a need for counseling services for family caregivers and for the older adult. The testimony emphasized the importance of assisting the family as a unit, with an emphasis on resolving issues related to the life changing decisions that are involved in caregiving. Additional testimony indicated a need for more staff counselors to service St. Clair County. 6 Community Forum on Older Adult Needs PRESCRIPTIONS Older adult testimony stated that some individuals go to Canada to purchase prescriptions at a significantly reduced rate. And there are others who ration their dosage, for example, taking one pill when two are prescribed. "Prescriptions are up to 83% cheaper in Canada" Service provider testimony identifed a need for lower cost prescriptions for older adults. Too often, medications take a significant amount of an older adult's limited income. -Older adult Service provider testimony indicated that many persons cannot afford prescription drugs when needed, and advocated for a source of funding to purchase prescription drugs for persons in emergency situations. PRE-RETIREMENT PLANNING "Fewer than 10% of companies provide training programs on work/life issues." -Service provider Service provider testimony identified a need for pre-retirement planning to prepare retirees for the issues they will confront in retirement. Additional testimony suggested that workplace education on community resources be available to assist employees who are caregivers of elderly family members. MENTAL HEALTH Elected official testimony expressed concern that there are many older county residents who have a late life onset of mental impairment that results in institutionalization when families can no longer manage their behavior and care needs. IN-HOME ASSISTANCE Elected official testimony indicated that many family caregivers who petition the Probate Court for guardianship have a great need for respite care. 7 ST. CLAIR COMMUNITY FORUM ON THE NEEDS OF OLDER ST. CLAIR COUNTY RESIDENTS TESTIMONY SUMMARY MARCH 23, 2000 "It is estimated that if family caregivers were compensated for their efforts, it would cost $196 billion nationwide." -Service provider FAMILY CAREGIVING Older adult testimony indicated there are many unmet needs in the county for in-home care, and advocated that family members be compensated for their caregiving. Older adult testimony expressed the importance of older adults to remain in their homes and cared for by loved ones versus receiving nursing home care. "Two thirds of in under the age of 60 say they expect to be a caregiver for an older parent in the future." Service provider testimony indicated that 25.8 million U.S. families provided an average of 18 hours of care in 1997. The need for educating families on the community resources that are available and encouraging advocacy for family support services was stressed. PUBLIC EDUCATION -Older adult Older adult testimony indicated there is a significant need to share information with older persons about events, such as this Forum, so that they can attend and be heard. Testimony further suggested the Senior Olympics and other places where older adults meet, as avenues for marketing to a wide audience about forthcoming meetings that address issues of importance to older adults. Service provider testimony admitted that the advertising of social services has not been a high priority. Testimony indicated that efforts are usually limited to obtaining free advertising, and acknowledged that this strategy often is not sufficient. 4 Community Forum on Older Adult Needs TRANSPORTATION We have no taxi service, so they can't even call a cab. ..l hear from SO many people-- we could only do this, we could only do that, if we could only do go!" Older adult testimony indicated that there is a need For expanded public and private transportation services in Marysville. The importance of older adults maintaining their driving abilities is of great concern for safety and independence. Caregiver testimony described how a parent fears the day when they will no longer be able to drive a car. Service provider testimony identified the need to expand transportation service hours and extend the service area. Also suggested is the use of low floor buses to accomodate older adults and disabled persons. -Older adult Service provider testimony indicated there is a need for transportation services outside of the Port Huron area and for county residents to travel to Detroit area hospitals for specialized medical care. SENIOR ACTIVITIES "You never really own your home; if you think you do, don't pay your taxes." Older adult testimony advocated for the development of a computer room in the new senior center that offers computer assistance and training. Testimony indicated there is interest For this among older persons. HOUSING -Older adult Older adult testimony called for a reduction in property valuations and property taxes For older persons, indicating that fixed incomes of most older persons do not increase in a manner comparable to property taxes. Older adult testimony advocated for the omission of property taxes for older adults based on the fact they have already paid for many years. Additional testimony indicated that older adults 5 Community Forum on Older Adult Needs Service provider testimony indicated that families need easier access to respite care early in their caregiver career, indicating that even four hours of respite per week can have a significant positive impact on the caregiver's ability to sustain their role. "People can go bankrupt caring for a family m em ber." -Service provider Service provider testimony advocated for higher reimbursement levels for in-home services, stating that providers need additional funding to pay in-home aides a living wage. 8 Community Forum On the Needs of Older Washtenaw County Residents March 21, 2000 A summary of older adult needs in Washtenaw County, as indicated by older persons, provider agencies, family caregivers, and expert witnesses at the Community Forum. Sponsored by: Area Agency on Aging 1-B Center for Social Gerontology Washtenaw United Way INTRODUCTION On March 21, 2000, a Community Forum on the Needs of Older Washtenaw County residents was held in Ypsilanti Township, Michigan. The purpose of the forum 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. Participants were invited to provide testimony on unmet needs, and influence the priorities that would be established for housing, health, transportation, and social programs for Washtenaw County. The forum was co-sponsored by the Area Agency on Aging 1-B (AAA 1-B), Washtenaw United Way, and the Center for Social Gerontology. These sponsoring organizations play primary roles in the planning, funding, and provision of services for county residents. The responsibility of the sponsoring organizations was to listen to the testimony provided at the forum, and use the information within their organizations to assure that their activities are responsive to the needs of older adults. The forum testimony is used by the AAA 1-B in the development of its Fiscal Year 2001-2003 Multi-Year Area Plan, which distributes over $15 million in federal Older Americans Act, and state funds to support a range of social, nutritional, access, and long term care services. The forum sponsors extended a special invitation to five expert witnesses, requesting testimony on areas of special interest. The following topics were addressed in this manner: 2 Public Housing Betsy Lindsley, Ann Arbor Housing Commission Volunteerism Barb Zaret, Catholic Social Services Council on Aging Transportation Su Crabb, Helpsource wyi 16n445,-- ••• • • • Community Forum on Older Adult Needs MO Me Minority Health Issues Gloria Edwards, Program for Multi-Cultural Health Older Adults in Rural Communities Pat Kaminsky, Chelsea Senior Citizens Center Seventy three persons participated in the Washtenaw County CommLmity Forum, with 18 providing testimony. Attending the forum were 30 older adults; one elected official, and 42 other agency representatives or interested parties. This report summaries the issues discussed at the forum, and documents the needs among older Washtenaw County residents. Prepared by: Area Agency on Aging 1-B Sandra K. Reminga, Executive Director 29100 Northwestern Highway, Suite 400 Southfield, Michigan 48034 (248) 357 -2255 www.aaa1b.org 3 Community Forum on Older Adult Needs Accorclino to the 1990 Census, the percent of minorities age 60 and older residing in Washtenaw County is over 1 Of!.). WASHTENAW COUNTY COMMUNITY FORUM ON THE NEEDS OF OLDER WASHTENAW COUNTY RESIDENTS TESTIMONY SUMMARY March 21, 2000 MINORITY HEALTH ISSUES Service provider testimony indicated that the primary health care need that minority older adults have is access to quality care. Access to quality care means having adequate transportation to physicians, clinics, and hospitals, as well as ensuring that the health care environment is receptive to the unique needs of the minority older adult. Testimony stressed that there is a significant need to provide culturally sensitive care through community agencies. One possible solution to alleviating the fears that many minority older persons have in utilizing health care services would be to employ additional community health workers. Community health workers are able to reinforce the need for follow-up care, educate clients about preventative care, and direct them to the appropriate health care to meet their needs. Currently, there are state dollars available to develop community-based groups to form advocacy coalitions to assist minority older adults with needs, such as health care. These community-based groups have been able to develop resources specific to different minority populations. Another need that has yet to be addressed in Washtenaw County through these community-based groups is the development of a health resource and education center for minorities. 4 \10 • e•• • Community Forum on Older Adult Needs • More than 16,000 of the more than 29,000 adults over the age of 60 reside in communities outside of the cities of Ann Arbor and Ypsilanti. -- 1990 Census OLDER ADULTS IN RURAL COMMUNITIES Service provider testimony indicated that older adults in Washtenaw County encounter many barriers to maintaining their independence and a meaningful quality of life because they live in rural communities. The two main barriers include: lack of transportation and social isolation. Because rural areas are not as populated, it typically costs more to provide a comprehensive transportation service for residents. Many older adults in rural communities continue to drive because they do not have a safe and reliable alternative. Lack of transportation forces some older adults to make the difficult decision to move from the homes they have lived in for their entire lives to a new community that offers adequate transportation. Social isolation tends to be more prevalent in rural communities, due to geography and lack of adequate transportation. Many rural people have been independent for their entire lives and are often reluctant to reach out for services that may enhance their quality of life. With limited staff, it is difficult for senior centers in rural areas to reach out to this isolated population. More community outreach, enhanced computer and internet training, affordable and well-delivered transportation, and increased funding for marketing and staff at rural senior centers, were suggested as possible solutions to assisting rural older adults maintain their independence and a meaningful quality of life for as long as possible. 5 •re • Community Forum on Older Adult Needs Ni H30 - of residents in public housing in Washtenaw County are over the are of 62, wh il e _ 68% are non-elderly disabled" --Service Provider testimony PUBLIC HOUSING Service provider testimony indicated that the population in subsidized housing in Washtenaw County is extremely low-income, but also primarily young and disabled. Very few persons age 60 and older are on waiting lists for public housing which is reflected in the current composition of subsidized buildings - 30 - 35% of residents are 62 years of age and older, while nearly 70% are non-elderly persons with a disability. Federal regulations have broadened the definition of "disability" to include persons with a substance abuse problem, and this has led to concerns about safety among the older residents in many subsidized buildings. Due to issues of safety for older residents, a need has been identified for 24 hour security in buildings, perhaps with volunteers patrolling buildings. The difficulty in addressing this issue has been the delicate balance between protecting resident safety and the resident's freedom to live independently. Another issue identified is the social isolation of residents, due to limited transportation and limited programming in public housing. The mentality of public housing is often, "if you're poor and isolated, you're stuck". OTHER HOUSING ISSUES Service provider testimony described how accessory housing options, often called echo housing, can help families that need to care for a frail family member at the home of a caregiver. Testimony indicated there is a need for additional accessory housing options in the county. 6 An evaluation of the Iomeshare Program found that 1/2 of participants say it was "extremely important" in allowino them to stay in their homes, and the other 1/2 said that it was 'very important" in allowing them to remain in their home" -- Service provider testimony 1,0 MIL r Community Forum on Older Adult Needs Service provider testimony indicated that there are many low and middle income persons who would benefit from an assisted living housing environment, but cannot afford the high cost of existing facilities. Affordable assisted living facilities are needed, and efforts should be made to preserve and expand adult foster care options that are affordable. Service provider testimony indicated that Washtenaw County has Michigan's only shared housing program, which provides housing, supportive services, and economic benefits to participants. Persons who move into the home of another often provide services such as transportation, chore work, and housekeeping for the homeowner. A recent survey of shared housing homeowners found that all homeowners believe their participation is important to allowing them to remain living independently in their home. Recent changes in property tax foreclosure procedures will make it more difficult for persons who are behind in their taxes to save their homes from foreclosure. Testimony expressed concern that this change, which was made to benefit urban communities when dealing with tax delinquents, will have unintended harmful effects on low-income older homeowners. Property taxes have risen faster than the fixed incomes of most older persons, putting an increasing number of older homeowners at risk of property tax foreclosure. Older adult testimony indicated that the building code system is extremely difficult to negotiate. Assistance with contacting state officials regarding housing code violations was identified as a need. 7 : The A,AA 1-B's Senior Driving A\Varen eSS Program in Washtenaw County provides information and support to help older drives retain their driving privileges as long as possible and prepare for the day when they can no longer drive. Community Forum on Older Adult Needs SUBSTANCE ABUSE Service provider testimony accused the Balanced Budget Act provisions of cutting reimbursement for substance abuse services, resulting in financial losses for most service providers that depend on Medicare and Medicaid reimbursement. Testimony called for the development of a new paradigm for the delivery of substance abuse services that includes greater involvement of local community organizations. SENIOR CENTERS Elected official testimony extolled the value of local senior centers, and advocated that they offer older persons access to the tools of technology so that seniors can remain engaged in society. Testimony indicated that the demand for senior center programs should grow as the older adult population grows. Due to the burgeoning senior population, senior centers have an additional need for new equipment, to ensure that the senior center can accommodate new participants. Testimony also indicated that senior centers need assistance in resource development and grant writing. TRANSPORTATION Elected official testimony indicated that transportation is the most significant problem for older persons in their community, and described the struggles that their volunteer-based transportation program has in meeting demand. Testimony stated that operating funds are needed to employ paid drivers. 8 • • 41 Community Forum on Older Adult Needs More than 5W0,000 trom the tobacco settlement was recently allocated to the AAA 1-B by the Michigan Department of Community lealth to enhance respite services in Region 1-B. Service provider testimony indicated that although Washtenaw County has better transportation resources than many other areas, there are still gaps, including lack of transportation for non-medical needs, such as grocery shopping and social visits. One potential solution to addressing transportation needs would be to make city council members, state legislators, and members of Congress more aware of gaps in transportation. Additionally, Census 2000 forms should be filled out to accurately identify where the elderly population resides. And finally, ride sharing should be more encouraged. IN-HOME SERVICES Service provider testimony indicated that due to low unemployment and the low wages that home care workers receive, it is very difficult to recruit and retain aides to provide in-home services to elderly clients. Testimony urged stronger advocacy to raise the state reimbursement caps for personal care, homemaking, and respite services for clients enrolled in area agency on aging programs, so that agencies can increase wages for home care workers. Older adult testimony identified an increased need for home maintenance services, including lawn mowing and snow shoveling. The demand for these services increase as older adults remain in their homes longer. Service provider testimony indicated that the AAA 1-B should recognize, as they develop their long-term respite plan, that many individuals without a dementia, may still have a need for respite services. AAA 1-B should consider continuation of funding to social model adult day service centers that may serve more clients without dementia. 9 ••• • • oe • • • • "Volunteers are cost-effective, but are not free" -- Service provider comment Commumty Forum on Older Adult Needs VOLUNTEERS The need for volunteers is significant because of the decreased funding available to support staff positions at social service organizations. There is a low unemployment rate, but an increased demand for services. However, using volunteers to care for older adults requires more commitment by organizations, because additional time is needed to train, supervise, and monitor the volunteers. In order to retain volunteers, organizations must continually ensure that volunteers engage in meaningful tasks and feel appreciated. EMPLOYMENT Service provider testimony requested that the AAA 1-B get involved in facilitating a collaborative effort of various senior employment programs, including local Title V programs, and national employment programs, such as the American Association of Retired Persons and Green Thumb programs, to address common needs and concerns. HOME DELIVERED MEALS Elected official testimony praised the home delivered meals program, and expressed concern with the difficulty that the program has in attracting and retaining volunteer drivers. Testimony suggested that volunteer drivers be reimbursed for their mileage, as a way to encourage volunteers to remain committed to the program. 10 Nvi 'Nate. 411 Community Forum on Older Adult Needs • oe• • • The Michigan mergenc Pharmaceutical Program for Seniors (MEPPS) assisted 107 unduplicated clients in Oil \V County with 967 prescriptions in kcal Year 1999. ADVOCACY Older adult testimony encouraged individuals to become more involved in advocating for older persons, and participating in forums on aging policy and services. PRESCRIPTIONS Service provider testimony advocated for increased assistance with prescription drug costs. Although the planned Elder Prescription Insurance Coverage (EPIC) program is expected to replace the Michigan Emergency Pharmaceutical Program for Seniors (MEPPS) and the Prescription Drug Credit in early 2001, it is unclear whether this new program will truly meet the unmet need among older adults. Testimony suggested expansion of the existing MEPPS program, even in this fiscal year, to provide third and fourth vouchers for eligible persons. RESOURCE ADVOCACY Resource Advocates, funded by the AAA 1-B, identify older adults in need of community services and act as advocates to assist these individuals to find resources to meet their needs. Resource Advocates work in collaboration with local AAA 1-B staff to provide a continuum of support and service access. Service provider testimony indicated that the number of older adults who need the assistance provided by Resource Advocates in Washtenaw County is expected to increase significantly this year. Increased resources to support additional Resource Advocates is requested. 1 1 Community Forum on Older Adult Needs RAMPS The need for ramps and other home access devices has increased, as more older adults are faced with chronic, disabling conditions which require them to use a wheelchair or walker. Service provider testimony indicated that available resources are not sufficient to meet the demand for ramps. 12 JUN 1 6 2000 SEM= . Local Governments Partnering For Progress Southeast Michigan Council of Governments • 660 Plaza Drive • Suite 1900 • Detroit, Michigan 48226 • 313-961-4266 • Fax 313-961-4869 June 14, 2000 http://www.semcog.org James McGuire, Director/Planning & Advocacy Area Agency on Aging Region 1-B 29100 Northwestern Highway - Suite 400 Southfield, Michigan 48034 RE: Review of Multi-Year Plan for Federal assistance from the U. S. Department of Health & Human Services/Older Americans Act Programs for a project entitled "FY 2001-2003 Multi-Year Area Plan/FY 2001 Annual Implementation Plan" Regional Clearinghouse Code: HO 000171 State Clearinghouse File No.: S 000430 Dear Mr. McGuire: SEMCOG, the Southeast Michigan Council of Governments, has processed a review for the above Multi-Year Area Plan/Annual Implementation Plan according to intergovernmental review procedures established in Presidential Executive Order 12372 and assumed ir the Michigan Federal Project Review System. As the designated regional planning agency for southeast Michigan, we notified the following local government agencies of your project: Livingston, Macomb, Monroe, Oakland, St. Clair & Washtenaw County Planning Offices As of this date, the Macomb County Planning & Economic Development Department and the Washtenaw County Metropolitan Planning Commission have submitted favorable comments, which are attached. We will forward additional comments, if any, for your information and attention. SEMCOG's staff has reviewed the Multi-Year/Annual Plan materials which you submitted and finds that they do not conflict with areawide plans. These plans address many of the needs of the elderly within our service area. In light of SEMCOG's population and household projections, it is imperative that these issues are identified and addressed as they impact current and future senior citizens. SEMCOG forecasts that the region will grown in population and households to the year 2025. The biggest changes over the forecast period relate to the aging of the population. The population age 55 to 64 years will increase 83 percent; age 65 to 75 years by 86 percent; and, age 75 and older by 92 percent. These increases will provide local governments with both opportunities and challenges. In cooperation with the Area Agencies on Aging, SEMCOG will be in a position to assist local government in responding to the future population trends. Recognizing the need to plan now for expected changes in the population, SEMCOG recently completed an assessment of elderly mobility and safety and developed a statewide plan of action designed to guide state policy. The recommendations cited addressed traffic engineering, alternative transportation, housing and land use, health and medicine, licensing, and education awareness. Diana Kolakowski Marjorie Thomas Jeddy Hood Dante J. Lamella, Jr. Maryann Mahaffey Douglas Woolley Chairperson Fast Vce Chairperson Vice Chairpuson VIOL Chairperson Vice Chaaperson Immede Commissioner President LTD of Supervisor Commissioner Council Presiders/Pm Tan Past amispesson 14........J. "...ow. Co I-1.4.e.* W... librstniold TniwnekaA "... - t n......... Paul E. Tait Executive armor J. McGuire Page 2 Several of our members have expressed interest in SEMCOG undertaking a study of the current and future housing needs of the senior population. If such a study is initiated, we would apprecite the involvement and assistance of your agency. SEMCOG stands ready to be of assistance in implementing these plans. If you have any specific comments or suggestions regarding SEMCOG's assistance, please call Robert 0. McMahon, Manager, Community and Economic Development at (313) 961-4266. Sincerely, wi Richard W. Pfaff, Jr. Regional Review Coordinator RWP/bar cc: Macomb County Planning & Economic Development Dept Washtenaw County Metro Planning Commission Michigan Office of Services to the Aging Area Agency on Aging 1.13 specialists in aging May 5, 2000 County Access Centem Oakland/Central Office 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Phone: 248-948-1640 800-852-7795 Fax: 248-948-9691 Livingston 2900 East Grand River Howell, MI 48843 Phone: 517-545-0048 Fax: 517-545-1302 Macomb 44200 Garfield, Suite 200 Clinton Twp, MI 48038 Phone: 810-226-0309 Fax: 810-226-0408 Monroe 502 West Elm, Rm. E203 Monroe,-M1 48162 Phone: 734-241-2012 Fax: 734-241-6877 Mr. Paul Tait, Executive Director Southeast Michigan Council of Governments 1900 Edison Plaza 660 Plaza Drive Detroit, Michigan 48226 Dear Mr. Tait: The Area Agency on Aging 1-B (AM 1-B) hereby submits its Proposed Fiscal Years 2001 — 2003 Multi Year Area Plan and FY 2001 Annual Implementation Plan for review under Michigan Federal Project Review procedures. This document serves as the application format for obtaining federal Older Americans Act funds, used to address the needs of older persons residing in Region 1-B (Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw Counties). The enclosed Area Plan and Annual Implementation Plan conform to guidelines issued by the Michigan Office of Services to the Aging which require that the plans be approved by the MA 1-B Advisory Council and Board of Directors, and submitted for two public hearings. The proposed budget includes a Fiscal Year 2000 request of $5,312,843 in federal funds from a total program budget of $18,127,711. Funds have not yet been appropriated by Congress or the Michigan Legislature for continuation of Older Americans Act and state-supported older adult programs in fiscal year 2001. Once final Region 1-B allotments are determined, the budget may be revised accordingly. St. Clair : 1985 Crratiot, Suite 1-B Marysville, MI 48040 Phone: 810-388-0096 Fax 810-388-0122 Washtenaw 32 North Washington Suite 11 Ypsilanti, MI 48197 Phone: 734-480-4113 Fax: 734-480-9373 Sincerely, Sandra K. Reminga Executive Director SKR/JM/sb Enclosures :;or P.111)/,M;.' E Aoi- it Website: www.aaalb.org Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 62 F. AFFIRMATIVE ACTION PLAN Part A I. Statement of Policy The Area Agency on Aging 1-B (AAA 1-B) will provide equal opportunity employment to all candidates submitting resumes/applications for consideration of offer to hire. Further, the AAA 1-B will comply with all federal and state regulations which prohibit discrimination with respect to compensation, terms, conditions, or privileges of employment on the basis of race, religion, economic status, marital status, sexual preference, physical disability, sex, age or national origin. This affirmation action policy and the goals outlined herein will govern all AAA 1-B activities relative to employment, training, promotion, benefits, and termination of employment This plan is a part of the personnel policies of the AAA 1-B and will be provided to all employees. II. Notices of Job Vacancies Job vacancy notices shall indicate that the AAA 1-B is an equal opportunity employer. Notices relative to vacant positions shall be posted in easily accessible areas within the AAA 1-B central office, and in its county offices, for perusal by employees and the general public. Other means of securing wider dissemination of notices, such as placement of ads in the classified sections of major newspapers, will be pursued, beyond that of internal posting, if necessary, to fill positions. G:\DEPT\PA 'ARP.APi At•I',200", Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 63 III. Number and Percent of Minority Persons in Region 1-B 1990 Census Data Asian and Total Native Pacific Spanish Other Non- Total County Population Black American Islander Origin Hispanic Minority Oakland 1,083,592 77,488 3,948 25,103 19,630 6,379 132,548 Macomb 717,400 10,400 2,639 9,112 7,978 1,563 31,692 Washtenaw 282,937 31,720 1,076 11,724 5,731 2,027 52,278 St. Clair 145,607 2,987 745 475 2,558 1,106 7,871 Monroe 133,600 2,339 481 574 2,077 785 6,256 Livingston 115,645 673 705 480 974 221 3,053 TOTAL 2,478,781 125,607 9,594 47,468 38,948 12,081 233,698 Total Minority Population in Region 1-B (all ages) Total Population in Region 1-B (all ages) Percentage Minority Population of the Total Population 233,698 2,478,781 9.43 G:\DEPT\PNAREAPLAI,R2001-3 AreaPlankFinal MYAP-AIF' 2001-3.cloc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 64 IV. Target Goals for Employment and/or Upgrading of Minorities, Women, Older Persons, and Persons with Disabilities by the Area Agency on Aging 1-B The Area Agency on Aging 1-B, as of June 1, 2000 has the following compliment of personnel: Number and Characteristics of Personnel Percent Professional Support 131 TOTAL POSITIONS 100% 103 28 - 125 F-T; 6 P-T Employees 97 F-T; 5 P-T 27 F-T; 1 P-T - 14 Minority Employees 11% 9 5 - 9 Older Employees 7% 7 2 - 3 Employees w/Disabilities 2.3% 2 1 -125 Female Employees 95% 98 27 - 6 Male Employees 5% 5 1 - 13 Vacant Positions 10% 11 2 The AAA 1-B FY 2001-2003 Affirmative Action Plan, based on 1990 census data, reaffirms the agency's commitment to maintain its diverse and excellent assembly of employees. The data delineated above indicates that the AAA 1-B has achieved a well balanced and diverse group of employees which meet and exceeds the total percentage of persons with these characteristics who reside in the six counties of Region 1-B. The AAA 1-B 2001-2003 Affirmative Action Plan will concentrate on maintaining the staffing balance achieved under the agency's previous plans. The AAA 1-B would prefer to hire a greater number of qualified older persons to fill staffing vacancies within our core staff. The most common obstacles encountered, however, when searching for older applicants are: desiring part-time employment rather than full time; desiring a short driving distance to work; and often not wanting to drive on agency time to other destinations within the Region 1-B area. Because the AAA 1-B operates the Older American Act, Title V Older Worker program, we have found that low income older adults who wish to work prefer to have us place them in "local provider organizations" close to where they reside. Under the Title V program, these older adults work only 18 hours per week. Timetable and Action Steps to Achieve Target Goals of Employment: 1. Hire an Older Worker for One Full-Time Position, or Two Workers for a Split Position a. Target Goal--September 30, 2000 b. Work with potential applicants relative to flexible hours 2. Maintain Current Staffing Balance a. Target Goal--September 30, 2001 G:T1--.PT\ \AP.P.A.PLA',J..1‘ 203 -:3 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 65 b. Should the AAA 1-B experience a loss of minority, women, older adults, or persons with disabilities, efforts will be made to hire qualified new employees with comparable characteristics. The AAA 1-B Executive Director is responsible for implementing the Goals, Timetables, and Action Steps outlined above V. Provisions for Upgrading Staff Skills Staff Skills will be upgraded through the following activities: 1. Conducting individual staff conferences; 2. Conducting regularly scheduled department meetings 3. Attending the AAA 1-B general staff meetings; 4. Approval to attend various national, state, and local conferences (depending upon the availability of funding to attend conferences); 5. Providing internal training and skill development in such areas as computers and software applications; 6. Granting approval for staff to attend university/college classes related to their jobs when these classes are offered only during working hours. VI. Steps to Eliminate Discriminatory Hiring and Promotion Policies 1. All current job descriptions are reviewed every two years to determine that they are up-to-date and are written in compliance with the agency's Affirmative Action Plan. 2. Methods of announcing job vacancies are continually monitored by AAA 1-B Human Resources Director to ensure compliance with the agency's policies on position announcements. VII. Process for Affirmative Action Plan Approval and the Bi-Annual Review and Updating of the Plan The AAA 1-B Executive Director shall take the latest AAA 1-B Affirmative Action Plan to the Board of Directors for their consideration and approval. Following approval, the Plan will be transmitted to the Michigan Department of Civil Rights with a request that the Department review its content and issue a letter of acceptance of the Plan. The Executive Director will take the Affirmative Action Plan, on a bi-annual basis, to the Personnel Committee of the Board of Directors where the Plan will be reviewed for content and progress in achieving stated objectives. Any revisions required will be G:\DEPTPANAREAPLAN\200 `--.?. Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 66 made according to the recommendations of the Personnel Committee, and acceptance by the Board of Directors. Part B Statement on Use of Minority Organizations The Area Agency on Aging 1-B will utilize the services of minority owned organizations/businesses, when possible, within Region 1-B for the purchase of supplies and equipment. Further, the AAA 1-B will reach out to find minority organizations which could be responsive to competitive "Request for Proposals", or enter into agreements with the AAA 1-B for their organization to be placed in a "direct services provider" pool. r=3-.V3EPT\PPARPAPL,6‘1-4\2001.-•.-,,,zaP ar,,,Fin, Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 67 Complaint of Discrimination Employee's Name Employee's Department Date and Location of Alleged Incident of Discrimination Persons Involved in the Incident Description of What Occurred Signature of Employee Filing: Date: Submit to: AAA 1-B Human Resources Director alDEPTNPA \AREAPLAN1\2CCI-:f, Plan - Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 68 G. ASSURANCES AND CERTIFICATIONS The undersigned agency, designated by the Michigan Commission on Services to the Aging to act as the Area Agency on Aging within a given planning and service area, agrees to the following: 1. That the Multi-Year Area Plan and Annual Implementation Plans shall cover the period October 1, 2000 through September 30, 2003. 2. To administer its Multi-Year Area Plan and Annual Implementation Plans in accordance with the Older Americans Act, the Older Michiganians Act, federal and state rules, and policies of the Michigan Commission on Services to the Aging as set forth in publications and policy directives issued by the Michigan Office of Services to the Aging. 3. To make revisions necessitated by changes in any of the documents listed in point two in accordance with directives from the Michigan Office of Services to the Aging. 4. That any proposed revisions to the Multi-Year Area Plan or Annual Implementation Plan initiated by the Area Agency on Aging will be made in accordance with procedures established by the Michigan Office of Services to the Aging. 5. That funds received from the Michigan Office of Services to the Aging will only be used to administer and fund programs outlined in the Multi-Year Area Plan and Annual Implementation Plans approved by the Michigan Commission on Services to the Aging. 6. That the Area Agency on Aging will undertake the duties and perform the project responsibilities described in Multi-Year Area Plan and Annual Implementation Plans in a manner that provides service to older persons in a consistent manner over the entire length of each Annual Implementation Plan and to all parts of the planning and service area. 7. That program development funds will be used to expand and enhance services in accordance with the initiatives and activities set forth in the approved Multi-Year Area Plan. 8. That all services provided under the Multi-Year Area Plan and Annual Implementation Plans are in agreement with approved service definitions and are in compliance with applicable minimum standards for program operations as approved by the Michigan Commission on Services to the Aging and issued by the Michigan Office of Services to the Aging, including Care Management and the Michigan Emergency Pharmaceutical Program for Seniors. 9. That the Area Agency on Aging will comply with all conditions and terms contained in the Statement of Grant Award issued by the Michigan Office of Services to the Aging. 10. That the Area Agency on Aging may appeal actions taken by the Commission on Services to the Aging with regard to the Multi-Year Area Plan or Annual Implementation Plans, or related matters, in accordance with procedures issued by the Michigan Office of Services to GADEP-RPANAREAPLAW2C01-3 AreaPlan\Finai klYAP-AU ,-' 2:301 Name of the Area Agency on Agjpg Signature, Chairperson, Area Agency 0,144 Board of Directors nature, Executive Director, Area Agency on Aging Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 69 the Aging in January 1983 in compliance with the requirements of the Older Michiganians Act and Administrative Rules. The undersigned hereby submit the Multi-Year Area Plan and accompanying Annual Implementation Plan that describe the initiatives and activities which will be undertaken on behalf of older persons within the planning and service area. We assure that these documents and subsequent Annual Implementation Plans represent a formal commitment to carry out administrative and programmatic responsibilities and to utilize federal and state funds as described. Area Agency on Aging 1B Vum C. Bartley, Jr. Typed Name, Chairperson, Area Agency on Aging Board of Directors Sandra K. Reminga Typed Name, Executive Director, Area Agency on Aging DV2-3/0 0 te / GMEPTNPA\AREAPLAN\2001-3 AreaPlan\Final MYAP-AlP 2001-3.doc ) Agnature of Authorized Official )< • É ASSURANCE OF COMPLIANCE ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964, SECTION 504 OF THE REHABILITATION ACT OF 1973, TITLE IX OF THE EDUCATION AMENDMENTS OF 1972, AND THE AGE DISCRIMINATION ACT OF 1975 The Applicant provides this assurance in consideration of and for the purpose of obtaining Federal grants, loans, contracts, property, discounts or other Federal financial assistance from the Department of Health and Human Services. THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH: 1. Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 80), to the end that, in accordance with TIM VI of that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 2. Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 84), to the end that, in accordance with Section 504 of that Act and the Regulation, no otherwise qualified handicapped individual in the United States shall, solely by reason of his handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 3. Title IX of the Educational Amendments of 1972 (Pub. L. 92-318), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 86), to the end that, in accordance with Title IX and the Regulation, no person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any education program or activity for which the Applicant receives Federal financial assistance from the Department. 4. The Age Discrimination Act of 1975 (Pub. L. 94-135), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 91), to the end that, in accordance with the Act and the Regulation, no person in the United States shall, on the basis of age, be denied the benefits of, be excluded from participation in, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. The Applicant agrees that compliance with this assurance constitutes a condition of continued receipt of Federal financial assistance, and that it is binding upon the Applicant, its successors, transferees and assignees for the period during which such assistance is provided. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant further recognizes and agrees that the United States shall have the right to seek judicial enforcement of this assurance. The person or persons whose signature(s) appear(s) below is/are authorized to sign this assurance, and commit the Applicant to the above provisions. Area Agencv_on Aging 1-B Name of Applicant or Recipient Agency Executive Director 29100 Northwestern Highway, Suite 400 Title of Authorized Official Street 0 Southfield, MI 48034 Date City, State, Zip Code Form HHS-690 (05/97) 06/2312000:1:18 PM;G:\DEPIAPALAREAPLAM2001-3 AreaPlan\MYAP Civil Rights Assurances.doc Agency: Area Agency on Aging 1-B FY 2001 — 2003 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 71 APPENDIX A BOARD OF DIRECTORS MEMBERSHIP , Total Membership Age 60 or Over Total Asian/ Afri. Native Am./ Hispan. Nandi- Female Total Asian/ Afri. Native Hispan. Handl- Female Pacific Am. Alask. Origin capped Pacific Am. Am./ Origin capped Island. Island. Alask. 18 0 2 1 0 - 1 10 15 0 2 1 0 1 NAME David C. Hamliton Joan Flynn Floreine Mentel Terry Sever Juanita Gittings Barbara Levin Bergman Vurn Bartley, Jr. John D'Agostino Mae Derdarian Harvey Gordon Vacant Clara White Charles Meyers Robert McMahon Theodore Crossman Rose Marie Kearney Nanci Disher Dorothy Webb Vacant Mary Louise Foley GEOGRAPHIC AREA Livingston Macomb Monroe Oakland St. Clair Washtenaw Regiona Regiona Regiona Regiona Regiona Oakland County Regiona Regiona Livingston Macomb Monroe Oakland St. Clair Washtenaw AFFILIATION County Commissioner County Commissioner County Commissioner County Commissioner County Commissioner County Commissioner Banking (Retired) UAW Retirees (Retired) United Community Services (Retired) Carco, Inc. Detroit Edison Childrens Village (Retired) Binson's (Retired) SEMCOG Older Adult County Commission Appointee Older Adult County Commission Appointee Older Adult County Commission Appointee Older Adult County Commission Appointee Older Adult County Commission Appointee Older Adult County Commission Appointee GADEPWAVUIEAPLAM2001-3 AreoPlanTinal MYAP-AIP 200I-3.doe Agency: Area Agency on Aging 1-B FY 2001 — 2003 GEOGRAPHIC AREA Private Sector Representative Private Sector Representative Private Sector Representative Private Sector Representative Private Sector Representative Private Sector Representative Private Sector Representative Private Sector Representative Washtenaw County St. Clair County Monroe County Regional Regional Oakland County Livingston County AFFILIATION Michigan Peer Review Michigan Disability Rights Coalition Eldergap Interdependence Blue Care Network SelectCare Presbyterian Villages of Michigan St. John Health System Family Independence Agency Title III Nutrition Provider Monroe County Health Department Madonna University Greater Detroit Health Council Office of Congressman Knollenberg Title III Service Provider Michigan Senior Advocate Michigan Senior Advocate NAME Margaret Belton Norm DeLisle Sandra Schiff Jill Runquist Judy Policicchio Jan Getty Roger Meyers Patti Sullivan Patricia Hammond Jyme Hager Judy Heath Anita Herman Robert Parrish Irene Mitchell Catherine Rea Dorothy Walker Ardemis Kalousdian Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 72 APPENDIX B ADVISORY COUNCIL MEMBERSHIP Total Membership Age 60 or Over Total Asian/ Afri. Native Am./ Hispan. Handi- Female Total Asian/ Afri. Native Hispan. Nandi- Female Pacific Am. Alask. Origin capped Pacific Am. Am./ Origin capped Island. Island. Alask. 26 0 2 1 1 0 15 14 0 1 1 1 0 6 GADEPTTNAREAPLAN\2001-3 AreaPlanTinal MYAP-AP 2001-3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 73 NAME Donald Ziemer Roscoe Stuber Robert Sanchez James Revels Dwight Montz Al Jones Jean Robinson Vacant Anna Mickel Robert Esper James V. Seegert Vacant Vacant GEOGRAPHIC AREA Livingston County Oakland County Macomb County Monroe County St. Clair County Washtenaw County Livingston County Oakland County Macomb County Monroe County St. Clair County Washtenaw County AFFILIATION Michigan Senior Advocate Older Adult Services Representative Older Adult Services Representative Older Adult Services Representative Older Adult Services Representative Older Adult Services Representative Older Adult Services Representative SEMCOG Representative SEMCOG Representative SEMCOG Representative SEMCOG Representative SEMCOG Representative SEMCOG Representative GADEPTTA\AREAPLAN \2001-3 AreaPlanTinal MYAP-AIP 2001-3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 74 APPENDIX D Agency: Area Agency on Aging 1-B FY 2001 —2003 PROPOSAL SELECTION CRITERIA I. All applications submitted to the AAA 1-B for federal or state funding must meet the following pre-screening criteria before being reviewed and considered for funding: A. All six (6) complete copies of the application submitted, with original, authorized signatures on the summary budget, agreement and assurance pages of the first copy. The remaining five (5) copies may have photocopied, rather than original, signatures... B. Copies of the application submitted to the AAA 1-B Southfield office by the published deadline. C. Verification of the applicant's corporate status submitted with the application or on file at the AAA 1-B office (if not a public agency). D. Appropriate services applied for, as listed in the AAA 1-B Request for Proposals. II. Applications which meet the above criteria will be reviewed and rated on the following: A. Responsiveness to OSA and AAA 1-B Service Standards. B. Ability to be client-centered in bringing quality service to older adults. C. Evidence of directing service to targeted populations. D. Cost efficiency and expanded service capacity through effective budgeting, use of additional resources, etc. E. Flexibility and innovation in service delivery. F. Completeness and clarity of the application. G. Past performance, for current and prior contractors. III. Applications will be reviewed by an Application Review Committee appointed by the Chairperson of the AAA 1-B Board of Directors, and consisting of representatives from the AAA 1-B Board of Directors and Advisory Council. Programmatic and fiscal application review forms will be used by staff to identify how well an application meets the stated criteria. IV. Contracts for services will be awarded by the Board of Directors to agencies whose applications best meet the stated criteria, and are most advantageous to the AAA 1-B goals of cost effective delivery of quality services, in response to older adults most in need. All contracts will be awarded on the basis of availability of funds. In cases where no application best meets the criteria, the AAA 1-B Board has the right to deny all applications and to issue a second request for proposals for the desired service. G: \. DEP7P,L\ AREAPLA1\1 '200', -3 Pia \ F. Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 75 V. All applications will receive written notice of the Board's decisions, which will be mailed within five (5) calendar days of the Board meeting at which funding decisions are made. All applicants will receive notice of the AAA 1-B Applicant/Contractor and Administrative Appeal Procedure, should they wish to appeal the Board's decision. VI. The majority of contracts will be awarded for a three-year period, with first year funding determined at the start of the contract, and subsequent funding determined on an annual basis. Senior Center Staffing will be funded for one year on a seed money basis, with the option of re-funding for a maximum total of three years. Resource Advocacy will be funded annually. The AAA 1-B Care Managers and Resource Advocacy contractors continue to strengthen the Access Team procedures in order to work together as a unit. VII. Once the AAA 1-B Board of Directors has determined funding levels for the new contract year, client and unit numbers may have to be negotiated, based on serving levels recommended by the Board. There may be other application changes or program requirements which are noted in the funding decision. Once the applicant has returned the response letter to the AAA 1-B accepting the funding decision, AAA 1-B staff will negotiate with applicants all further aspects of the contract. Any changes from a Board recommendation will be reported 'back to the Board of Directors. Every effort will be made to have negotiations completed and contracts signed by October 1. VIII. Requests for a waiver of any AAA 1-B policy must be submitted in writing to the AAA 1-B with the application. At minimum, waiver requests must contain the following information: 3 The specific AAA 1-B policy for which the waiver is requested. 3 The reasons why such a waiver is needed. 3 The date on which the waiver would take effect, if approved. All policy waivers are subject to the discretion of the AAA 1-B Board of Directors. No waivers are granted for insurance requirements. Organizations will receive written notification of the AAA 1-B disposition of their waiver request within ten calendar days of Board action. IX. Funding levels for contract negotiations for the second and third years will depend on the availability of funds, on the successful fulfillment of contracted spending and serving levels in the current contract, and on positive fiscal and programmatic site assessments with no compliance issues outstanding. To negotiate the subsequent years of funding, the contractor will be asked to submit a budget, a summary of service delivery or programmatic changes, and any additional information required by the AAA 1-B. X. The AAA 1-B reserves the right to adjust a contract after the first year, and/or to issue a new RFP for any contracted service before the end of the original contract period, based on, but not limited to, considerations of the following: A. Inadequate contractor performance. G: D E PT EAP LA N POO a. Pla n\Fina: Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 76 B. Subsequent amendments to the AAA 1-B multi-year plan or annual implementation plan. C. Significant changes in the scope or nature of the service to be provided as related to state or federal requirements. Xl. Contracts for Chore, Hearing Assistance, Nutrition and Senior Center Staffing services will be reimbursed on the basis of a fixed unit rate. All other contracts will be reimbursed on the basis of monthly expenditures. XII. Unit reimbursement is understood as a method of payment for contracted services, based on a fixed unit rates which is determined prior to the finalizing of a contract for services. Individual contracted unit rates will vary with various contractors. The primary consideration in use of this system is to ensure the provision of quality, cost efficient units of service at the contracted rate, and during the entire contract period. Service quality will be monitored under existing service standards and definitions. XIII. The unit rate for a particular contractor will be determined each funding year, through a process involving negotiation with the contractor and a review of the following: a line item budget for the subsequent year, submitted by the contractor; actual costs reported on the most recent year-end and monthly reports; and information on unit costs for the particular service category on the state-wide, regional and/or local levels. All components for the cost of a unit will be used to determine a total unit cost figure. These components include: 1) the AAA 1-B funds; 2) local match; 3) program income; 4) additional resources; and 5) (in the case of nutrition) USDA reimbursement. A unit will be reimbursed based on the AAA 1-B portion of the total figure. -:;.d G: \ DEPT\ PAA 'A R EA P N',2 C.'. :t.,; a Li Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 77 APPENDIX F Agency: Area Agency on Aging 1-B FY 2001 —2003 PLANNED ENTREPRENEURIAL ACTIVITIES The Area Agency on Aging 1-B will engage in activities designed to develop and promote greater awareness, understanding and support for community resources available to older adults, those persons with disabilities, and family caregivers. To that end: • The AAA 1-B will work with public and private health care providers to arrange comprehensive long-term care for older adults. Initiatives will be pursued that combine the cumulative strengths of organizations involved in geriatric services. • The AAA 1-B will direct public relations campaigns, involving media, targeted community focal points, and corporations that maximize the community's access to available services. The cultivation of corporate support/sponsorship will be sought to assist in underwriting the costs of such campaigns. • The AAA 1-B will solicit funds from private donors and corporations to expand existing services and nurture the development of innovative programs to enhance the quality of life for older Region 1-B residents and their family caregivers. • The AAA 1-B will continue to expand its resource development activities through grant writing, on behalf of collaborative efforts the agency engages in with other community-based nonprofits. G: DEPTPA1.A.REAPLAN \2001 Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan APPENDIX G REGIONAL SERVICE DEFINITION Agency: Area Agency on Aging 1-B Page 78 FY 2001 —2003 1N-HOME UNMET NEED Service Definition: The purchase of certain services for clients of the Area Agency on Aging 1-B Community Care Management and In-Home Service programs on an occasional and infrequent basis. Such services may only be provided when there is an urgent or emergency need, and when the required service cannot be obtained through other community resources in a timely manner. Services purchased under this service definition are limited to the following six services, as defined in the AAA 1-B Care Management Direct Service Purchase Standards for Service: Environmental Modifications, Medical Equipment and Supplies, Personal Emergency Response Systems, Private Duty Nursing, and Training. Unit of Service: Unit of service definition for each service category is specified in the AAA 1-B Care Management Direct Service Purchase Standards for Service. Minimum Standards: 1. The following service categories, which are defined in the AAA 1-B Care Management Direct Service Purchase Standards for Service, may be purchased on behalf of AAA 1-B In- Home Service Program and Community Care Management clients on a limited basis: ›- Environmental Modifications Medical Equipment and Supplies ›- Personal Emergency Response Systems Private Duty Nursing Training 2. Any of the above mentioned services may only be purchased from eligible agencies that are a part of the AAA 1-B Direct Service Purchase provider pool. 3. The purchase of any In-Home Unmet Need service must be approved as an exception to the client's care plan by a Care Management Supervisor. GADEPTPA'AREAPLANn2001-3 AreaPlarO,Fin81 2001-3.dos Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 79 4. Purchase of an In-Home Unmet Need service may only be approved if there is no other community resource to meet the clients need or if other community resources cannot be mobilized in a timely manner, and when the health status or wellbeing of the client will be placed at great risk without provision of the required service(s). 5. Client files must contain documentation of the need for services purchased under the In- Home Unmet Need service definition. (o o , ignature, Authorized Area Agency Offic;PK— Date p Ej Approved Signature, OSA Director Denied Date GADEPTNPANAREAPLAN\2001-3 AreaPlan\Fin31 MYAP-AIP 2001 -3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 80 OUT-OF-HOME RESPITE Service Definition: Provision of companionship, supervision and/or assistance with activities of daily living provided in a long term care facility on a short-term basis, for mentally or physically disabled persons in the absence of, or to relieve, the primary caregiver(s). Unit of Service: A unit of service is one 24 hour day of respite care provided in a long term care facility. The unit rate must include administration, supervision, appropriate meals, travel and documentation time. Minimum Standards: 1. Service Compliance: A. The service provider recognizes that the Care Management program will be responsible for determining client eligibility, providing assessment, and reassessments. B. The service provider will utilize the Care Management assessment and follow the care plan relative to frequency and duration of services. C. Care Management shall be responsible for client comments and case termination procedures. D. Each program must be able to demonstrate a working relationship with a hospital and/or other health care facility for provision of emergency health care services, as needed. An emergency notification plan must be determined for each client, in conjunction with the primary care giver. E. Each program must establish written procedures, which must also be reviewed by a consulting pharmacist, physician, or registered nurse, to govern the assistance to be given participants in taking medications which includes at a minimum: 1. Who is authorized to assist participants in taking either prescription or non-prescription medications and under what conditions such assistance may take place. This must include a review of the type of medication to be given and its impact upon the client; 2. Verification of prescriptions and dosages. All medications must be maintained in their original, labeled containers; 3. Instructions for entering information about medications in client files; and, GADEPT\RMAREAPLAN12001-3 AreaPlan\Final MYAP-Ai? 2001-3,doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 81 4. A clear statement of the client's and/or client's family responsibility regarding medications to be taken by the client while participating in the program and provision for informing client and/or client's family of the program's procedures and responsibilities regarding assisted self- administration of medications. F. Each program must employ a professionally qualified program director who directly supervises program staff. Supervision must be available to program staff at all times the client is in the respite setting. Personnel assignments must conform to wage and hour provisions of pertinent local, State and Federal laws. G. Programs must have the capacity to provide a wide range of support services, and be able to provide short term, intermittent care and 24 hour care, including holidays and weekends. H. Client files must contain an agreement governing assistance with the client's medications and signed by the client and/or caregiver, following OSA standards for written procedures. I. Client files must contain descriptions of client accidents or illnesses occurring while the client is in the respite setting, including date, time, and condition under which the incident occurred, and action taken. J. Workers must receive written instructions for service to each individual client, based on the service plan developed for that client. K. Respite Care Programs must assure that workers receive training twice annually, which includes the following topics: 1) the aging process and problems associated with aging; 2) basic nutrition; 3) basic first aid; 4) communication and observation skills; 5) maintaining records; 6) emergency procedures; 7) homemaking and personal care skills. L. To be eligible for Respite Care, a family unit or household must contain at least one dependent person of any age who meets the Michigan Office of Services to the Aging Operating Standard, Minimum Standard and 1 A and/or B; and at least one individual age 60 or older who is either the person who meets this eligibility criterion, or who is the caregiver of an eligible person. These eligibility criteria could allow service to be provided to families with persons age 60 and older who are caregivers of dependent persons younger than age 60, or to older adults who are responsible for raising grandchildren. 11. Basic Program Requirements: A. Out-of-Home respite programs must be able to provide: GADEPTTNAREAPLANY7001 -3 AreaPlan rvIYAP-.AP 2001 -3.doc e nature, Authorized Area Agency Offi Date 4)/ -2-3t) Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual implementation Plan Page 82 1. Attendant Care (client is not bed-bound) - Companionship and assistance with toileting, eating and ambulation; 2. Basic Care (client may or may not be bed-bound) - Assistance with ADLs, routine exercise, and supervision of adherence to medication; 3. Personal Care. fl Approved Signature, OSA Director [1.1 Denied Date GAIDEPTPA1AREAPLAN\2001-3 AreaPlan \Final EilYAP-AP 2001-3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 83 RESOURCE ADVOCACY Service Category: Access Service Definition: Resource Advocacy is an integral component of the AAA 1-B Access Team, whose goal is to provide a continuum of support and service access for older adults and their families. As part of this team, Resource Advocates identify older adults in need of community services, and act as advocates to assist these individuals to find resources that meet their needs, in collaboration with, but not duplicating, the work of the local AAA 1-B staff. Unit of Service: One hour of resource advocacy, including all activities performed to assist individuals in meeting identified needs. Minimum Standards: 1. Resource Advocates use a variety of strategies, including face-to-face or telephone contacts, to seek out and find older adults who may be in need of community based services. 2. Resource Advocates develop expertise in understanding the range of services and benefits available to older adults in their area, and in understanding the eligibility and application formats for these services and benefits. 3. Resource Advocates assist older individuals with immediate, emergency, or ongoing needs for food, shelter, or other basic requirements. 4. Resource Advocates visit identified isolated seniors who need follow-up to ensure their continued welfare, and facilitate their access to services as appropriate. 5. Resource Advocates assist older adults by facilitating access to needed services, and providing direct assistance in applying for and securing available resources, such as Medicaid, MEPPS, tax rebates, or appropriate housing. S. Resource Advocates participate in case conferencing with the AAA 1-B, and follow through with client assistance, when it is determined through the l&R process that an older adult is not a potential candidate for Care Management (CM) or the In-Home Services Program (ISP), but can benefit from the help of a Resource Advocate in addition to the information provided by the AAA 1-B. 7. Resource Advocates participate in case conferencing with the AAA 1-B Screening Specialist, and follow through with client assistance, when it is determined through the GADEPT\PA\AREAPLAN12001-3 AreaPlan\Final NIYAT"-AIP 2O1 -3.c Macomb .1 African American Asian Hispanic ./ Native American Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 84 screening process that an older adult is not eligible for a CM or ISP assessment, but has needs beyond those that can be addressed through the I & R service; or, that an older adult is eligible for an assessment, but has immediate needs that require a visit prior to the scheduled assessment date. 8. Resource Advocates participate in case conferencing with the AAA 1-B ISP Care Managers, and follow through with client assistance, when it is determined through the ISP assessment that an older adult has needs in addition to those addressed through the purchase of homemaking, personal care, or in-home respite services. 9. Resource Advocates participate in case conferencing with the AAA 1-B Care Managers, and follow through with client assistance, when it is determined through the CM care planning process that an older adult has needs that require immediate, periodic, or ongoing interventions appropriate to the Resource Advocates' expertise, such as annual tax assistance; or, when a CM case is closed due to the client's condition stabilizing, but the individual still needs periodic assistance, such as re-applying for benefits. 10. Resource Advocates may participate in case conferencing with AAA 1-B Care Managers and follow through with client assistance for Waiver clients. 11. Resource Advocates receive, follow up, and report on Gatekeepers referrals from the AAA 1-B, within established timeframes (3 weeks). 12. Resource Advocacy staff participate in regularly scheduled AM 1-B Access Team meetings to ensure continual coordination and information exchange. 13. Resource Advocacy supervisors and staff attend Access Team training sessions offered by the AAA 1-B. 14. Resource Advocacy organizations comply with the Guidelines for AAA 1-B Access Services (drafted 10-97) which were developed in conjunction with Resource Advocacy organizations. 15.Resource Advocacy contractors must target minority groups and are encouraged to hire minority staff. The following targeting priorities must be addressed: >. Oakland .1 African American Are GADEPTTANAREAPLAN\2001-3 AreaPlan \Final NIYAP-AIP 2001-3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 85 / Asian / Hispanic Washtenaw .1 African American 16.AAA 1-B encourages applicants to collaborate with minority organizations to target the minority groups indicated above. c, '2-3 00 Autho)r<lZedf-rea—Agency Offici Dat =I= E Approved Signature, OSA Director [I] Denied Date G:\DEPTnPA\AREAPLAINV,2001-3 AreaPlan',.Final NIYAP-AIP 2301-3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 86 HOME INJURY CONTROL Service Category: In Home Service Definition: Providing adaptations to home environments of older adults in order to prevent or control injuries in the home. Home injury control does not involve home restoration or structural renovation, or home maintenance chores that must be repeated. Allowable tasks include installation of the following: ›- safe lighting ›- ramps bathroom chairs and grab bars non-slip treatments for steps / ramps ›- vision or hearing adaptive devices ›- stairway handrails ›- smoke alarms ›- ceiling fans / air conditioners ›- other items identified by AAA 1-B Care Managers Unit of Service: Installation of one safety device in an older adult's residence. Minimum Standards: 1. Each home injury control program, prior to making any home adaptations, must determine whether a potential client is eligible for services through a program supported by other funding sources, particularly programs funded through the Social Security Act. If it appears that an individual can be served through other resources, an appropriate referral should be made. 2. Each program must develop working relationships with home care, chore, home repair and housing assistance service providers, as available in the project area, to ensure effective referrals and coordination of efforts. 3. Each program must make efforts to develop working relationships with private sector business or volunteer organizations, to maximize the potential for contributed labor or supplies. 4. Funds awarded for home injury control services are intended for the purchase of safety devices and equipment. Up to 10% of the award amount may be used for administrative costs of the program. GADEPT\PA1AREAPLAN n2001-2 AreaPlan'Fin31 ikil P 230 1-3.doc Area Agency on A g ing 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Pag e 87 5. Each prog ram must use a AAA 1-B approved home environment assessment tool, or ensure that an approved assessment tool is used b y organizations referring older adults for the home injury control service. 6. Each program must maintain a record of homes adapted, including date of assessment or referral, date of work completed, tasks performed, materials used, cost and sources of payment. 7. Each prog ram must establish and utilize written criteria for prioritizin g homes to be adapted. Priority criteria should include the following client characteristics: physical or mental disability, low income or minorit y status, residence in a "medicall y underserved" area. 8. Eachpro g ram must develop and utilize a written policy for reuse of equipment and materials (e.g., ramps) whenever possible. 14 , ignature, Authorized Area Agency O ffiqI D e El Approved Si g nature, OSA Director El Denied Date GADEPT\RMAREAPLAN\2001 AreaPlan \Final MYAP-.AP 2:7;01 -3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 88 RESPITE DEMONSTRATION Service Category: Community Services Service Definition: Respite Demonstration programs are designed to highlight or pilot innovative efforts to develop respite service in a geographic area or respite setting. Examples may include, but are not limited to: the application of technology to respite care; coordinated efforts with nursing homes, Adult Foster Care (AFC) homes, assisted living or other respite settings; caregiver or staff training; in-home career development activities; volunteer respite; public education; and respite programs which focus on targeted populations. Unit of Service: A unit of service for respite demonstration is one (1) hour of staff time worked. Minimum Service Standards: 1. Applicants must comply with the standards and provisions specified in the AAA 1-B FY 2001- 2003 Request for Proposals/Application Manual. 2. Applicants must comply with all requirements of the Tobacco Settlement Funds used to support this service. This includes: 1) emphasis on assisting disabled (18 years or older) or older (60 years or older) persons; 2) compliance with AAA 1-B Cost-Share Guidelines (where clients/individuals are being served); 3) any other guidelines established by the AAA 1-B or OSA. 3. These funds are intended as seek funding. Applicants may apply for up to two (2) consecutive years, after which time programs should be continued through other resources. 4. Priority will be given to respite demonstration programs exceeding the 20% minimum match requirements. ,,c6) *gnature, Authorized Area Agency Official Dat El Approved Signature, GSA Director [1] Denied Date G:\DEPT\PA\AREAPLAN2CO1-3 AreaPian 31 1 -Ida:: Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 89 IN-HOME RESPITE CARE SERVICE Service Number: B-9 Service Category: In-Home Service Definition: Provision of companionship, supervision and/or assistance with activities of daily living for mentally or physically disabled and frail elderly persons in the absence of the primary care giver(s). Unit of Service: Each hour of respite care provided. Minimum Standards: I. Service Compliance: A. The service provider recognizes that the Care Management program will be responsible for determining client eligibility, providing assessment, and reassessments. B. The service provider will utilize the Care Management assessment and follow the care plan relative to frequency and duration of services. C. Care Management shall be responsible for client comments and case termination procedures. II. Basic Program Requirements: A. In-home respite care programs must be able to provide: 1. Attendant care (client is not bed-bound) - companionship and assistance with toileting, eating and ambulation; and 2. Basic care (client may or may not be bed-bound) - assistance with ADL, routine exercise regimen, and assistance with self-medication; 3. Homemaking; 4. Personal Care. G:\OEPTNPA\ARE.APLAN12001-3 AreaPlannFinal \rAP-AP 2001-3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 90 B. Each program must conduct an on-site evaluation of the client's situation to ensure that the skills and training of the respite care giver to be assigned coincides with the condition of the client. C. Each program must be able to demonstrate a working relationship with a hospital and/or other health care facility for provision of emergency health care services, as needed. An emergency notification plan must be determined for each client, in conjunction with the primary care giver. D. Each program must establish written procedures, which must also be reviewed by a consulting pharmacist, physician, or registered nurse, to govern the assistance to be given participants in taking medications which includes at a minimum: 1. Who is authorized to assist participants in taking either prescription or non-prescription medications and under what conditions such assistance may take place. This must include a review of the type of medication to be given and its impact upon the client; 2. Verification of prescriptions and dosages. All medications must be maintained in their original, labeled containers; 3. Instructions for entering information about medications in client files; and, 4. A clear statement of the client's and/or client's family responsibility regarding medications to be taken by the client while participating in the program and provision for informing client and/or client's family of the program's procedures and responsibilities regarding assisted self- administration of medications. E. Each program must employ a professionally qualified program director who directly supervises program staff. Supervision must be available to program staff at all times the client is in the respite setting. Personnel assignments must conform to wage and hour provisions of pertinent local, State and Federal laws. F. Programs must have the capacity to provide a wide range of in-home support services, and be able to provide short term, intermittent care and 24 hour care, including holidays and weekends. G. Client files must contain an agreement governing assistance with the client's medications and signed by the client and/or caregiver, following OSA standards for written procedures. H. Client files must contain descriptions of client accidents or illnesses occurring while the worker is in the home, including date, time, and condition under which the incident occurred, and action taken. GADEP11PA\AREAPLAN'.2001-3 AreaPlan‘Finat M•YAP-A!P 2001-3.doc Area Agency on Aging 1-B FY 2001-3 Multi-Year Area Plan FY 2001 Annual Implementation Plan Page 91 I. Workers must receive written instructions for service to each individual client, based on the service plan developed for that client. J. Respite Care Programs must assure that workers receive training twice annually, which includes the following topics: 1) the aging process and problems associated with aging; 2) basic nutrition; 3) basic first aid; 4) ethical code for persons working in a private home, including the issues of protecting privacy, refusing gratuities, buying groceries and other items for the client; 5) communication and observation skills; 6) maintaining records; 7) emergency procedures; 8) homemaking and personal care skills. K. To be eligible for Respite Care, a family unit or household must contain at least one dependent person of any age who meets the Michigan Office of Services to the Aging Operating Standards, Minimum Standard and 1 A and/or B; and at least one individual age 60 or older who is either the person who meets this eligibility criterion, or who is the caregiver of an eligible person. These eligibility criteria could allow service to be provided to families with persons age 60 and older who are caregivers of dependent persons younger than age 60, or to older adults who are responsible for raising grandchildren. • ignature, Authorized Area Agency Offici 0 Approved Signature, OSA Director 0 Denied Date Dat GADEPTIPA‘AREAPLAM2001 -3 AreaPIan\Final MYAP-AIP 2001-3.doc AGENCY: Area Agency on Aging 1B FY 2001-2003 APPENDIX I NUTRITIONIST SERVICES BUDGET Congregate Home Delivered Local FTE: .66 Total Federal State Federal State Match Salary/Wages 15,908 17,253 33,161 Fringe Benefits 4,437 5,457 9,894 Travel 1,000 1,800 2,800 Conferences 500 400 900 Office 900 800 1,700 Utilities 50 100 150 Equipment — 0 — — 0 — — 0 — Audit N/A N/A Other (Specify) a. In-Kind Match 5,401 b. C. TOTAL 22,795 25,810 5,40" Are a A Agency on WI. Aging 1-B specialists in aging Region 1-13 ANNUAL IMPLEMENTATION PLAN Fiscal Year 2001 Area Agency on Aging 1-B 29100 Northwestern Hwy., Suite 400 Southfield, Michigan 48034 (248) 948-1640 www.aaalb.org Sandra K. Reminga, Executive Director Serving the counties of Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw G:\DEPTAPIVAREAPLANin.2001 -3 Are2Pia1',F1:1?.AP.AP 2001-3.doc Area Agency on Aging 1-B FY 2000 Annual Implementation Plan Table of Contents I. Funded Services 1 A. Purchased Services 1 B. Contracted Services 1 C. Direct Services 1 D. Care Management 2 E. Michigan Emergency Pharmaceutical Program for Seniors (MEPPS) 5 F. Program Development Objectives 6 III. Budget 7 A. Area Plan Grant Budget 7 B. Care Management Detail 9 C. Organizational Chart 17 IV. Appendices 19 I. Nutritionist Services Budget 19 Area Agency on Aging 1-B FY 2000 Annual Implementation Plan 1 Annual Implementation Plan (AIP) Fiscal Year 2001 Agency: Area Agency on Aging 1-B Date 4-19-00 I. FUNDED SERVICES CURRENT YEAR PLANNED FOR FY 2001 Units Clients Funding Units Clients Funding , A. Purchased Services 145,650 1,394 2,100,000 149,650 1,410 2,160,000 ' 1. Homemaking - 2. Personal Care 3. In-Home Respite Care " 4. Adult Day Care 5. Transportation 6. Home Delivered Meals 1 17. Out-of-Home Respite 8. In-Home Unmet Need B. Contracted Services 9,617,710 . mfda.w. me 9,594,791 1. Resource Advocacy 44,921 12,982 42,143 12,333 2. Chore Services 31,281 3,255 31,281 3,255 3. Home Injury Control 2,207 1,002 2,207 1,002 4. Legal Assistance 15,716 6,971 15,716 6,971 5. Adult Day Care 45,919 338 61,404 100 , 6. Counseling 16,256 4,067 13,980 3,498 7. Elder Abuse Prevention, 1,559 126 1,559 126 . 8. Hearing Assistance 3,254 1,598 3,254 1,598 9. Interfaith Volunteer Caregiver 8,450 390 8,450 390 _. 10. LTC Ombudsman 4,117 3,811 4,117 3,811 11. Senior Center Staffing 17,970 4,745 17,970 4,745 12. Vision Services 1,050 405 1,050 405 13. Congregate Nutrition 662,748 10,792 662,748 10,792 ,... 14. Home Delivered Meals 1,982,198 10,569 1,982,198 10,569 C. Direct Services 1. Program Development 382,679 382,679 2. Health Benefits Ed. & Access 4,000 3,500 24,000 4,000 3,500 24,000 3. Care Management 1,565 1,182,171 1,565 1,182,171 4. Information & Assistance 0 0 0 3,000 2,000 45,000 Agency: Area Agency on Aging 1-B Date: 2000 Area Agency on Aging 1-B FY 2000 Annual Implementation Plan D. CARE MANAGEMENT 2 Current Planned PROGRAM OBJECTIVES Year FY 2000 1. Number of Client Prescreenings 700 700 2. Number of Initial Client Assessments 670 670 3. Number of Initial Client Care Plans 626 626 4. Total Number of Clients (Carry-Over plus New) 1,565 1,690 5. Staff to Client Ratio (Active and Maintenance per full time Care 52 52 Manager) NARRATIVE Program Objectives: 1. The AAA 1-B Community Care Management (CCM) and HCBS/ED Waiver programs are located in six local offices in the six counties of Region 1-B. The program is available county-wide in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties. The Waiver program is built on the CCM model. CCM services include a telephone prescreen to determine eligibility for assessment; an in-person comprehensive assessment conducted by a nurse- social worker team; development of an individual care plan responding to the needs identified; arranging and, if appropriate, purchasing services according to the care plan approved by the client; assignment of a Primary Care Manager for ongoing monitoring of services and client care; and in-person reassessment of the client's health and functional status every three or six months, depending on the stability and/or complexity of the individual's condition. 2. CCM responds to frail elderly residents who are age 60 or older, and at high risk of entering a nursing home. The CCM program will continue to target those areas of each county with populations of lower economic and minority statuses. Outreach will be conducted on an ongoing basis to community referral sources, including local hospitals, home care agencies, and senior groups. At least 12 half-hour information sessions will be conducted during the fiscal year. The success of these outreach efforts will be measured by the number of appropriate referrals made to the CCM program, and the total number of individuals served by CCM in each fiscal year. The HCBS/ED Waiver program serves persons age 65 or older, and disabled individuals age 18 or older, who qualify financially and are medically eligible for nursing home placement. Medicaid Waiver services are targeted to low-income Area Agency on Aging 1-B FY 2000 Annual Implementation Plan 3 areas of each county, including Howell, Warren, St. Clair Shores, Clinton Township, City of Monroe, Pontiac, Southfield, Royal Oak, Royal Oak Township, Port Huron, Ann Arbor, and Ypsilanti. Outreach for the HCBS/ED program will be conducted on an ongoing basis to local offices of the state Family Independence Agency, hospitals, home care agencies, other providers and senior groups. At least six half- hour information sessions will be conducted during the fiscal year. The success of these outreach efforts will be measured by the number of appropriate referrals made to the Waiver program, and the total number of individuals served in each fiscal year. Specific annual goals for total served through the CCM/VVaiver programs in each county are: County Total CCM MAW Livingston 130 100 30 Macomb 300 150 150 Monroe 185 125 60 Oakland 680 175 505 St. Clair 175 110 65 Washtenaw 220 120 100 The annual service goal for the entire region is 1,690 persons served in the two programs. Intake and serving levels will be monitored on a monthly basis, and outreach efforts adjusted accordingly. 3. Other service objectives include: • Continue to generate funding from fee-for-service arrangements, increasing revenues from LifePlans and Probate Court agreements by 5% annually. • Develop and pilot a uniform orientation/training program for new CCM/Waiver staff, with a training manual and relevant materials. • Maintain the average per client per day cost of the Waiver program to not more than 60% of comparable nursing home costs. Quality Assurance: 1. Care Managers will maintain contact with clients on a monthly basis, specifically inquiring about the regularity and quality of services. Problems noted at these contacts, and efforts at resolution, will be tracked in the client record. A formal system of tracking client-reported problems with services and other provider- related concerns will be implemented through use of a Provider Feedback Log. Case conferences will be done both formally on a monthly basis, and informally on a day-to-day basis as needed at each office. Quarterly case conferences will be done with county offices joining together to review pertinent client issues and cases of concern. At least 10% of all Direct Service Purchase vendors will receive a formal assessment each year, with use of a standard assessment tool, a written summary of assessment findings, and a timeframe for necessary corrective action. 41 5,4 14‘..1: 6%1...4177 Area Agency on Aging 1-B FY 2000 Annual Implementation Plan 4 2. CCM/Waiver client files are reviewed to assure appropriate programmatic implementation. Staff teams composed of members from each county office conduct clinical peer reviews of files from other offices two times yearly, every 180 days, using a standardized review tool. A random sample method is utilized, with the sample size based on 10 percent of the current active and maintenance caseload. Completed review tools are analyzed by Supervisors, and written summaries, with appropriate corrective action identified, are discussed with staff. Area Agency on Aging 1-B FY 2000 Annual Implementation Plan E. MICHIGAN EMERGENCY PHARMACEUTICAL PROGRAM FOR SENIORS (MEPPS) Agency: Area Agency on Aging 1-B FY 2000 No. of 1 Sites Previous Year 1998 Planned 1999 Planned 2000 in the $597,422 $822,286 $822,286 County _ County No. of Unduplicated Number of Estimated Estimated Number of Planned No. Planned Planned Prescriptions No. of Referrals to No. of Unduplicated Referrals to of Prescrip- Unduplicated Number of Approved for Persons Medicaid Prescriptions No. of Medicaid tions to be No. of Referrals to Reimburse. Served to be Persons to be Approved for Persons to be Medicaid Approved for Served Reimburse. Served Reimburse. - I Livingston 4 968 147 20 968 147 20 968 150 20 1 N N C E. _ V — . Rationale: Given the rising cost of drugs, unduplicated clients may actually rise as we may not be able to serve everyone even a second time. 5 (0 1,•.1 Agency Area Agency on Aging 1-B FY 2000 Time Line 9/30/2000 Area Agency on Aging 1-B FY 2000 Annual Implementation Plan F. PROGRAM DEVELOPMENT OBJECTIVES Objectives Identify and expand the number of organizations providing financial support for older adult services. Increase access to needed services for older adults that are provided by other service delivery syRtprns Increase the availability of needed services provided for older adults by other service delivery systems. Develop additional programs that address emerging and unmet needs of older persons. Desired Outcomes Identify and work with four organizations to secure their financial resource commitment. Secure at least two policy changes that will improve quality or access to services for older persons. Secure additional resources for the expansion of at least one service provided by other service delivery systems. Develop at least one new program that addresses additional needs of older persons. Activities Develop funding requests or partnership proposals. Engage in needs determination, planning, and advocacy activities with other systems on hphalf nf nirier Engage in needs determination, planning, advocacy, and resource and program development activities in renilaboratinri with Engage in needs determination, research, planning, resource and program development activities. 9/30/2000 9/30/2000 9/30/2000 -n 5.1 I"vi. ri• 09/30/01 Page 1 of 2 Rev. No.: #00 ADMINISTRATION Revenues Federal State* Local Cash Local In-Kind Total 586,477 148,418 98,126 20,069 . 853,090 2. Federal Congregate Nutrition 1,435,640 1,435,640 * includes $31,121 MEPP Administration ** SERVICES SUMMARY SUPPORTIVE SERVICES NUTRITION SERVICES , FUND SOURCE TOTAL 1. Federal Titles III-B & VII 1,947,946 1,947,946 3. State Congregate Nutrition 94,503 94,503 Expenditures 0 0 110,298 243,185 116,542 116,542 132,441 853,090 206,941 74,500 4. Fed Home Delivered Meals 1,812,715 1,812,715 FTEs . 5. State Home Delivered Meals 2,448,347 2,448,347 1. Salaries/Wages 499,607 19 2. Fringe Benefits 3. Office Operations Total 6. Federal Title III-D 7. Federal; Title III-F 8. State Access • • I • I I : 4_: : 9. State In-Home & Alt. Care CCM 10. State Ombudsman 11. State Senior Center Staff 12. Local Match a. Cash b. In-Kind 13. Escheat funds/Tobacco funds 14. USDA 16. Program Income TOTALS 2,375,019 73,036 244,999 565,214 632,172 1,460,000 2,017,267 8,050,221 I 10,077,490 Cash Match Detail In-Kind Match Detail Source Amount Source Amount Interest Income 15,000 Bd/Advisory 20,069 County Funds 83,126 Total 98,126 II Total I 20,069 44,405 2,375,019 73,036 244,999 609,619 1,152,429 1,627,953 1,460,000 2,522,022 18,127,711 520,257 1,627,953 504,755 tiC;,...7.•nn•••••• K. Executive Director Tale 1/19M0 Date Agency: Area Agency on Aging I-B PSA: 1-B AREA PLAN GRANT BUDGET Budget Period: 10/01/00 Date: 03/13/00 **includes C1/C2 Transfer $900,000 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. f AREA AGENCY GRANT FUNDS SERVICES DETAIL . Agency: Area Agency on Aging I-B Budget Period: 10/01/00 to 09/30/01 PSA: 1-B Date: 03/13/00 Rev. No.: #00 Page 2 ol 2 Title III-B Title III-C State *Escheat Program Cash In-Kind SERVICE CATEGORY & Title VII & Title III-D Title III-F Access State Funds Income Match Match TOTAL A. Social Services 1. Access 9:::::::::::i:iiiii i)).iii ii.:!1!iiNiiiiiiii::::: a. Information & Assistance 45,000 :iiiiiiiiiiniiiiiiiiii WaiiiiiiWiiiikanii0 2,250 9,000 56.250 , b. Resource Advocacy 375.903 Iiiiiiig040:: iiiiiiiiiiiiiiiiiiiiiiiiiii. iiiiiiiiilliiiiiiiiiiiiiii 5,596 _ 56,644 17,332 455,475 c. Home Health Benefits 24,000, 0 0 6,000 30,000 d. Case Coord & Supp i.ii:0:;:ii:iiiiriiiii;iii 74,500 iigiri.iiiHiii!iiig;Fiii!iiiiiiiii:Iiiiiiiiiiiii, 74,500 e. Care Management _.97.,77.1 ,:.. i i:Piiiii*Iii:;:iil:1: .. :iiiiiiiiiili:IiiiiiiiiP ..1.,084,400:liiiiiiiiiii!iliiiiiliq .. _ . .a.,?op... _ 58,790 80,414 1,325,485 2. In Home 1, gimmoRwmffigaN HAmmimo: winMAiliiiffi Amoniiili a. Home Injury Control 92,542 iiiiiii:::!::::::::: 3,925 19,939 3,654 120,060 b. Personal Care iliiiii 0 c. Homemaker iiiiiiiiiiiiiiiiiiiiiiiiiii 0 d. Chore 288,245 iiiiiiiiiiHniiiiiiii iiiiiiiiiiiiiiiiiiiiiiqi:i 67,258 52,307 9,754 417,564 e. Respite Care/Longterm Care 220,195 1,290,619 .1,193,840 214,010 146,645 315,549 3,380,858 0 3. Legal Assistance 201,050 iiiiii;iiiiiiiiiiiiiliiIi1:111:;:iiiiiiliiiiiiiiiiiiiiii1 :::; 17,500 38.049 2,214 258413 I SUBTOTAL (A.1-3) .1,228,164 0 116,542 74,500 2,375 019_1,193,840 312,489 374,534 _ 443,917 6,119,005 4. Community Services ii!ii!iiiii: :ii:iiii:::::iiii;:ii:: i i:iiiiiiiiiiiiiiaiiiiii!;:iii:iiiiiiiiiiiiiiiiii[i ::;;;.iiii;i:;;:;:::::;i: a. Adult Day Care .i::::::i;i!i:i1;:!iii;!: 434,113 155,285 54,218 54,310 697,926 b. Counseling 150,615 iiiiiiiiiiiiiiiiiil.iiiiiii 32,061 23,226 1908, 207410 c. Hearing, Vision, IFVC 135,956 :;iiip:iiiiiiiiiiii4iiiiii 4,020 28,288 5,701 173,965 5. Elder Abuse Ed & Prey 34,550 iiiiiiii:iiiiiiiiiiii:iiii iiiiiiiiiiiiiiiiiiiiiiikiiiiiiiiiiiiiiiiiii:iiiiiii 200 8,685 0 43,435 6. Ombudsman 15,982 iiiiiiii!iii:iiiiiii:iiiii 73.036 500 22255 0 111,773 .,,, ...... 7. Senior Center Staffing . IiiiV:iiiiii iT 244,999 :;:iiiiiiiiii.;:liiiiiiiiiii 200 11,488 14,421 271,108 eciTilvg.i-.,,,,..- 8. Program Development 382 679 . :-;.:-::::: 0 42,520 0 425,199 SUBTOTAL (A.4-8) 719,782 . 0 0 0 318,035 434,113 192,266 190i680 76340 1,931216 B. Nutrition iiiiiI :iiiii ::ii:i:::::::1::::::: U.S.D.A. 1. Congregate iiiiiiiiiiViiiiiiiiiiiiiiii: 1,435,640 iii:iiiiIiiiiiiii::::gli! 94,503 377,000 795,587 13,306 156,710 2.872,746 2. Home Delivered Meals ::::::;:iniii:iii:iiiiii: 1,812,715 iii:giiiiiiiiiiiiiiIiiii 132,441 2,448,347 1 083,000 _ 1,221,680 31 099 _ 475.462 7,204,744 SUBTOTAL (B.1-2) 0 3,248,355 0 132,441 2,542,850 1,460,000 2,017,267 44,405 _ 632,172 10,077,490 GRAND TOTAL I 1,947,9461 3,248,3551 116,542 I 206,941 I_ 5,235,9041 3,087,953 2,522,022 609,619 1 1,152,429 1- 18,127,711J Includes Escheats and Tobacco Funds Date K. REMINGA SANDRA K. REMINGA (5e cutive Director Area Agency on Aging 1-B FY 2000 Annual Implementation Plan B. CARE MANAGEMENT DETAIL Area Agency on Aging 1-B FY 2001 CARE MANAGEMENT PROGRAM BUDGET FORM (A) LINE ITEM TOTAL OSA CM TCM MATCH MATCH OTHER BUDGETED FUNDS FUNDS CASH IN-KIND RESOURCES Wages/Salaries 964,646 712,118 30,723 70,789 0 151,016 Fringe Benefits - 154,823 112,258 8,000 10,320 ' 0 24,245 Travel 20,643 17,453 0 0 0 3,190 Supplies 16,270 12,770 0 0 0 3,500 Occupancy/Utilities 102,662 74,487 0 4,000 10,000 14,175 Communications 37,569 20,925 0 0 10,000 6,644 Equipment 60,643 32,317 0 9,691 3,689 14,946 Administration 0 0 0 0 0 0 Other/Contractual/Legal 30,395 19,922 0 2,000 0 8,473 Direct Service Purchase 100,390 82,150 0 0 0 18,240 Totals 1,488,041 1,084,400 38,723 96,800 23,689 244,429 I certify that I am authorized to sign on behalf of this agency. The budgeted amounts represent necessary and proper costs for implementing the Care Management Program. 9 out,n/oo. 1 27 I'M, 6 s1/111111',VA k EA PLAN'21/0 I Atcul'huMinal M P.A IP 21)01.I I.Mc Area Agency on Aging 1-B FY 2000 Annual Implementation Plan AREA AGENCY ON AGING 1-B FY 2001 CARE MANAGEMENT PROGRAM BUDGET FORM (B) SOURCE OF FUNDS VALUE TYPE OF FUNDS Cash In-Kind PLANNED USAGE _ Oakland County Funds Public 72,800 Salaries/Rent Eldercare Private 6,000 Salaries/Rent Information & Referral Private 0 23,689 Rent/Communications/Equipment Program Income . Private 8,000 Conferences Family Caring Network Private 10,000 Salaries/Rent Totals Match ___ 96,800 23,689 10 0,Y22.,00 7:27 PM: a DEPPPA AREAPLAY 2001-3 ArcaPian \ Final MVAP-AIP 2001-3.doc Area Agency on Aging 1-B FY 2000 Annual Implementation Plan AREA AGENCY ON AGING 1-B FY 2001 CARE MANAGEMENT PROGRAM BUDGET FORM (C) SOURCE OF FUNDS TYPE OF FUNDS _ Cash In-Kind PLANNED USAGE Title 3-B Funds for Access Center Development Public 97,771 Salaries/Fringe/Mileage/Space/Insuran. Title V Funds Public 0 9,908 Salaries: Macomb and St. Clair Projected Probate Court Funds Public 20,000 Probate Court Biller Salary AAA 1-B Administrative Funds Public 16,360 CCS Director Salary Title 3/State HDM, ADC, Transp. Funds , Public 18,240 Services Title 3/State LTC Funds Public 82,150 Salaries/Fringe/Mileage/Space/Insuran. _ Total Other Resources 234,521 9,908 244,429 11 O. 224H). 7:27 PNL G-DEPT.PA AREAPLAN 2001-3 Areal.(maim' MN'AP-AIP 2001-3.doc Area Agency on Aging 1-B FY 2000 Annual Implementation Plan Care Management Staff List FY 2000 Director of Community Care Services Oakland County Nurse Supervisor Oakland County Social Worker Supervisor Oakland County Care Managers Fiscal DSP Manager DSP Manager Billing Clerk Data Entry Clerk Authorization Coordinator Eligibility Specialist Screening Specialist Western Regional Supervisor Eastern Regional Supervisor QA Supervisor Macomb County Care Managers Macomb Co Program Assistants Kathleen Kirschenheiter Annemarie Kalvaitis Jan Carlstein Barbara Abela Rhonda Barrie Leslie Bates Ruth Becker Lynn Cyr Jackie Gatz Ruth Gazo Mary Gunn Lenna lsraetel Ida Kogan Barbara Leasia Sajwa Shammami Barbara Sims James Sombati Charlene Southern Jan Stack Loraine Wagner Rosemary Young Sham Venkateswaran Charlene Thompson Barbara Snyder David Bartley Kim Northern Maryanne Moore Tonya Blanks-Phillips Cathy Cook Kathy Sarb Sheri Hoffman Helen Siudara Audrey Smith Joyce Hart Anna Morrison Cynthia Disbrow Jalaine Hagen Judith Paige Anne Marie Post Karen Ranella Brenda Redding Charna Sudomir Sharon Taylor Rosemary Bonifazio 1,13 22 IX,. 7.27 1,M. 1., \ DEVI. ARE:MI.-AN 201.1-3 IreaPlao Final MYAP-A IP 2031-3 dou Washtenaw Co Program Assistants Livingston County Care Manager Livingston Co Program Assistants Monroe County Care Managers Area Agency on Aging 1-B FY 2000 Annual Implementation Plan St. Clair County Care Managers St. Clair Co Program Assistants Washtenaw County Care Managers Monroe Co Program Assistants Gayle Brdak Barbara Kelm Carolyn Ostroski Robin Mack •Dawn Nasr Patricia Pencak Cynthia Wilcome Janice Meisel Lynda Masinik LouAnn Marks Sheryl Sedgeman Pamela Burke Carrie Lengyle Christine Gannon Rebecca Knorp Barbara Scriven Christine Wagner Suzanne Bennett Sandy Smith Denise Parker Kathy Poland Peggy Hart Nancy Weddell Kim Heisner Candy Hedgecock Margaret Rushlow Laura Dills Debbra Lush Gerilyn Powers Shara Pullou Denise Wilburn Vikki Rochester 22 06. 7'27 G \Dha PA',VREAPLAN.2041-3 AreaNail Final MYA P-A IP 2001-3 duc Area Agency on Aging 1-B FY 2000 Annual Implementation Plan 14 Care Management/Waiver Budget Narrative FY 2001 III. WAGES/SALARIES Includes wages for above listed full- and part-time staff. IV. POSITION SUMMARY: 1. CCS SUPERVISORS The CCS Supervisors are responsible for the day-to-day operations of the assigned office(s). upervisors are responsible for the authorization of purchased services for the designated counties; regular case conferencing, chart review, and other quality assurance activities; recruitment, hiring and training of new staff; and the annual evaluations for all staff in their designated area. 2. NURSE-WAIVER and NURSE-CARE MANAGEMENT/ISP The nurse conducts comprehensive client assessments, develops care plans, and conducts reassessments of the client's health care needs, and determines medical eligibility for potential care management clients. The nurse negotiates delivery of health care services determined necessary under the care plan and ordering of medical equipment and supplies. The nurse works closely with family members and other caregivers to maximize available informal support systems. The nurse monitors client care plans to ascertain delivery of needed services, and also consults with other health care professionals when needed. 3. SOCIAL WORKER CARE MANAGER The social worker care manager conducts comprehensive client assessments, develops care plans, and conducts reassessments of client's social support needs. The social worker negotiates delivery of social services determined necessary under the care plan and assists the client with basic need areas. The social worker monitors client care plans to ascertain delivery of needed services, and works with family members and other caregivers to maximize available informal support systems. 4. DATA ENTRY CLERK The Data Entry Clerk provides data entry for all client information, including assessments, care plans, reassessments and billing. 5. SCREENING SPECIALIST The Screening Specialist is responsible for intakes and conducting the telephone prescreens . The Screening Specialist refers ineligible persons to other agencies or services which could assist them. 6. ELIGIBILITY SPECIALIST The Eligibility Specialist reviews client financial information to assist the Care Managers in determining eligibility for Medicaid, and . assists the Care Managers in completing the Medicaid application, gathering client/family information, and enrolling the client on the 06 22'0u. 7:2F PM. Ci DEPT-PA \ AR EA PLAN.200 I -3 AreaPlan .fi nal MN AP-A IP 2001 -3 dot: Area Agency on Aging 1-B FY 2000 Annual Implementation Plan 15 Medicaid Waiver program. The Eligibility Specialist acts as liaison between the Family Independence Agency and the AAA 1-B. 7. DSP MANAGER The DSP Manager is responsible for managing Bid Agreements with Direct Service Purchase providers, and for programmatic monitoring of the DSP providers. 8. AUTHORIZATION COORDINATOR The Authorization Coordinator is responsible for coordinating service requests made by Care Managers for clients, and ordering services that will best meet client needs and cost efficiencies. 9. PROGRAM ASSISTANT The Program Assistant position is utilized at each of the satellite offices. This person is responsible for screening, data entry, billing, generating monthly reports, and the clerical duties of the offices. 10. BILLING CLERK The Billing Clerk is responsible for data entry of bills into MICIS. This person is also responsible for the reconciliation of the invoices with the care plans, contacting service providers regarding any errors in their submission of the invoices and working with the Care Managers regarding changes in the care,plans that must be updated. The Billing Clerk is responsible to generate the variance and exception reports and to prepare the approved invoices to be submitted to the Finance and Administration Department for payment. 11. QUALITY ASSURANCE SUPERVISOR The Quality Assurance Supervisor is responsible for both internal and external quality assurance activities, organizing the Care Managers' peer review process, monitoring providers and measuring clients' perception of quality in care management and direct services provided. 12. RESOURCE SPECIALIST The Resource Specialist is responsible for assisting Care Managers to identify needed resources in the community. V. FRINGE BENEFITS Fringe Benefits include FICA, workers' compensation, unemployment for all employees, both part-time and full-time. For employees who work .8 FTE or 1.0 FTE, health insurance and life and disability insurance are provided. Any employee who works more than 1,000 hours is eligible for retirement benefits. The subtotals for Fringe Benefits are: FICA $51,092 Workers' Compensation $4,645 Unemployment $4,180 Retirement $12,386 Ob:22.18). 7.28 PM. (.7 \DEPT PA AREAPLAN 21:8)1-3 AreaPlan Final N1YAP-A IP 200 I-3.don Area Agency on Aging 1-B FY 2000 Annual Implementation Plan 16 Long Term Disability $7,277 Health Insurance $69,670 General Life Insurance $5,573 Total $154,823 VI. OCCUPANCY The total square feet and utility cost of the Care Management program area is 5,133 with a cost per square foot of $20.00. VII. TRAVEL Anticipated number of miles is 65,533 at $.315 per mile. VIII. EQUIPMENT Regular computer replacements and network upgrades will be made at all AAA 1-B offices. IX. ADS/PHOTO/LIBRARY Ads/Photo/Library cost will be utilized for the purpose of advertising positions available with the CCS Department. Advertising cost will be utilized to promote and market the CCM/HCBS Waiver Program. Photographs will occasionally be used in marketing and advertising and those costs would be reflected here. Library Cost will include materials purchased such as journals, magazines, videos, etc. that will assist in the continued professional development of the CCS professional staff. X. PURCHASE OF SERVICES Services are purchased from a pool of approved vendors, maintained by AAA 1-B Direct Service Purchase (DSP) staff. 00.22 00. 7.28 PM, \ DEPT.P.A \AREAPLAN 2001-3 AreaPlan Final MYAP-A IP 2001 -3.(10:: Judith Wahlberg Controller Finance and Administration Kathleen Kirschenhelter Associate Director Community Care Services Ryan Siminski IS Specialist Irene Patrick Human Resource Coordinator Meta A. Lothman — Fiscal Analyst d LaShawn Wordlaw Stinson Community Planner, Housing/Transportation Specialist, Diane Johns Resource Specialist Supervisor Barbara Snyder DSP Manager . Shelley Berger Secretary Helen Nye MMAP Coordinator* (See Page 2) Carol Russell Napis Data Entry' i-[ AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART Area Agency on Aging 1-B Board of Directors Area Agency on Aging 1-B Advisory Council Sandra K. Reminga Executive Director Angelina Michelini Director Management Information Systems Tina Abbate-Marzolf Director Contracted & DSP Services Deanna Mitchell Director Support Services James McGuire Director Planning and Advocacy Brigit Michalak Director Communications and Fund Development Joyce Hunt Director Access & Benefits Assistance Renee Poindexter FA/CPS Clerical Assistant r Vacant H Fiscal/Accounting I Supervisor Judith Beatty — Accounting/Payroll Administrator Rachel Ricks - Accounting Clerk d John Hurtubise Fiscal Manager Nutrition Services David DiPonio Fiscal Manager Social Services r --- 1 I DSP I Fiscal Manager L d Cathy Backos DSP Manager Kyra TePaske — Social Services Contracts Manager — Ta"c7rii — 1 Hj Nutrition Contracts I L — Manager— J Roberta Habowsld — Older Drivers Coordinator' Brenda Beiter Older Drivers Coordinator HSuzanne Unman-Duda Older Worker Employ- ment Coordinator Wendy Sapp Secretary Rosa Wolf Receptionist 1 Vacant Clerical Assistant I Mildred Tolliver I Title V --I Ruth Levenson I Title V H Alison Doyle Community Planner, Health Specialist Vacant Resource Specialist I H Rhonda Rhine Resource Specialist 1 Vacant —1 Resource Specialist I Peggy Brieske Resource Specialist* Charlene Thompson — Senior Accounting Clerk * Part-Time Position The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer MTEPTAWAMOROCHARPORGCHRIPMS Rev. 06/16/00 AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART Page 2 Kathleen Kirschenheiter Associate Director Community Care Services II Helen Sludara QUALITY ASSURANCE SUPERVISOR _J r — — — — — Vacant MACOMB REGIONAL SUPERVISOR L — — J MACOMB COMMUNITY CARE SERVICES Audrey Smith Nurse Joyce Hart Nurse Brenda Redding Nurse Karen Ranella Nurse 3 --1 I Vacant Nurse I L J Sandra Bilpo Nutrition Assessor Kim DanielsId Nutrition Assessor Carolyn Ostrowski PA Billing/Authorization Coordinator Gayle Brdak PA Resource Specialist Barbara Kelm PA Screening/ Eligibility Specialist Rosemarie Bonifazi PA Reception/ Clerical Jalalne Hagen Nurse Judith Paige Social Worker Cynthia Disbrow Social Worker Chama Sudomir Social Worker A Anna Morrision Social Worker I r Ann Made Post Social Worker Sharon Taylor 1_1 PA Data Entry/ Probate Violet Manning Title V H Madeline Clark Title V OAKLAND COMMUNITY CARE MANAGEMENT h Tonya Blanks-Phillips Eligibility Specialist Catherine Cook 1. Screening Specialist Tatyana Fingerman Eligibility Specialist Sajwa Shammami Social Worker Ida Kogan Social Worker Vacant Social Worker Jan Stack Social Worker Yelena Israetel Social Worker Lynn Cyr Social Worker Larry Bassin Social Worker Jackie Gatz Social Worker Ruth Becker Social Worker Vacant Social Worker I Annemarie Kalvaitis CENTRAL REGIONAL SUPERVISOR Maryanne Moore Authorization Coordinator David Bartley Billing Clerk Yolanda Hawkins Billing Clerk Kim Northern Data Entry Clerk Leslie Bates Nurse Ruth Gazo Nurse Barb Leasla Nurse Barbara Sims Nurse Barbara Abela Nurse Lorraine Wagner Nurse 1- Janice Wolf Mary Gunn Nurse Charlene Southern H Nurse Rhonda Barrie Nurse r _ Vacant Nurse L _.._....._ Jan Carlstein CENTRAL REGIONAL SUPERVISOR Patricia Pencak - Nurse Dawn Nasr Nurse Robin Mack Nurse Sandra O'Neill Social Worker Cynthia Wilcome Social Worker Janice Meisel PA Screening/ Eligibility Specialist Louann Marks PA Reception/ Clerical Lynda Masinick PA Billing/Authoriza- tion Coordinator Kathleen Sart) WASHTENAW/LIVINGSTON REGIONAL SUPERVISOR WASHTENAW COMMUNITY CARE MANAGEMENT LIVINGSTON COMMUNITY CARE MANAGEMENT Sheryl Sedgeman Nurse Christine Wagner Nurse _i Christine Gannon Nurse H Carrie Lengyel Social Worker Vacant Nurse Rebecca Knorp Social Worker Barbara Scriven Social Worker Denise Parker — PA Billing/Authoriza- tion Coordination _I Suzanne Bennett PA Reception/ Clerical Sandra Smith — PA Screening/ Eligibility Specialist Kathy Poland Nurse Peggy Hart Nurse Kerianne Shaker Social Worker Nancy Wedell Social Worker r VEcaTif — 1 —1 PA Reception/ I Clerical Candy Hedgcock PA Billing/Authoriza lion Coordinator Kristina Menard Nutrition Assessor Kimberly Heisner PA Screening/ Eligibility Pamela Burke Nurse H Laura Dills Social Worker James Sombatl MCNRCE REGIONAL SUPERVISOR MONROE COMMUNITY CARE MANAGEMENT Margaret Rushlow Nurse Shara Pullou Nurse Debbra Lush Nurse Gerilyn Powers Nurse r — — Vacant I Social Worker I L — J Phyllis St. Bernard Social Worker Martha Eades Social Worker Denise VVilbum PA Screening/ Eligibility Specialist 1 Vikkl Rochester PA Billing/Authoriza lion Coordination H Carlene Fields PA Reception/ Clerical STAFF SUPPORTED BY OSA/CM FUNDS RN Care Managers 6.9 FTE SW Care Managers 7.0 FTE Support/Clerical 4.2 FTE Supervisors 1.5 FTE Finance/Accounting 1.4 FTE Sharon Hoffman ST. CLAIR REGIONAL SUPERVISOR ST. CLAIR COMMUNITY CARE MANAGEMENT * Part-Time Position The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer DEPTMGATOROCIIIARTOROCIIRT PMS Rev. 06/16/00 Resolution #00200 August 10, 2000 Moved by Taub supported by Melton the resolution be adopted. AYES: Douglas, Galloway, Gregory, Jensen, Law, McCulloch, McPherson, Melton, Millard, Moffitt, Obrecht, Palmer, Patterson, Sever, Suarez, Taub, Amos, Appel, Buckley, Causey-Mitchell, Colasanti, Coleman, Dingeldey. (23) NAYS: None. (0) A sufficient majority having voted therefor, the resolution was adopted. STATE OF MICHIGAN) COUNTY OF OAKLAND) I, G. William Caddell, 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 August 10, 2000 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 10t1leday ogfAugust, 2000. G. William Caddell, County Clerk