HomeMy WebLinkAboutResolutions - 2004.07.22 - 27531MISCELLANEOUS RESOLUTION #041 62 July 22, 2004
BY: General Government Committee, William R. Patterson, Chairperson
IN RE: BOARD OF COMMISSIONERS - AREA AGENCY ON AGING 1-B FISCAL YEAR 2005
ANNUAL IMPLEMENTATION PLAN FOR SERVICES TO OLDER ADULTS
To the 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 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 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 plan has been submitted for review by the public, and has been subjected to a
public hearing; and
WHEREAS the comments at the public hearings on the proposed plan were mostly favorable, and
constructive changes in the plan were made as a result of some comments; and
WHEREAS the Oakland County Board of Commissioners appoints two representatives to 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 Board of Directors approved the final Fiscal Year 2005 Annual
Implementation Plan for Region 1-B on June 25, 2004, and that such plan be submitted to the Michigan
Office of Services to the Aging for approval; and
WHEREAS the Michigan Office of Services requires that county Boards of Commissioners be given the
opportunity to review and approve an area agency on aging multi-year area plans and annual
implementation plans; and
WHEREAS the Oakland County Board of Commissioners has already taken action to approve the Area
Agency on Aging 1-B's Multi-Year Area Plan for FY 2004-2006. The FY 2005 Annual Implementation
Plan represents an annual update to the approved three-year Area Plan.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby
approves the Fiscal Year 2005 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.
BE IT FURTHER RESOLVED that the Oakland County Clerk forward a copy of this adopted resolution
and minutes of the Board of Commissioners' meeting where such action was taken to the Area Agency on
Agency 1-B.
Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing
resolution.
GENERAL GOVERNMENT COMMITTEE
W1,44 k4
General Government Committee Vote:
Motion carried on a roll call vote with Potter and Hatchett absent.
AreA Zney on IA\ Aging 1-B
Adramocy • Action • Anszers on Aping FY 2005 Annual Implementation Plan
TABLE OF CONTENTS
• EXECUTIVE SUMMARY
A. Narrative 1-1
B. Funded Services 1-3
1. Purchased Services 1-3
2. Contracted Services 1-3
3. Direct Services 1-3
II. BUDGET AND ORGANIZATIONAL CHART
A. Area Plan Grant Budget and Service Detail 11-1
C. Organizational Chart 11-4
III. REVISIONS/ADDITIONS/DELETIONS
A. Program Development 111-1
IV. APPENDICES
A. Public Hearings 1V-1
B. Board Membership IV-5
C. Council Membership 1V-7
E. Planned Entrepreneurial Activities 1V-9
H. FY 2005 Nutritionist Budget IV-10
Administration of Direct Services
1. Care Management IV-11
2. Information & Assistance IV-14
3. Health Benefit Education IV-16
4. Refugee Assistance Program 1V-19
K. Glossary of Acronyms in Aging IV-22
V. ASSURANCES AND CERTIFICATIONS
A. Assurances and Certifications V-1
B. Assurance of Compliance with Title VI of the Civil Rights Act of 1964 V-3
Area \Agency on
Aging 143
Adongary • Action • Ansscri on Aging FY 2005 Annual Implementation Plan
EXECUTIVE SUMMARY
NARRATIVE:
The Area Agency on Aging 1-B (AAA 1-B) is a nonprofit organization that is
responsible for services to more than 420,000 persons age 60 and older residing
in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties.
The AAA 1-B is dedicated to 1) advocating on issues of concern to older
persons; 2) allocating federal and state funds for social and nutrition services; 3)
developing new older adult service programs; 4) coordinating activities with other
public and private organizations; and 5) assessing the needs of disabled older
persons and linking them with needed community-based long term care services.
The AAA 1-B prioritizes activities that allow older persons to maintain their
independence with dignity and places a special emphasis on assistance to frail,
low-income, disadvantaged, and minority elders.
The AAA 1-B was established in 1974 in response to the 1973 amendments to
the Older Americans Act (OAA), which called for the creation of regional planning
and allocation agencies to bring structure to the delivery of social and nutritional
services to older adults. The OAA and the Michigan Legislature provide funding - to the Michigan Office of Services to the Aging and area agencies on aging that
can be allocated to provider organizations in accordance with an Area Agency on
Aging's approved Annual Implementation Plan.
This Annual Implementation Plan proposes to support the following array of
services that allow older persons to maintain their independence with dignity, and
provide access to these programs:
Adult Day Service Home Delivered Meals National Family Caregiver
Support Program
Care Management Home Injury Control Out-of Home Respite
Chore Homemaking Personal Care
Congregate Meals Information & Assistance Refugee Assistance Program
Counseling In-Home Respite Resource Advocacy
Elder Abuse Prevention Interfaith Volunteer Senior Center Staffing
_ Caregiver
Family Caregiver Services Legal Assistance Transportation
Grandparents Raising Long Term Care Unmet Needs
Grandchildren Ombudsman
Health Benefits Education Long Term Care Vision Services
Ombudsman
Hearing Assistance Medication Management -
T
-
• 2B. FUNDED SERVICES
• Fiscal Year 2005
Agency: Area Agency on Aging 1-B
CURRENT YEAR (FY 2004) PLANNED FOR FY 2005 _
FUNDED SERVICES Funding
Units Clients Allocation Carry- Units Clients Funding
over ------- - --------- -- _ - --
PURCHASED SERVICES 225,000 1,800 2,892,477 0 224,100 1,793 2,879,477
1. Homemaking ,, ' ,, .
2. Personal Care . , _.- ' ;;.;
3. in-Home Resaite ! ,:.,::.;t ':.''Y?..
4. Adult Day Service ,
5. Transportation r•
6. Medication Management . .• c:;4- 3 %,e!,.1‘fz;
7. Home Delivered Meals - . - ' ,:.t;,,a;:::1 I 4
8. Out-of-Home Res • ite A ' ' ' . 1-A ' *, ;'''
9. Unmet Needs • -p,m4,, :..,.. . - • ' ' ' : ..,
10. National Family Caregiver
Support Program
(NFCSP)
TOTAL FUNDING 2,892.477 0 2,879,477
CONTRACTED SERVICES ,,--: 11,195,503 144,992 , , .. 11,208,503
1. Adult Day Service 101,595 234 _ 101,595 234 •` , ,,,I0.:,..v.::,,k ,
2. Chore 35,773 3,594 , 35,773 3,594
3. Congregate Meals 535,076 14,379 '..M:- _ 535,076 14,379 ::!,'41•011,
4. Counseling 12,553 1,814 :;,-; _ 12,553 1,81 4
5. Elder Abuse Prevention 1,999 419 1,999 419 ..51.
6. Hearing Assistance 3,457 1,695 iii.ci• ,. 3,457 1,695 11-7., ,'''-` •.,.! A
7. Home Delivered Meals 1,845,394 9,751 ;R`:•: - 1,845,394 9,751•
8. Home Injury Control 3,005 1,383 ,-. 3,005 1,383 ',,, i ,ai.Ft:6 1
9. Interfaith Volunteer 28,550 1,463 28,550 1,463
Caregiver _
10. Legal Assistance 15,600 6,971 _ 15,600 6,971
11. Long Term Care 4,348 4,023 4,348 4,023
Ombudsman _
12. Resource Advocacy' . 41,210 11,642 40,917 11,612 : 13. Senior Center Staffing 18,716 1,974 18,716 1,974
14. Vision Assistance 1,118 456 1,118 456
15. Grandparents Raising 731 158 731 158
Grandchildren _
16. NFCSPz 3,940 172 3,940 172
TOTAL FUNDING 11,195,503 144,992_ 11,208,503
DIRECT SERVICES ..
1. Program Development • . 451,412 :: . , ,,I. .:::: 451,412 _
2. Care Management ,, 1,500 1,025,218 . 1,500 1,025,218
3. Information & Assistance 3 11,000 8,000 186,277 45,000 13,000 10,000 186,277 ,
4. Health Benefits Education 4,000 3,500 24,000 4,000 3,500 24,000 ._
5. Refugee Assistance 950 500 87,500
Program 4
TOTAL FUNDING 1,774,407 45,000 1,686,907
1 Includes carry over
2 Includes public awareness campaign and out-of-home respite beds.
3 Includes National Family Caregiver Support Program (NFCSP) funding to respond to calls generated from the
public awareness campaign.
4 FY 2005 funding not known at this time.
AREA AGENCY GRANT FUNDS - SUPPORT SERVICES DETAIL
Agency: .AreaiAgencAf.:0'.gingliBi . • Budget Period: .
, .
._ ..,..,,,....:::
1011134! to • . :91,3*51-Rev. 11/02•
PSA: :;1i0::?ia.f!-.:1:' ' Date; - )4244 Rev. No 3177777t7.7" page 2 of 3
Title V11-A • State . State St Alt State Care Other St Escheat 6t Tobacco Program , Cash • In-Kind
ERVICE CATEGORY Title III-B Title 111-0 Title VII-EAP Title III - E Access In-Home • Care Mgmt • State Funds :Respite • Income Match Match . . TOTAL
Access
Care Management Q7 7k 213:.:d66!'' .,., ..:, - .2go,,96- 1,574,293 _
Case Coordlsupp ,, n. , ...
Disaster Advocacy linS.O.k ' .7.'' , .- ..,1: .... ,
Information & Assis 4!, • 4S 27 :::: "" , _ ''' ' :',: , ez.i 47952.
,..,.....: . 28'61.f.
. .. . ., 232 846
Res. Adv/Access ::::.408;053:: ' -,-...: d0,..060 ., :.'i. ::.,. - 4,4309 AR 61833 761,496
Transportation ' ;Viti 421O9 .:, söo 1484 57,636
In Home : .wc w F
0.%.' Chore ::::::iL:::1374.6r: Ti : ,- j. , - , i„.. • ?.. r.:..,, .„ 5.n': 4739.15'2 - _ ezgo,,: 14,12.5 544,666
z.. Home Care Assis 4? -,:. '' ,
Hm Inj/Hm Health '''", 141 241 -- ':"4' ,-,,, - 4: 45: . .4.1 ., : , ,r ..._ , 9,205. : !4621,1:,. 099:
,,. 189,756
Homemaking/LTC 58,735. "",....:41 -,i, „ ' - .5 4 P, P. t 35153: Et ,... 2500 :•*34 - ..131:47 .: 882,365
Home Health Aide ._. -'•Zt -..:. ,-....,:
, ,„ Medication Mgt :42405 - , ,. /...... . 095. 3,50.t 53608 t -..,..„.,„
Personal Care/LTC ,96,,.512 , , , '''.?: l''. 43 2j 472 545
- ...,, ' '-.. l'600 :: 500
..-.!....: : : . :::::::20 .3,313. 1,335,316
PERS A t , „ p Stt:' .
Respite Care/LTC .._::13.1861272 281 047 !,1.-.:9, ',22 13.32: 53,450 ...,..440,021 '168;344- 1,293,239
Friendly Reassure ' .V.:', . 7 4.444 7), --,%t- i.:.'
Legal Assistance 201 050 . ;N:::..' .. _ . ' 1-:..ii.114. ,;4!ap[)--: v;535!., , 26;728- 275,113
Community Services .: , 4z..,i3. .. .- &• :: . Aga .;e4 , '-'.' - .,, _ .;,::{vg
Adult Day Care 4 , ,...:.-. .,-. t .&
Dementia ADC • . 13 12 758 • ,,:285j517A 431 97:: 223 230- 58-346:
.,, . 38;319 1,206,523
Disease Prevent
Health Screening !...k. ,
Assist to Deaf ll'..5.46.0:1 ,. , ., 14...,,,, k. , ,,,, _ 28 65.220
Home Repair ,: itf -% ''' - ---, .r...,2'...i,..:',' 10 - F...• '
....:, ... . ' ' ..„. ,,p,,, 0 , 25 014., LTC Ombudsman „..,-_- ,.,;.:j2.7:0:0 :....: -''''' .,. , " -44...; :, „ .„ 125568
Sr Ctr Operations
Sr Ctr Staffing " ' ,49,998r,, -•.4, .:.",i4.,tt ..g.' 4 1E0 1.8543: 1.1..,235 281,926
Vision Services ;. 49103s. ' .. , IL -...,.1 — . .,
- ., t ,'j 2455 1225 ::::... :.,., 63,830
Elder Abuse Prevnt 3 127 4 :19i5,77... ,'.' '.1,^: „. , .: .„ lz- :arm .-
,....q, ''. ; fig: 10;...p3. 50- . 54,165
Counseling ..,33;7.1.8:: ::124,897, '; :y.f.:eit7 000. i. -..,,.--. t`..;.::46.;:0.5,: 4.5‘_;90:0 a 658
:,...:. 249764
. Spec Respite Care „ " ..!,,,:, ....,:.:::N Tieesi...1, " ',A-.'-' ',14,..g.e.1„4-,„,, t
:
Caregiver Supplmt
Kinship Respite
Caregiver E,S,T t ...., 4:Zi` 'r.- ,.. '-' ....•-- ' . i. ,,,-;'" . -
rogram Develop , :-;i'i:1,-:;.:::45,1 41..2 :.:11.sv:4 ..,,, ,.., ,.,i, -,,,, Z -- , cl.::,..A.,,,,-,07,7 ,,.... ;o0o, 8e 953'
...;:-:- -: 564,265
._. ,
egion Specific - "I'''FP-r .. 41.44.FA '" . e:',7:CE:' i''' ._-.--;- a-.. ''' ' - ''''• 4 . ..,. Va:ig:'F: Reg .IFVCIFtefug ee ':66000:1 ' -65000 3420 2705O''': *ND: 167,170 Reg. RespiNFCSP t°30 -
3,76 ' 11 188 .85:02 385,730
I • • " 7 II
•
,257,062 167,303 96 1,00 , 5 213,085 702157 : •• 025, 18 23 033 465.574 857,929 60L.90 855,492 ,085,580 10,443,895•
Kathleen Kirschenheiter
Associate Director
Community Care Services
Dept/Mgmt/OrgChart/OrgChart2004
Revised May 20, 2004 • Area Agency on Aging 1-B
Board of Directors
• Area Agency on Aging 1-B
• Advisory Council
Sandra K. Rem inga
Executive Director
Angelina Michelini
Director
Information Technology
Tina Abbate-Marzolf
. Director
Contracted & DSP •
Services*
Deanna Mitchell
Director
Support Services
Jenny Jarvis
Director
Communications and
Fund Development
James McGuire
Director
Planning and
Advocacy
Louanne Bakk
Director
Access & Benefits
Assistance
Mary Burch I
Database Develop0
Dena Allen
Database Develope.
Jason Pulls
PC Technician*
Estelle Caine
Fiscal/Accounting
Supervisor
Judith Beatty
Accounting/Payroll
Administrator
Charlene Thompson
Senior Accounting
Clerk
71 Annette Andrysiak
Human Resources
Coordinator
Meta Lothm an
— Fiscal Analyst*
Maryanne Moore
DSP Manager
.Cathy Bac.kos
DSP Manager
Amy Mills
Social Services
Contracts Manager
Karen Jackson
— Nutrition Contracts
Manager
Roberta Habowskt
Program
Coordinator*
Brenda Better
Program
Coordinator*
r — — — — 1 Vacant
— LNapis Coordinator*
i Suzanne '
Linman-Duda, Older
Worker Employment
, Coordinator
Kathy Bogl
Vendor Quality
Assurance Mgr.'
lviellissa Christ
Secretary II
Jean Collins
Secretary I
Chelsea Hahnefeld
— Receptionist
JaWanda Jackson
Clerical Assistant
Vacant
—,'Housing/Transpertation;
I specialist I
Becki Tyler
Community Planner,
Health Specialist
Came Shea
MMAP Outreach/
Advocacy
Specialist
Peggy Brieske
Information & Assis-
tance Supervisor
Anne Gordon
— Resource Specialist
I Kelly McGrath —
Aging Services
Specialist
Vacant
—I Resource Specialist I
L
Vacant
--I Resource Specialist
Sallie Justice
PR Coordinator* Helen Nye
MMAP Coorrtnator* (See Page 2)
11-4
Judith Wahlberg
Chief Fiscal Officer
Finance and Administration•
T
_ Melissa Maxwell
FA/CPS Clerical
Erin George
Fiscal Manager
Nutrition Services
i Fiscal OSP L
Manager L
• Sandra Carter
Fiscal Manager
Social Services
h Beiter/Habowski I
(t) Refugee Asst.
PLogram Coordlnato
Helen Hannon*
Data Entry Clerk
• (t)Temporary Position
* Part Time Position
The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer
AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART
Advocacy • Action • Answers on Aging FY 2005 Annual Implementation Plan
III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2005
Objective Desired Outcome Activities Completion Date
. Emergency Preparedness
Assure that all AAA 1-B AAA 1-B Community Care Update Emergency Plans for more than September 30,
Community Care Services Services clients will be safer 3,000 AAA 1-B Community Care 2005
clients have undertaken and feel more secure in the Services clients/caregivers and
preparations for an event of an evacuation or distribute plans to DSP vendors.
evacuation or in-shelter shelter-in emergency.
emergency.
Produce and disseminate Older adults will be prepared to Revise, distribute, and translate the September 30,
educational materials that endure an evacuation or in- AAA 1-B 72-Hour Emergency 2005
encourage and instruct shelter emergency in a safer Preparedness Kit information.
older adults to prepare for and more secure manner.
an evacuation or in-shelter Update the Region 1 -B website to
emergency. include: 1) AAA 1-B Emergency
Preparedness and Response Plan; 2)
72-Hour Emergency Preparedness Kit
information; and 3) client emergency
preparedness plan materials.
AArea Agen.ey eia.B
AdAwing • Mini, • Aiin AA Aging FY 2005 Annual Implementation Plan
III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2005
• Objective Desired Outcome Activities Completion Date
Conduct outreach fairs for Hmong,
Russian, and Chaldean refugees.
Distribute translated information to DSP
vendors for home care workers to
phonetically translate health related
questions/information to non- or limited
English speaking clients.
3. Volunteer Respite
More than 350 caregivers Caregivers will experience Work with the ArneriCorp Vista program September 30,
will receive volunteer reduced caregiving burden and to obtain qualified workers to assist 2005
respite service stress as a result of receiving with 1) development of standardized
volunteer respite services assessment protocols, 2) volunteer
,. training, outreach/education about the
availability of service, and 3) on-going
recruitment of new volunteers.
Identify hardware/software grant
opportunities to assist Volunteer
Caregiver contractors in need of
equipment necessary to generate
NAPIS reports.
iltArea
AtAkAgeZe"n ngI-B
Adoocoey • ACIII74 • Ammon on Aging FY 2005 Annual Implementation Plan
III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2005
Objective Desired Outcome Activities Completion Date
Invest in new technology equipment to
enable monitoring and tracking of
service productivity and consumer-
friendly relations.
Develop scripts and conversation text
for Information and Assistance
specialists designed to expedite
identification of correct caller resource
needs.
6. Direct Care Workforce
Reduce the annual AAA 1-B home care vendor Conduct a survey of AAA 1-B home September 30,
turnover rate of AAA 1-B agencies will have the care vendor agencies to establish an 2005
vendor home care experienced direct care annual turnover rate.
agencies by 10% workforce necessary to provide
care for MA 1-B clients. Provide training for all home care
vendor agencies on strategies to reduce
direct care worker turnover.
Implement recommended actions from
MA 1-B multi-faceted plan to address
home care worker recruitment and
retention (developed under FY 2004
objective).
111-5
XliZency on
rAIAn Aging 1-B
Adoofacy • Action • Anneen on Aging FY 2005 Annual Implementation Plan
III. AREA AGENCY ON AGING 1-13 PROGRAM DEVELOPMENT
Fiscal Year: 2005
Objective Desired Outcome , Activities
.
_ Completion Date
.
8. Aging Professional Development
Provide at least three Aging professionals, advocates Survey training needs of providers, September 30,
training sessions for at and lay leaders will be more advocates and lay leaders. 2005
least 120 aging knowledgeable about how to
professionals, advocates advocate for and implement Conduct a series of Aging Matters
and lay leaders on topics quality services in a manner training sessions that will address
related to their training that is sensitive to the needs of identified needs.
needs older persons.
9. Transportation
Secure additional More older adults will be able to Assist local transportation providers, September 30,
resources to support the get to places they need to go including the North Oakland 2005
preservation and expansion Transportation Authority, Troy Medi-Go
of public transportation and others, to secure federal, state,
services for older persons, and/or local funding that will support the
in collaboration with public maintenance and expansion of transit
transit authorities and local services.
transit service providers.
Advocate in collaboration with public
transit authorities for resources to
support the preservation and expansion
of public transit service for older adults.
III-7
Objective Desired Outcome Activities Completion Date
11. MI Choice Enrollment Equity
Secure revisions in the The proportion of Region 1-B Analyze the most recent data on equity September 30,
allocation of Ml Choice older adults and persons with a of enrollment in the MI Choice program 2005
resources that will allow an disability who are enrolled in across AAA regions, in comparison with
increase in the proportion the MI Choice program will the incidence of each region's
of persons enrolled in more closely match their population of older adults, persons with
Region 1-B. incidence in comparison with a disability, and persons eligible for
the rest of the state. Medicaid.
Advocate with Department of
Community Health officials and
legislators for revisions in the allocation
of MI Choice resources that will allow
Region 1-B enrollment to reflect the
need among our region's population.
AAgency
on
A';Aginga
Adv.., • Action • Ansverso Asia' FY 2005 Annual Implementation Plan
III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2005
III-9
Area
/Agency
on
A Aging 1-13 FY 2005 Annual Implementation Plan
III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2005
Objective Desired Outcome I Activities Completion Date
13. Aging and Disability Resource Center
Secure resources that will Older adults, family caregivers, The AAA 1-B will develop a plan for a September 30,
allow the AAA 1-B to serve and persons with a disability state of the art Aging and Disability 2005
as an Aging and Disability who turn to the AAA 1-B for Resource Center that features a
Resource Center with a information and assistance will consumer call center, skilled customer
state of the art call center receive the information they service representatives, intake,
need, and be assisted to enroll enrollment, information and assistance,
in needed long term care and offer triage for persons who are at
services. risk,
Identify and secure funding from
potential sources of support for the
Aging and Disability Resource Center,
Implement the program components of
a fully-functioning Aging and Disability
Resource Center in an incremental
manner as resources will allow.
Area
1111A;Z oil ll FY 2005 Annual Implementation Plan
IV. APPENDIX A - PUBLIC HEARINGS
Fiscal Years: 2005
Area Aciencv: Area Aoencv on Adina 1-B
L._. I--P-A R-Ftl R-FR r E 1 DATE 1 LOCATION 1 TIME (Y or N) 'ATINEZI1
May 25, 2004 Area Agency on Aging 1-B
29100 Northwestern Highway, 1:30 p m Y 20
Suite 400
Southfield, Michigan
Narrative:
The Area Agency on Aging 1-B (AAA 1-B) conducted a public hearing on its Proposed FY 2005 Annual Implementation
Plan on May 25, 2004 in Southfield. 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 Plan. Twenty
individuals attended the hearings, including four older persons. Comments provided at the hearings, and one additional
written comment, could be categorized into two general areas; support for very specific aspects of the plans, and
discussion of needed advocacy and resource development tdexpand services for older persons and family caregivers.
As a result of the comments received at the public hearings, no changes were recommended for the proposed Plan.
IV-1
AArea ..
°11%it IgAegnielg°In"B FY 200.4 Annual Implementation Plan
Senior Driving AwareOess Program
Service provider testimony supported AAA 1-B plans to expand the Senior Driving
Awareness Program into Livingston County.
Caregiving
Older adult testimonyi expressed compassion for family caregivers and disabled
individuals who are placed on wait lists for services such as respite and MI Choice,
indicating that being placed on a wait list for help is a torturous experience for many
families. Testimonyjcalled for strategies that will facilitate caregivers identifying
themselves as caregi iers earlier in their caregiving career, so they might seek help
before difficult caregiving situations deteriorate into a crisis.
Adult Day Services
Testimony from the Alzheimer's Association conveyed an interest in partnering with the
AAA 1-B to support services at its new Dementia Adult Day Service site in Southfield.
Volunteer Respite
Service provider testirnony supported plans to expand volunteer respite services,
indicating that there i;i3 a wait list for one of the region's existing volunteer respite
programs.
Training
Older adult testimony called for increased training about dementia care for staff in
nursing homes and aspisted living facilities, and asserted that many direct care staff in
these settings are poorly trained.
Service provider testiMony expressed appreciation for plans to continue the Aging
Matters training seried, indicating that agency staff have participated in several Aging
Matters train ings, and find them to be valuable.
Transportation
Service provider testiMony indicated there is a continuing need for the expansion of
public transportation ;services because even though some transportation programs
increase their capacity, the demand for transportation consistently exceeds the
increased capacity. Additional service provider testimony described how they are
working with a local community to develop a new transportation program.
Advocacy
Service provider testiMony expressed support for AAA 1-B plans to expand the Senior
Advocacy Network, and indicated that this model has been shared with Michigan's
Community Action Agencies as a successful strategy to support consumer advocacy.
Testimony expressedj appreciation for the agency's broad-based advocacy agenda on
issues beyond long t p.m care reform, indicating that a broad focus on all older adult
concerns is not evident among many Michigan area agencies on aging.
Agency: Area Agency on Aging 1-B As of: May, 2004
Area
Agency on
rAN. Aging 1-B
Advocacy Atli. • Answers. Aging FY 2005 Annual Implementation Plan
IV. APPENDIX B
MEMBERSHIP OF THE BOARD OF DIRECTORS
Fiscal Year: 2005
DEMOGRAPHICS
Asian/ Pacific African Native Hispanic Persons with Female Total
Island American American/Alaskan Origin Disabilities
Total 12 20 Membership
Age 60 or 13 Over
NAME of BOARD GEOGRAPHIC Check Those That Are Appropriate
AFFILIATION MEMBER AREA Elected Official Appointed Community Rep
John LaBelle Livingston County CornMissioner
Joan Flynn Macomb County Commissioner
Floreine Mentel Monroe County Commissioner
Greg Jamian Oakland County Commissioner _
Howard Heidemann St. Clair County Commissioner
Barbara Levin Bergman Washtenaw County Commissioner
Vurn Bartley, Jr. Regional Banking (Retired)
IV-5
As of: May, 2004 Agency: Area Agency on Aging 1-B
iNea A Agency on
FAN' jilging 11 FY 2005 Annual Implementation Plan
IV. APPENDIX .0
MEMBERSHIP OF THE ADVISORY COUNCIL
Fiscal Year: 2005
DEMOGRAPHICS
• Asian/ Pacific African Native Hispanic Persons with
Island _ American American/Alaskan Origin Disabilities Female Total
Total 11 22 , Membership_
Age 60 or 12 Over -
_
NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER
Margaret Belton Private Sector Representative Huron Valley Hospital
Blake Martin Private Sector Representative ComForcare Senior Services
Pam Marron Private Sector Representative American House
Kay Miller Private Sector Representative Presbyterian Village
Jane MacFarlane Private Sector Representative Mich. Commission on Disability Concerns
Ted Westmeier Livingston County Livingston County Health Department
Peter Lichtenberg Regional Wayne State University Institute of Gerontology _
Margaret Warner Oakland Family Independence Agency
IV-7
Areagney on
/AN, Aging 1-B
Ad...3, • Aaiun • Amer: arl Aging FY 2005 Annual Implementation Plan
IV. APPENDIX E
PLANNED ENTREPRENEURIAL ACTIVITIES
Fiscal Year: 2005
The Area Agency on Aging 1-B (AAA 1-B) will engage in activities directly designed to
develop and promote 'greater awareness, understanding, and support of the continuum
of community care res iources available to older adults and their caregivers. To that end:
With the increasing need for long term care options for older adults, the AAA 1-B will
continue to explore opportunities to work with public and private health care providers to
ensure that cornpreh lensive long term care options are available for older adults.
Initiatives will be pur!sued that combine the cumulative strengths of organizations .1 involved in gerontological services.
In an effort to enhance our commitment to older adults and caregivers, the AAA 1-B will
continue to direct a strategic public education campaign as part of the National Family
Caregiver Support Program. The campaign will involve a three-tiered approach to 1)
build mass public awdreness of issues and services available to caregivers across the
six counties we serve; 2) target information to reach the specific needs of older adults
and caregivers in each of the six counties we serve; and 3). educate physicians groups,
doctors, nurses and Tffice managers of the services and options available to older
adults and their caregivers. The campaign will involve broadcast and print media,
advertising, collateral Materials including a quarterly magazine, scheduled community
events, the annual "Solutions for Family Caregivers" health fair, and partnerships with
corporations that ma?cirnize the community's access to available services. The
cultivation of corporate') support/sponsorship will be sought to assist in underwriting the
administrative costs of such campaigns.
The AM 1-B will solicit funds from the private donor and corporate community to
expand existing program efforts and nurture the development of innovative
programming enhancir;g the quality of life for southeast Michigan older adults and their
caregivers.
The AAA 1-B will coititinue to expand its resource development activities, and the
garnering of additional 'financial support through grant writing on behalf of coilaboratives
the agency engages in with other community based non profits.
FY 2005 Annual Implementation Plan
‘rea Agency on Aging:
krea Agency on Aging 1-B
;ervice to be Provided:
'lease specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan must be
ieveloped for each direct service provided.
Conduct four trainings for care management staff
in both clinical and technical areas of knowledge.
Expand care managers' ability to use computers in
conducting care management tasks.
Measure client satisfaction with care management
and direct care workers by conducting and•
reporting on a telephone survey of clients and
caregivers.
By September 30, 2005
By June 30, 2005
By February 28, 2005
Current PROGRAM OBJECTIVES Planned Year FY 2005
1. Number of Client
Screenings 926 926
2. Number of Initial Client
Assessments 904 904•
3 Number of Initial Client
Care Plans 895 895
4. Total Number of Clients
(Carry-Over plus New) 2,006 2,006
5. Staff to Client Ratio
(Active & Maintenance per full
time Care Manage!) 40 45
IV- 11
EitgeAgingl-B
a n
ey on
cony • Action • Ammer, coAj,og
FY 2005 CARE MANAGEMiENT PROGRAM - Area Agency on Aging 1-B
SCHEDULE OF MATCH & OTHER RESOURCES
BUDGET FORM (B)
MATCH
I VALUE
SOURCE OF FUNDS Cash In Kind Planned Usage
Oakland County Funds 70,789 Salaries/Rent
Eldercare 2,906 Salaries/Rent
Information and Assistance 23,689 Rent/Communications/ -
Equipment,
Program Income 6,209 Travel .
Family Caring Network 10,320 Salaries/Rent
Total Match 90,224_ 23,689
OTHER RESOURCES
I VALUE
SOURCE OF FUNDS Cash In Kind Planned Usage
Title 111-B Funds for Access Center Development 97,771 Salaries/Fringe/Travel/
Rent/Insurance
Title V 9,908 Salaries - Macomb
Probate Court 20,000 Salaries - Biller and CMs
AAA 1-B Administrative Funds 16,360 CCS Director Salary
United Way Oakland County 4,214 Care Manager Salary
Title III/State HDM, ADS, Trans. Funds 18,240 Services
Title III/State LTC Funds 82,150 Salaries/Fringe/Rent/Ins.
Total Other Resources 238,735 9,908
FISCAL YEAR = 2005'
Other
Resources
Total
Budgeted
Match
Cash In-Kind
6501'
.6.70:
962. ,500
2,9 Z;002
7.;29 3;999
0 0
-
E ITEM
3s/Salaries
e Benefits
)1
AAA:i:::.-:
SERVICE:
Federal OAA
Title Ill Funds
Program
income
rifae,:niatrOri. &A§8%fari.o,
Other Fed Funds
(non-Title III)
9279:6
State
Funds
577. 3,000
;000
riunications
wrient
.26'-cE$12:
993
206,886
47,809
6,092
168
10,521:
9991
13,1281
31,681
,964 29,357
5,9001
5793
ing
lies
pancy ,100
2000 7, 49 ,100 - (e.g., Raw Food Costs): 11,879
ige ,259 268: 5,4811
deer. Recognition 1.0 1,600
9 15:01 985 209 . Contracts/Ins. 3,592
7/63/04
Date(
rtify that I am authorized to sign on behalf of this agency.
budgeted amounts represent necessary and proper costs for implementing the program.
FY 2005 Multi-Year & Annual Implementation Plan
Appendix J - Direct Service Budget
1 als 45,0001 141,2771 28,3341 1,5001 39,0001 54,9521 54,3411 364,404
SERVICE AREA:_
by County/City if service area is not entire F'SA)
..:utive Director
Nrea Agency on Aging:
4rea Agency on Aging 1 -B
Seafice_to_be_Rromided:
-lealth Benefits Education
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan must be
Jeveloped for each direct service provided.
anne
3oal #2
Medicare Medicaid Assistance Program volunteer
workforce will consist of a minimum of 75
volunteers during FY 2005.
elictivity #1
Evaluate volunteer workforce and determine
geographic areas where expansion is required.
kctivity #2
• Conduct outreach activities to enhance MMAP
• Volunteer workforce.
etctivity #3
Conduct a minimum of one training in FY 2005 fo
new volunteers.
Beneficiaries in underserved areas will receive
benefits assistance and counseling.
Placement of volunteers in senior centers and
hospitals is expanded.
Volunteer force is expanded, and beneficiaries'
access to benefits' information is enhanced.
September 30, 2005
September 30, 2005
September 30, 2005
IV-17
;
Area eteneY" A Aging " FY 2005 Annual implementation Plan
4rea Agency on Aging:
Area Agency on Aging 1-B
Service to_be_Pcovide
Refugee Assistance Proom
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan must be
Jeveloped for each direct service provided.
Goal #1
A minimum of 700 older adult refugees shall
receive assistance and outreach from aging
network providers, which will expand knowledge
and use of services, lessen social isolation,
promote good nutritional health and mobility, and
enhance access to various social and aging
services.
Activity #1
Continue to promote the Language Line service to
Resource Advocates, Care Managers, and other
providers in the aging network.
Activity #2
Continue to promote the translation pool, which
includes more than 15 translation companies, for
use by Resource Advocates, Care Managers, and
others in the aging network.
Allows aging network to communicate with non- or
limited English speaking refugees.
Allows aging network to communicate, particularly for
long periods of time (i.e., assessments) with non- or
limited English speaking refugees.
September 30, 2005
September 30, 2005
September 30, 2005
IV-19
Area wAgeney on
riAllAging 1-B FY 2005 Annual Implementation Plan
FISCAL YEAR: 2005 AAA: eaAgencon:Agin
sEkvicE:
Federal OAA
Title III Funds
Other Fed Funds
(non-Title 111)
Program
Income
State
Funds
Other
Resources
Total
Budgeted
Match
Cash In-Kind
FY 2005 Multi-Year & Annual Implementation Plan
Appendix .1 - Direct Service Budget
E ITEM
Bs/Salaries
e Benefits
BI
ing
dies
ipancy
munications
)ment
r (e.g., Raw Food Costs):
nistration
lased Services
als
SERVICE AREA:'Furoitigiarilogrit unknOwrtifthra;fte.
: by County/City if service area is not entire PSA)
•rtify that I am authorized to sign on behalf of this agency.
budgeted amounts represent necessary and proper costs for implementing the program.
,
Dat • rte
carve Director
Ailuocncy•Action • Ancona on Agin, FY 2095 Annual Implementation Plan
DHHS/HHS U1.S. Department of Health and Human Services
DoE Department of Education
DMB Department of Management and Budget
• DoT Department of Transportation
DSP Direct Service Purchase
1 EPIC Eider Prescription Insurance Coverage
1 ELM ElderLaw of Michigan
4AM Alva Agencies on Aging Association of Michigan
FGP Foster Grandparent Program
FIA Family Independence Agency
FY Fiscal Year
GAO General Accounting Office
HB House Bill (state)
HCBS/ED 1-1J)me & Community Based Services for the Elderly and Disabled
Wlaiver (HCBS/ED) program commonly known as MI Choice
Home Delivered Meals
I-I).alth Maintenance Organization
1 House Bill (federal)
Halth Systems Agency
1 Housing and Urban Development
I Information and Assistance
Iniormation Memorandum
1 Institute of Gerontology
1 Limited English Proficiency
Legal Services Program
1 Long-Term Care
1 IVII-ISCC Michigan Hispanic Senior Citizens Coalition
1 IVIIACoA Michigan Indian Advisory Council on Aging
MI Choice M'chigan's Medicaid Home and Community-Based Elderly/Disabled
Waiver
1 MICIS
Ml Choice Information System MICIS
Advocacy • Action • Anwers on Axing
Area.
on /A,‘ Aging FY 201'05 Annual Implementation Plan
State Advisory Council
Senate Bill (state)
Senior Companion Program
Senior Community Service Employment Program
Southeast Michigan Council of Governments
Statement of Grant Award
Suburban Mobility Authority for Regional Transportation
Standard Metropolitan Statistical Area
S,killed Nursing Facility
penate Bill (federal)
S,ocial Security .
Social Security Administration
S,upplementai Security Income
S,tate Unit on Aging
Technical Assistance
Targeted Case Management
Senior Employment program of the OAA
T,obacco Settlement Respite (state)
United States Department of Agriculture
Veterans' Administration
Vyhite House Conference on Aging
SCP
• SCSEP
SEMCOG
L A .4.44)
Date
2.100
AArea ‘Ageacy ngoi-B
Aduecagy • ham • Amen ON Aging FY 2001)5 Annual Implementation Plan
Aging in January 1983 in compliance with the requirements of the Older
Michiganians 0,ct and Administrative Rules.
11. That the AAA 1-B will coordinate planning, identification, assessment of needs,
and provision pf services for older individuals with disabilities, with particular
attention to individuals with severe disabilities, and with agencies that develop or
provide services for individuals with disabilities.
12. That the AAA 1
are dissatisfied
-B has in place a grievance procedure for eligible individuals who
with or denied services.
13. That the AAA 1.-B will send copies of the Annual Implementation Plan to all local
units of government seeking approval as instructed in the Multi-Year Plan
Instructions.
14. That the AAA 1-B Governing Board and Advisory Council have reviewed and
endorsed the Annual Implementation Plan.
The undersigned herby submit the FY '05 Annual Implementation Plan that describes
the initiatives and actilvities which will be undertaken on behalf of older persons within
the planning and serivice area We assure that these documents and subsequent
Annual Implementation Plans represent a formal commitment to carry out administrative
and programmatic res?ponsibilities and to utilize federal and state funds as described. -
Area Agency on Agingi 1-B
Signature:
CR-0-kni V1A IAA
Chairperson, Board of Directors
Robert 0. McMahon
Typed Name
Signature:
41.1r,
FAcutive Director
Area Agency on Aging
Sandra K. Reminqa
Typed Name
Dat6
V-2
subjected to dii;crimination under any program or activity for which the Applicant
receives Federial 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 trarlilsfer 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 olictended or for another purpose involving the provision of similar
services or ben'pfits. 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.
Signature:
K
AOthorized Official Date
Executive Director
Title of Authorized Official
Area Agency on Aging 1-B
Name of Applicant or Recipient Agency
29100 Northwestern HighwaySuite 400
Street Address
Southfield, Michigan 48034
City/State/Zip
Form HHS-690 (05/97)
V-4
(64
G. William Caddell, County Clerk
Resolution #04162 July 22, 2004
Moved by Scott supported by Knollenberg the resolutions on the Consent Agenda be adopted (with
accompanying reports be ng accepted).
AYES: Coleman, Coulter, Douglas, Gregory, Hatchett, Jamian, Knollenberg, KowaII, Law, Long,
McMillin, Middlet9n, Moffitt, Moss, Palmer, Patterson, Potter, Rogers, Scott, Suarez, Webster,
Wilson, Zack, Bullard. (24)
NAYS: None. (0)
A sufficient majority havi)Iiig voted therefore, the resolutions on the Consent Agenda were adopted (with
accompanying reports being accepted).
DOES NOT REQUIRE COUNTY EXECUTNE ACTION
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 July 22, 2004
with the original record therieof 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 22nd day of July, 2004.