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
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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
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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.
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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
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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.
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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 _.
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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
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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
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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
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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
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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
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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
_
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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
_ -
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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 .
_
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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.
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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
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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
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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.
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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.
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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.
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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.
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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