HomeMy WebLinkAboutResolutions - 2006.07.20 - 28164MISCELLANEOUS RESOLUTION #06141 July 20, 2006
BY: General Government Committee, William R. Patterson, Chairperson
IN RE: BOARD OF COMMISSIONERS - AREA AGENCY ON AGING 1-B FISCAL YEAR 2007-2009
MULTI-YEAR PLAN AND FISCAL YEAR 2007 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 two public hearings; and
WHEREAS the comments at the public hearings on the proposed plan were mostly favorable,
and constructive changes in the plan were made as a result of some comments; and
WHEREAS the Oakland County Board of Commissioners appoints two representatives to the
AAA 1-B Board of Directors, a County Commissioner and a county resident who is at least 60 years of
age; and
WHEREAS the Michigan Office of Services requires that county Boards of Commissioners be
given the opportunity to review and approve area agency on aging multi-year area plans and annual
implementation plans.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby
approves the Fiscal Year 2007-2009 Multi-Year Plan and FY 2007 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 Aging 1-B.
Chairperson, on behalf of the General Government Committee, I move the adoption of the
foregoing resolution.
GENERAL GOVERNMENT COMMITTEE
GENERAL GOVERNMENT COMMITTEE VOTE:
Motion carried on a roll call vote with Hatchett absent.
/AZIeriv FY 2007-9 Multi-Year Area Plan
A 1464.14 FY 2007 Annual Implementation Plan
EXECUTIVE SUMMARY
NARRATIVE:
The Area Agency on Aging 1-B (AM 1-B) is a non-profit organization that is
responsible for services to more than 435,000 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 created 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 their entitled benefits:
Adult Day Service Home Delivered Meals Nursing Facility Transition
Services
Care Management Home Injury Control Out-of Home Respite
Chore Homemaking ' Personal Care
Congregate Meals Information & Assistance Refugee Assistance
, Program
, Elder Abuse Prevention in-Home Respite Resource Advocacy
Family Caregiver Services Legal Assistance Transportation
Grandparents Raising Long Term Care Vision Services
Grandchildren Ombudsman
Health Benefits Education Medication Management Volunteer Caregiver
Unmet Needs
Hearing Assistance National Family Caregiver
Support Program
1-1
4A-02 FY 2007-9 Multi-Year Area Plan
f*.•- Aging 143 FY 2007 Annual Implementation Plan MmwrOlme.AmommArm
The development of a comprehensive and coordinated service delivery system
has been facilitated by the AAA 1-B through partnerships with a diverse array of
private and non-profit organizations dedicated to delivering quality services to
older persons. While the existing array of services is broad, the system is
characterized by a level of demand for assistance among the region's older adult
population that exceeds the supply of most services. This disparity is unfortunate
and harmful because of the preventive nature of many AAA 1-B services. Thus,
insufficient or closed services force many older persons to add their names to
wait lists, go without needed help, experience avoidable health problems, and
seek assistance through more costly and less desirable alternatives such as
nursing home care.
The AAA 1-B plans to address this problem by educating decision makers about
the importance and need for older adult services, and identifying opportunities for
partnerships with other public and private resources to expand services in fiscal
year 2007. Plans to expand and enhance older adult services in the areas of
health, housing, transportation, social and nutritional services, and long term care
call for the development of collaborative partnerships that will result in additional
resources and increased sensitivity of other service delivery systems toward the
unique needs of older adults. Additional efforts will focus on improving access to
needed community resources for targeted populations by working more closely
with senior centers, local governments and religious, cultural, ethnic, and minority
organizations. While access services are a high priority, opportunities to
strengthen other community services, and enhance the role of senior centers to
engage in wellness and prevention activities, will need to be identified.
The Michigan Department of Community Health is, committed to implementing
recommendations of the Governor's Medicaid Long Term Care Task Force
(June, 2006), which call for systems change through policies that will facilitate
consumer choice, rebalancing, money follows the person, and person-centered
planning.
The AAA 1-B has provided leadership to the region in securing a significant role
for the Aging Network as a provider of community-based long term care supports
and services for older adults and persons with a disability. The AAA 1-B role is
to serve as an impartial, service-neutral access point by assessing needs, and
distributing funds to support direct services to consumers. This has been
accomplished through the AAA 1-B serving as a MI Choice Waiver Agent, and
providing Community Care Management. State plans to develop Single Points of
Entry for long term care present further opportunities and challenges for the
Aging Network to strengthen the capacity to deliver services that are responsive
to consumer needs, and strengthen coordination with other health and long term
care systems. The AAA 1-B anticipates eventually serving as the Single Point of
Entry for the region's six counties, and continuing to provide leadership for the
network in developing high quality, consumer-friendly programs and services.
1-2
Arta A Agemoyou FY 2007-9 Multi-Year Area Plan
Aging 141 FY 2007 Annual Implementation Plan Awes • Amon.. arri
C. PLANNED SERVICES NARRATIVE:
The AAA 1-B anticipates, based on President Bush's proposed FY 2007 budget,
that there potentially could be the additional loss of federal and state funds in FY
2007. in addition to the state and federal cuts sustained in FY 2005 and FY
2006, which will not be recouped in FY 2007, the AAA 1-B is planning for the loss
of carryover and the potential elimination of Title ill-D funds.
On March 31, 2006, the AAA 1-B Board of Directors undertook the difficult task of
evaluating currently funded services, re-affirming the agency's funded service
priorities, and laying out a framework for addressing current and projected
federal and state cuts. The funded service priorities are specified in the
Evaluation of Unmet Needs Section 1 D of this plan. The Board of Directors
has determined that the agency will prioritize services in the following order, with
the highest priorities listed first: access, in-home, respite, special needs and
other community services. At this time, community services, remain the lowest
funded service priority, and thus would absorb the following financial cuts:
1. Counseling: Elimination of this service for FY 2007-2009. This service fills
the gap for individuals between the ages of 60 and 64 who do not have
Medicare or other insurance coverage. Staff will work with local service
providers to identify other mechanisms to support this important service.
2. Legal: A 30% cut in legal services funding from $184,308 to $129,893 for FY
2007-2009. Staff will work with local service providers to identify a strategy to
compensate for this loss of funds.
Area
Agency on
‘Aging lB
Advocacy Action • Answers on Aging
Region 1-B FY 2007-9
MULTI-YEAR PLAN
For Older Adult Services
and
FY 2007
ANNUAL IMPLEMENTATION PLAN
UVPIOBT0t,
I ST. CLAIR
AMMO
/
INA511TENAW
OAKLAND
I
/
Area Agency on Aging 1-B
Sandra K. Reminga, Executive Director
Serving the counties of Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw
29100 Northwestern Highway, Suite 400 Southfield, Michigan 48034 * (248) 357-2255
AAArea
Agway on FY 2007-9 Multi-Year Area Plan
Aging FY 2007 Annual Implementation Plan Mowry • AcIno • A......1••••••1
I. EXECUTIVE SUMMARY
NARRATIVE:
The Area Agency on Aging 1-B (AAA 1-B) is a non-profit organization that is
responsible for services to more than 435,000 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 created 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 their entitled benefits:
1 Adult Day Service Home Delivered Meals Nursing Facility Transition
Services
Care Management Home Inlay Control Out-of Home Respite
Chore Homemaking Personal Care
Congregate Meals Information & Assistance Refugee Assistance
Program
Elder Abuse Prevention in-Home Respite Resource Advocacy
Family Caregiver Services Legal Assistance Transportation
Grandparents Raising Long Term Care Vision Services
Grandchildren Ombudsman
Health Benefits Education Medication Management ' Volunteer Caregiver
Unmet Needs
Hearing Assistance National Family Caregiver
Support Program
AArea A Agency en FY 2007-9 Multi-Year Area Plan
Aging l-,11 FY 2007 Annual Implementation Plan Aftsorry • Ult. • Altnim...4,41
The development of a comprehensive and coordinated service delivery system
has been facilitated by the AAA 1-B through partnerships with a diverse array of
private and non-profit organizations dedicated to delivering quality services to
older persons. While the existing array of services is broad, the system is
characterized by a level of demand for assistance among the region's older adult
population that exceeds the supply of most services. This disparity is unfortunate
and harmful because of the preventive nature of many AAA 1-B services. Thus,
insufficient or closed services force many older persons to add their names to
wait fists, go without needed help, experience avoidable health problems, and
seek assistance through more costly and less desirable alternatives such as
nursing home care.
The AAA 1-B plans to address this problem by educating decision makers about
the importance and need for older adult services, and identifying opportunities for
partnerships with other public and private resources to expand services in fiscal
year 2007. Plans to expand and enhance older adult services in the areas of
health, housing, transportation, social and nutritional services, and long term care
call for the development of collaborative partnerships that will result in additional
resources and increased sensitivity of other service delivery systems toward the
unique needs of older adults. Additional efforts will focus on improving access to
needed community resources for targeted populations by working more closely
with senior centers, local governments and religious, cultural, ethnic, and minority
organizations. While access services are a high priority, opportunities to
strengthen other community services, and enhance the role of senior centers to
engage in wellness and prevention activities, will need to be identified.
The Michigan Department of Community Health is committed to implementing
recommendations of the Governor's Medicaid Long Term Care Task Force
(June, 2006), which call for systems change through policies that will facilitate
consumer choice, rebalancing, money follows the person, and person-centered
planning.
The AAA 1-B has provided leadership to the region in securing a significant role
for the Aging Network as a provider of community-based long term care supports
and services for older adults and persons with a disability. The AAA 1-B role is
to serve as an impartial, service-neutral access point by assessing needs, and
distributing funds to support direct services to consumers. This has been
accomplished through the AAA 1-B serving as a MI Choice Waiver Agent, and
providing Community Care Management. State plans to develop Single Points of
Entry for long term care present further opportunities and challenges for the
Aging Network to strengthen the capacity to deliver services that are responsive
to consumer needs, and strengthen coordination with other health and long term
care systems. The AAA 1-B anticipates eventually serving as the Single Point of
Entry for the region's six counties, and continuing to provide leadership for the
network in developing high quality, consumer-friendly programs and services,
1-2
iiArea A Agenoy au FY 2007-9 Multi-Year Area Plan
"Aging 1-B FY 2007 Annual Implementation Plan
C. PLANNED SERVICES NARRATIVE:
The AAA 1-B anticipates, based on President Bush's proposed FY 2007 budget,
that there potentially could be the additional loss of federal and state funds in FY
2007. In addition to the state and federal cuts sustained in FY 2005 and FY
2006, which will not be recouped in FY 2007, the AAA 1-B is planning for the loss
of carryover and the potential elimination of Title 111-D funds.
On March 31, 2006, the AAA 1-B Board of Directors undertook the difficult task of
evaluating currently funded services, re-affirming the agency's funded service
priorities, and laying out a framework for addressing current and projected
federal and state cuts. The funded service priorities are specified in the
Evaluation of Unmet Needs Section 1 — D of this plan. The Board of Directors
has determined that the agency will prioritize services in the following order, with
the highest priorities listed first: access, in-home, respite, special needs and
other community services. At this time, community services, remain the lowest
funded service priority, and thus would absorb the following financial cuts:
1. Counseling: Elimination of this service for FY 2007-2009. This service fills
the gap for individuals between the ages of 60 and 64 who do not have
Medicare or other insurance coverage. Staff will work with local service
providers to identify other mechanisms to support this important service.
2. Legal: A 30% cut in legal services funding from $184,308 to $129,893 for FY
2007-2009. Staff will work with local service providers to identify a strategy to
compensate for this loss of funds.
,
FY 2007 Planned Services Summary Page
Percent of Method of Provision
Service the Total Purchased Contract Direct
ACCESS SERVICES 1111110.110111111111.1011111111111110
Care Management* 8.66% X .X
Case Coordination & Support
Disaster Advocacy & Outreach Program
Information & Assistance 1.19%
Resource Advocacy 3.87%
Transportation 028%' X
IN-HOME SERVICES _
:
Chore 2.47%
Home Care Assistance
Home Injury Control/Health Benefits 0.93%
Homemaking 5.71%
Home Delivered Meals 38.13%
Home Health Aide -
Medication Management 0.27%
Personal Care 6.23%
Personal Emergency Response System
Respite Care 5.36%
Friendly Reassurance
COMMUNITY SERVICES
Adult Day Care
Dementia Adult Day Care 5.04%
Congregate Meals 13.28%
Nutrition Counseling
Nutrition Education
Disease Prevention/Health Promotion
Health Screening
Assistance to the Hearing Impaired & Deaf 0.34%
Home Repair
Legal Assistance 0.85%
Long Term Care Ombudsman/Advocacy 1.03%
Senior Center Operations
Senior Center Staffing
Vision Services 0.32%
Programs for Prevention of Elder Abuse, 0.28% X
Counseling Services 0.81%
Specialized Respite Care 121%
Caregiver Supplemental Services
Grandparents Raising Grandchildren 0.16%
Caregiver Education, Support, & Training
PROGRAM DEVELOPMENT -28°/0
REGION-SPECIFIC
Volunteer Caregiver 0.70%
REFUGEE S (F applicable)
TOTAL PERCENT 100.00°/0- 19.29% 66.29% 14.42%
TOTAL FUNDING $ 15,237,553 $ 2,939,077 $ 10,100,647 $ 2,197,829
P funding provided by Care Management $ 30,000
11-1
Date: 00 Page lof 3 Rev. No.: PSA 1-B 05/24106
SERVICES SUMMARY
—71:1SFEZEWSETriscrEFT117vrircrcEl: FUND SOURCE
UFFORTIV
SERVICES TOTAL
ADM1/4ISTRA11ON
UT—carG. Local in-Kind if Total
022,601
RevenU iT
era] Administration
State Administration
State Tobacco Respite Administration
Other
1,143,8701
135,476
85,793
163,579 163,579
7. Federal Title III-E (NFCSP) 1,021,661 1,021,651
12. State Care Management
13. State Ombudsman
14. Medicaid Match
39,335 8. Federal Title III-EAP 39,335
210,159 9. State Access 210,159
692,543 10. State In-Home
832,262
692,543
832,262 11. State Niemen Care
1,011,161
73,036
1,011,161
73,036
56,927 56,927
a Cash
b. In-Kind
16. State Respite Care (Escheat)
17. State Tobacco Respite Care"
16. NSIP
19. Program Income
10IAL:
737,054 737,054
703,828 1,803,691 1,099,863
237,727 237,727
953,255 953,255
1,498,505 1,498,505
56,927 2,325,000 2,381,927
9,384,_232L 10,861,786 I 20,246,010
-,STATEMIR
Date
FY 2007 AREA PLAN GRANT BUDGET
Agency: Area Agency on Aging 1-B Budget Period: 10/01106 to
Rev. 412006
09130/07
I. Federal Title 111-B Services
12. Fed Tide 111-C1 (Congregate)'
3. State Congregate Nutrition
4. Federal Title 111-C2 (HEIM)"
. Stale Ileum Delivered Meals
6. Fed Title III D (Prey. Health)
2,198,743
1,544,020
98,836
2,214,003
2,477,594
2,198,743
1,644,020
98,836
2,214,003
2,477,594
15. Local Match
• includes ;85,793 Administration Funding
** includes C1iC2 40% allowable transfer of $1,029,347
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.
II-2
FY 2007 AREA AGENCY GRANT FUNDS - SUPPORT SERVICES DETAIL
Budget Period:
Dale:
r..-Tror-4114-0-7344
_
PRT-57=-'
Due to an cqiected reduction in funding, the AM 1-B will not provide funding for counseling contracts in FY 2007 11-3
Con. regate 1 1 Income 1 Match 1 Match
Nutrition Services
TS; 2,965,396
7,896,391
0
I. Congregate Meals
2. Home Delivered Meals
3. Nutrition Counselina
5. Regional
Nutrition Services Total 1,54-4,020 2,214,003 98,836 2,477,594 1,498,505 703,828 10,861,786
FY 2007 AREA PLAN GRANT BUDGET-NUTRITION SERVICES DETAIL
09/30/07 Agency: Area Agency on Aging 1-B
PSA: 1-B
Budget Period: 10101/06 to
Date: 05124106
Rev. 4/2006
page 3 of 3
Rev. Number:
SERVICE CATEGORY 1 Title III C-1 1 Title 1110-2 1 State J State HDM 1 NSIP 1 Program 1 Cash 1 In-Kind 1 TOTAL
L m, ak,.__ j______wwj:=:Lqstg 0 I
FY 2007 AREA PLAN GRANT BUDGET-TITLE VII LTC OMBUDSMAN DETAIL
Rev. 412006
SERVICE CATEGORY Title III-B Title VII Title VII-A State N110 Medicaid Program Cash In-Kind TOTAL
Match Income Match Match
I-TO Ombudsman Services t.:40,SON "ERNOUR W..1•V:elitagig ..:::01:"V:In.:Igra arlating ';':-V-M,".:,:n; NetfinNIP. Oigi'aiganat iigateRW;M :V.-
1. LTC Ombudsman .:::::::::::'::::•::;7i.0.19 :,::::;,;:.:::,,.-ff,-,-,-..,...,•.-:::'-:::;:lii.-i-- :-,ili:::;=;:',.:,::.:.--.E.:-::::;-,••;;-:::-;;;:.:: ;;ii.ii:iiiiiil--..i•::::1 :',--',i'':*:'::.:*:.:" 7.;-: H:.,::::::::::::::ii:::Sti.e.1:: :i:ii:i:irg::::::i',3tt „. ..: ::::::::::::::::::::::::::::::::::::fi:::- Mt:: 182,496
2. Elder Abuse Prevention ' .- ...,:,..:,.-::::::::::::,:- •:::::i:i:,:,:i:i:i::-::. • . .. Irleitikti: A3/441:-.- ,... 7.r.;i, . .::::,::::::::::Ri-::::i . ' . .. ::::':::::::::::::::::::::E::. — .. -- 4.=.:::::::',::::::::::::::::::144.0:: 54,405
3.11- • on Siecific 0
LTC Ombudsman Ser. Total 30,4884 0 39,335 I 73,036 56,927 1 1,400 I- 25,786 1 8,929 1 236,901 I
11-4
Area Agency on Aging 1-B
Advisory Council
G DeptilsAgmtiOrsChartiOreChszt2006
Revised March 30, 2006 II Area Agency on Aging 1-B
Board of Directors
AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART
Sandra K RemInga
Executive Director
Judith Wahlberg
Chief Fiscal Officer
r inance and Administration
Kathleen Kirschenheder
Associate Director
Community Care Services
Angelina klichelini
Director
formation Technology
Mary Burch
— Database Developer
Dan Harmon
- PC Technician
Melissa Pena
Human Resources
Manacier
Meta Lothman
Fiscal Analysr
Sandra Carter
Fiscal Manager
Social Services
Paula Howard
Fiscal Manager
NutritionServices
Melissa Maxwell
FA/CPS Assistant
Vacant
Fiscal DSP
Manager j
Erin George
Assistant Director
Finance and
Administration
Richard lson
Fiscal/Accounting
Supervisor.
Judith Beatty
Accounting/Payroll
Administrator
Charlene Thompson
Senior Accounting
Clerk
Kadt pry. 'Wok Fneon
Older Wkr.
Program Asst. th
I Nancy Thompson
OHR Coordinator' t
Tina Abbate-Marzoll
Director
Contracted & DSP
Services'
Maryanne Moore
DSP Manager
1 DSP Contact
Amy Mills
Social Service,t
Contracts Manag
Amy Mills
Social Services
Contracts Manager
Karen Jackson
Nutrition ContraO
Karen Jackson
Nutrition Contracts
Manager
Roberta Habows
SDA Program
CoordiRefugee A
Pr. • rarn Coord.'
Roberta Habowski
SDA Program
CoordiRefugee Asst.
Pmgrarn Coord.' (t)
Brenda Defter
S DA Program
Coord./Refugee Asst.
• • • 11,1. LI *
Tanya Kurtz
Older Worker
Program Manager
Kathy Bogf
Vendor Quality
Assurance Mgr.'
1
Deanna Mitchell
Director
Support Services
Meillssa Christ
Secretary It
Leslie I emanski
Secretary
Jennifer Stormont
Secretary I
inda Myers
Clerical Assistant
Jenny Jarvis
Director
Communications and
Fund Development
Sallie Justice
PR Coordinator'
James McGuire
Director
Planning and
Advocacy
17 Vacant -1
—I Community Planner, I
I HousingTransp. I
L J
Tom Wyllie
Community Planner,
I Mal th Specialist
Vacant
Advocacy
Coordinator'
onanne Rakk
Director
Access & Benefits
Assistance
Becki Tyler
Call Center
Supervisor
Jennifer I- loughtun
Resource Specialist
Sandra Smith
— Resource Specialist
Kelly McGrath
Resource Specialist
r -
Vacant
Resource Specialist I
Vikkl Rochester
— Resource Specialist
LI Renee Dobrzelewskf
Resource Specialist
I See page 2
Carrie Nicholson
MMAP Coordinator
Stacey Platte
Medicare Prescrip-
tion Prog. Assi (t)
(1)Temporary Position
Part-Time Position
Cathy Backos
Re - • Re Mena. e
I
Manager
11-5 The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer
r — — — — Vacant
H Audrey Smith
RN Care Manager
r .-T
—I TIN Care Manager I Kathleen Fee
RN Care Manager —
L RN Care Manager
— — — — - Vacant
AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART
Page 2
Kathleen Kirschenheiter
ASSOCiate Director
Community Care Services
Marie Mihaltan
RN Care Manager
Joel Goltsacker
OAKLAND
REGIONAL SUPERVISOR
Susan I learshen
Social Worker
Care Manacle(
Kathleen Kueppers
CLINICAL QUALfTY
ASSURANCE MGR.
Barb Lavery
MACOMB
REGIONAL SUPERVISOR
MACOMB
COMMUNIP( CARE
IYIANAGEMEN r
Barb Lavery (Interim)
Sr. CLAIR
REGIONALSUPERVISOR
SF. CLAIR
COMMUNITY CARE
MANAGEMENT
Kathleen Sarb
WASFRENAW/LIVINGSTON
REGIONAL SUPERVISOR
LIVINGS TON
COMMUNITY CARE
MANAGEMEN
Gerllyn Powers
MMIROE
REGIONAL SUPERVISOR
MONROE
COMMUNITY CARE
MANAGEMENT
WASH TENAW
COMMUNITY CAFIE
MANAGEMENT
Vacant
F iN Care Manaaer FiN Care Manager —
L
Cheryl Collins
Program Assistant
lawrenca Bassin
Social Worker
Care Manaaer
Marilyn Demaray
Social Worker
Care Manaaer
L Vacant 1
I Social Worker I
L Care Manager j
• — Vacant —
I Social Worker I
L Care Manager j
tonya Blanks-Phillips
Program Assistant
Karol Souther-land
Billing Team Leader
r Vacant
Ming Clerk L - J
Kim Northern
Biting Clerk
Barbara Leasia
RN Care Manager
Barbara Sims
RN Care Manager
Elizabeth Czaplickl
RN Care Manager
Janice Wolf
'FIN Care Manager
r — — — — Vacant
— LFIN Care Manager
Chartene Southern
FIN Care Manager
Elizabeth Gamboa
RN Care Manager
Amy De Meyere
RN Care Manager
Lr — Vacant —
RN Care Manager L — J
Kathleen Dettloff
RN Care Manager
r — TaCaTic — 7
Social Worker I
L Care Manager j
Charms Latosz
Social Worker
Care Manager
Ann Marie Davis
Social Worker
Care Manager
r crit.
I Social Worker I
_ Care Manager j
Patricia Fericak
— RN Care Manager
Dawn Naar
RN Care Manager
Linda Russell
RN Care Manager
Joyce Kukuk
RN Care Manager
Bare Hurzyriskl
Social Worker I
Care Manager
Louann Marks
Program
Assistant
I Elizabeth Kelly
RN Care Manager
Christine Wagner
RN Care Manager
Christine Gannon
RN Care Manager
Pamela Burke
AN Care Manager
3 — — — — Vacant
RN Care Manager L — J
3 — — Vacant
RN L Care Manager —
— Carrie Lengyel
Social Worker
Care Manager
ebecca Knorp
Social Worker
Care Manager
Kathleen Ochman ski
Social Worker
Care Manager
Kevin Valenti-
Social Worker
Care Manager
Denise Parker
Program Assistant
Kathy Poland
RN Care Manager
Peggy Hari
RN Care Manager
Cindy Kuehn
RN Care Manager
Nancy Wedell
Social Worker
Care_Marager:
Rhonda Barrie
RN Care Manager
r — — — -I Vacant
.1 Social Worker I
L Care Manager j
Margaret Rushlow
RN Care Manager
Sham Pullou
RN Care Manager
Vacant
L RN Care Manager
= r — Vacant
RN Care Manager
Nancy Hoffman
RN Care Manager
Sarah Jacobs
Social Worker
Care Manager
I Martha Fades
Social Worker
Care Manager
Carlene Fields
Program Assistant
Vacant
LRN Care Manager
Karen Ranella r -- — Vacant RN Caro Manager
I Judith F'aige _ . .... . Judith F'aige
Social Worker
Care Manager
It) Temporary Position
• Part-Time Position
the Area Agency on Aging I-El Is an Equal Opportunity and Affirmative Action Employer 11-6
Alma
'" A FY 2007-9 Multi-Year Area Plan
/A\Aging" FY 2007 Annual Implementation Plan
STATEMENT OF NEED
DEMOGRAPHICS:
Region 1-B Population Characteristics Analysis and Trends
The Region 1-B older adult population will experience consistent growth from
2005-2010, with age 65+ population growth totaling around 8,000 individuals,
and county growth rates ranging from 10.1% to 18.2%. While figures are not
available, the growth rates for minorities and individuals with a disability are
expected to continue the pattern set from 1990 to 2000, when they also
exceeded the growth rates of the general population. While the older adult
population is growing at a 2%-3% annual rate, public adoption of more healthy
lifestyles has decreased the level of disability among the older adult population.
A Duke University analysis of data from the National Health Longitudinal Study
found a 25% reduction in age-adjusted disability over a 17-year period. Thus
one could reason that the decreasing disability rate will partially offset an
expected increase in demand for services related to population growth, resulting
in net annual increases in demand for services of between 1% and 1.5% for the
six county region.
Considerable attention has been given to the pending impact that the aging of
the Baby Boom population will have on public programs and benefits. It should
be noted that the first Baby Boomers will not turn age 65 until 2011, so the
factors mentioned above do not reflect an acceleration in demand that will result
from aging Baby Boomers.
Region 1-B Population Growth
2005 - 2010
County 2005 Age 2010 Age Increase % Growth Annual
65+ 65+ 65+ 2005-10 65+
2005-10 Growth
2005-10
Livingston 14,756 17,446 2,690 18.2% 538
Macomb 113,116 126,546 13,430 11.9% 2,686
Monroe 17,760 20,552 2,792 15.7% 558
Oakland 139,748 154,395 14,647 10.5%1 2,929
St. Clair 20,544 22,617 2,073 10.1% i 414_
Washtenaw 28,962 33,634 4,672 16.1% 934
Region 1-B 334.886 ' 375190 40,304 1 12.0% 8,060
Source: SEMCOG 2030 Regional Development Forecast, September, 2002
III-1
A FY 2007-9 Multi-Year Area Plan irea
IA\LAgitig" FY 2007 Annual Implementation Plan Ainnwcy • AM. • ANYMI Apal
Region 1-B 2000 Census data for age, race, income, and relative caregivers is provided
in the following tables.
AzAgaency on
ArAPI, Aging 1-B
Advocacy • Action • Answers on Aging
2000 Racial/Ethnic Census Population by County
Comparison to 1990 Census Data: Age 60+
Provided courtesy of Area Agency on Aging 1-B, 29100 Northwestern Highway, Suite 400, Southfield, Ml 48034, 800-852-7795 www.aaalb.com
1990 RACIAL/ETHNIC CATEGORY 60+ 2000 RACIAUET1INIC CATEGORY 60+
Growth In 60+
1990 American Asian, Total % of 1990 2000 American Asian, Total % of 2000 Minority
Census Black or Indian/ Hawaiian, Minority Census Census Black or Indian/ Hawaiian, Two or Minority Census Population
Population African Alaskan or Pacific Some Population Population Hispanic or Population African Alaskan or Pacific Some More Population Population Hispanic or from 1 990 to
60+ While American Native , Islander Other Race 60+ 60+ Latino ** 60+ While American Native Islander Other Race Races 60+ 60+ Latino*. 2000
MICHIGAN 1,510,397 1,338,795 157,080 4,328 5,722 4,472 171,602 11.4% 15,363 1,596,162 1,400,703 160,741 4,658 12,298 5,260 12,502 195,459 12.2% 18,653 13.9%
FIEGION 1-B 373,773_ 359,358 10,702 603 2,558 552 14,415 3.9% 3,059 419,023 391,406 17,081 600 6,015 809 3,112 27,617 6.6% 3,535 91.6%
Uvingston County 13,405 13,309 33 34 26 3 96 0.7% 53 18,610 18,354 44 44 60 15 93 256 1.4% 93 166.7%
_
Macomb County 122,922 120,912 1,975 181 666 88 2,010 1.6% 857 139,027 134,818 1,557 192 1,379 128 953 4,209 3.0% 933 109.4%
Monroe County 19,427 18,975 343 43 26 40 452 2.3% 193 21,829 21,247 345 28 44 39 126 582 2.7% 196 28.8%
Oakland County 164,308 156,015 6,287 243 1,434 329 8,293 5.0% 1,494 177,634 160,377 11,541 217 3,522 458 1,519 17,257 9.7% 1,747 108.1%
SI. Clair County 24,189 23,617 438 56 19 59 572 2.4% 198 26,445 25,698 442 52 44 75 134 747 2.8% 237 30.6%
Washlenaw County 29,522 26,530 2,526 46 387 33 2,992 10.1% 264 35,478 30,912 3,152 67 966 94 287 4,566 12.9% 329 52.6%
Permission to copy and reproduce granted by the Area Agency on Aging 1-B
Area
Agency on
‘Aging 1-B
Advocacy • Action • Answers on Aging
2000 Census Below Poverty
By Race By County
2000 Census Age 60+ Below Poverty by Race
Not Hispanic or Latino:
American Native
Black or Indian and Hawaiian
African Alaska and Some Two or
White American Native Asian Other other race more Hispanic
alone: alone: alone: alone: Pacific alone: races: or Latino:
Total Age
Geographic Area , 60+ Total , Total Total Total Total Total Total Total Total Total
United States 44,055,260 4,343,235 3,884,085 2,807,600 837,175 42,530 126,245 3,120 5,755 61,655 459,150
Michigan 1,545,715 127,975 125,530 92,075 29,455 735 1,075 4 110 2,080 2,445
PSA 1B 408,310 25,400 25,180 22,065 2,175 45 495 4 20 380 220
Livingston County 18,385 750 745 725 4 4 - - 4 4
: :1 : I .1 1 185- 105 60
- Monroe County 21,500 1,780 1,775 1,690 70 - 4- 10 4
Oakland County 173,435 10,620 10,500 8,625 ' 1,415 10 220 4 10 210 120
- ,St. Clair County 25,995 2,030 2,030 1940, 65 4 4 - 15
Washtenaw County 33,720 1,940 1,915 , 1,350 , 430 , 10 85 - 10 30 25,
Source: Census 2000 Special Tabulation on Aging (rounded estimates)
Area
on
Airiness - Action - Answers on Aging
2000 CENSUS TOTAL RELATIVE CAREGIVERS
Percent of
Percent of total grandparents living in
Grandparents population who are household with one or
living in household grandparents more own
with one or more Grandparent living in household grandchildren who are
Total own grandchildren responsible for with one or more responsible for
Area Population under 18 years grandchildren own grandchildren grandchildren
Region 1-B 2,772,331 37,053 13,437 1.3% 36%
Livingston 156,951 1,816 655 1.2% 36%
Macomb 788,149 11,101 3,600 1.4% 32%
44en-ree 145,945 2,276 920 1.6% 40%
Oakland 1,194,156 15,782 5,805 1.3% 37%
St Clair 164,235 2,505 1,004 1.5% 40%
Washtenaw I 322,895 3,573 1,453 1.1% 41%
111-5
Area
Ageney on
‘Aging 1-B
Advocacy • Action • Answers on Aging
2000 Poverty Level Preliminary Census Data by County
Comparison to 1990 Census Data
Provided courtesy of Area Agency on Aging 1-B, 29100 Northwestern Highway, Suite 400, Southfield MI 48034, 800-852-7795 wvvw.aaalb.com
..
, ., ----- ,„*,-,..-, ... _4 % Below
-_ -A % Below 150%
PovertyPopulat on 60+
60+ Below 150% of Poverty poverty 60+ Below 150% of
Geographic Area 1990 60+ Below Poverty Poverty 2000 Population 60+ 60+ Below Poverty Poverty Increase/ Increase/
Total Total Decrease Decrease
Population °A of % of 60+% of 60+ Population % of %of 60+ % of 60+ 1990 to 1990 to
Total Total Total Total Total Total Total Total Total Total Total Total 2000 2000
Re a ion 1-B 2 478 781 373 773 15,1% 24 238 6.48% 54 263 14.5% 2 772 332 419 023 15.1% 25 400 6.1% 51,599 12.3% 4.8% 4.9%.
Livingston 115,645 13,405 11.6% 782 5.83% , 1,759 13.1% 156,951 18,610 11.9% 749 4.0% 1,720 9.2% -4.2% -2.2%
,
Macomb 717,400 122,922 17.1% 7,124 5.80% 17,444 14.2% 788,150 139,027 17.6% 8,282 6.0% 18,003 12.9% 16.3% 3.2%
Monroe 133,600 19 427 14.5% 1 769 9.11% 3 985 20.5% 145,945 21 829 15.0% 1 779 8,1% 3,385 15.5% 0.6% -15.1%
Oakland 1,083,592 164,308 15.2% 10,321 6.28% 21,805 13.3% 1,194,156 177,634 14.9% 10,618 6.0% 20,520 11.6% 2.9% -5.9%
St. Clair 145 607 24 189 16.6% 2 203 9.11% 5 123 21.2% 164 235 26 445 16.1% 2 030 7.7% 4 381 16.6% -7.9% -14.5%
Washtenaw 282,937 29,522 10.4% 2,039 6.91% 4,147 14.0%, 322,895 35,478 11.0% 1,942 5.5% 3,590 10.1% -4.8% -13.4%,
Advocacy • Action Answers on Aging
2000 Census Population by County
Comparison to 1990 Census Population
Provided courtesy of Area Agency on Aging 1-B, 29100 Northwestern Highway, Suite 400, Southfield, M1 48034, 800-852-7795 www.aaall
1990 2000 Growth In 60+ Growth In 85+
population population
population 60+ population 85+ population 60+ population 85+ from 1990 to from 1990 to
Total Total 2000 2000
Population Total % of total total % of 60 + Total Population Total % of Total Total % of 60+ Total
MICHIGAN 9,295,297 1,510,397 16.2% 106,907 7.1% 9,938,444 1,596,162 16.1% 142,460 8.9% 5.7% 33.3%
REGION 1-B 2,478,781 373,773 15.1% 24,918 6.7% 2,772,332 419,023 15.1% 36,818 8.8% 12.1% 47.8%
Livingston County 115,645 13,405 11.6% 851 6.3% 156,951 18,610 11.9% 1,308 7.0% 38.8% 53.7%
Macomb County 717,400 122,922 17.1% 7,203 5.9% 788,150 139,027 17.6% 11,889 8.6% 13.1% 65.1%
Monroe County 133,600 19,427 14.5% 1,304 6.7% 145,945 21,829 15.0% 1,816 8.3% 12.4% 39.3%
Oakland County 1,083,592 164,308 15.2% 11,520 7.0% , 1,194,156 177,634 14.9% 16,209 9.1% 8.1% 40.7%
St. Clair County 145,607 24,189 16.6% 1,696 7.0% , 164,235 26,445 16.1% 2,397 9.1% 9.3% 41.3%
Washtenaw County 282,937 29,522 10.4% 2,344 7.9% 322,895 35,478 11.0% , 3,199 9.0% 20.2% 36.5%
Permission to copy and reproduce granted by the Area Agency on Aging 1-B
111-7
Community Forum
on the Needs of Old r Adults
Macomb County
March 20, 2006
A summary of older adult needs, as in icated by older persons,
provider agency representatives, family car givers, and elected officials at
the Macomb County Com unity Forum.
Sponsored by:
Area Agency on Aging 1-B
Macomb County Dept. of Senior Citizen Services
Area
Adm.!), - 441/M • 11111.M4 AMP
Area Agency on Aging 1-B " 29100 Northwestern Hwy., Ste 400 Southfield, Michigan 48034 * (248) 357-2255
INTRODUCTION
On March 20, 2006, a Community Forum on the N eds of Older Adults was held in
Macomb County, Michigan, at the Macomb CouTy Department of Senior Citizen
Services. The purpose of the forum was to provi e older adults, family caregivers,
agency representatives, elected officials, and o her interested parties with an
opportunity to discuss the needs and concerns of lder persons. Participants were
invited to provide testimony on unmet needs, an influence the establishment of
priorities for older adult services.
The forum was co-sponsored by the Area Agency on Aging 1-B (AAA 1-B) and the
Macomb County Department of Senior Citizen Se ices. The role of the sponsoring
organizations was to listen to the testimony pro ded at the forum, and use the
information for their strategic planning efforts to assu e their activities are responsive to
the needs of older adults. The forum testimony se es as a basis for development of
the AAA 1-B's Fiscal Year 2007-9 Multi Year Plan, hich distributes over $20.4 million
in federal Older Americans Act and state funds to s ,pport a range of social, nutritional,
access, and long term care services. Forum corn i ents will also assist the Macomb
County Department of Senior Citizen Services with t eir efforts to address the issues of
greatest concern to the participants.
Thirty-four individuals attended the forum, inclI., ding seven older adults, one
representative from an elected official's office, and 6 agency representatives or other
interested parties. This report summarizes the is ues discussed at the forum, and
documents needs among older adults.
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.com
COMMUNITY FORUM ON THE NEEDS OF OLDER ADULTS
TESTIMONY SUMMARY
NUTRITION
Service provider testimony identified a need for more home-delivered meals and
drivers, plus quicker initiation of service for people who need home-delivered meals by
decreasing the wait period from weeks to days.
Service provider testimony described an intergener tional program for older adults that
involves gardening, harvesting, and preparing meal . Testimony also described a free
"shopping tour" program that assists older adult with reading and understanding
nutrition labels. However, this program is at risk of being eliminated if not utilized.
Additional testimony also recommended targeting older adults with or eligible for a
Bridge Card, for enrollment in a nutrition education rogram. Testimony also expressed
a need to assist older adults placed on special diets in understanding those diets.
HEALTH CARE
Service provider testimony identified a need to assist older adults in acquiring and
affording dental services. Testimony also expressed concern that some older adults
cannot afford Medicare Part D.
I Elected official representative testimony thanked t e AAA 1-B for providing assistance
to older adults with enrolling in a Medicare Part Prescription Drug Plan (POP) and
supported extending the initial enrollment period f r Part D beyond the May 15, 2006
deadline. Testimony further reported that many old r adults have enrolled in a plan that
does not best meet their needs, that they w re better served under previous
prescription drug programs such as the Elderly harmaceutical Insurance Coverage
(EPIC) program, and that they are better off by n t signing up for a plan. Testimony
also expressed concern that drug prices may incr ase at an accelerated rate because
of the new Medicare Part D Prescription Drug Plan (PDPs).
Older adult testimony reported that it was more cos effective for individuals with healthy
family histories and no prescriptions to incur t e premium penalty resulting from
enrolling in a Medicare Part D PDP after the May 5, 2006 deadline than to enroll now
and pay an insurance premium of $23 per month.
Older adult testimony raised concern about the increasing emphasis on the use of
traditional medications when alternative medicines ..kre available.
III-10
LONG TERM CARE
Service provider testimony identified a need to provide more financial assistance to
homebound older adults not in need of a nursing home level of care so that they can
remain in their homes rather than be forced into nursing homes. Subsidized home care
services are needed since many older adults cannot afford to pay $18 per hour for
home care. Testimony indicated that these subsidies would cost taxpayers less than
the cost of Medicaid nursing home care.
Service provider testimony thanked the AAA 1-B for recognizing unlicensed health care
agencies and giving them legitimacy. Testimony indicated that the cost of providing
home care services could be kept down if group insurance was available to providers.
Service provider testimony reported that providing high quality, secure home care is
expensive and that screening and training LTC staff increases costs. As a result, older
adults often turn to lower cost options for home care, which often increases their risk of
being defrauded and exploited.
CAREGIVING
Service provider testimony expressed concern for persons with disabilities under the
age of 80 who have frail older adult caregivers.
Service provider testimony identified a need to train elderly caregivers on proper body
mechanics and on how to provide care without injuring themselves.
Service provider testimony stressed that respite services for caregivers are very
important.
Service provider testimony explained a process for evaluating environmental safety and
security and helping older adults arrange for needs to be met.
TRANSPORTATION
Service provider testimony stated that older adults need transportation for medical
needs.
Service provider testimony reported providing transportation for older adults for ongoing
physical therapy and dialysis, but these services are draining their volunteer drivers.
Testimony recommended that physical therapy providers assist with senior
transportation needs.
SERVICES AND RESOURCES
Caregiver testimony advocated for increased use of sliding fee scales as a means of
subsidizing older adult services.
III-1 1
Service provider testimony indicated that the "baby boomers" will be the first generation
less well off than their parents and, as a result the nation's resources, will be stretched.
Service provider testimony indicated there is a need for greater public support of
services for older adults,
Elected official representative testimony indicated that funding is an important need and
expressed support for funding older adult services. Testimony also expressed
opposition to cutting funding for Community Development Block Grants (GDBG),
Service provider testimony reported that it constantly receives calls for older adult
resources and that it attempts whenever possible to link callers to resources,
VOLUNTEERING
Service provider testimony stated its volunteers receive as much care and attention as
its clients. Testimony also reported that for the first time, it has had difficulty obtaining
volunteers, perhaps due to the economy and fuel costs, and requested help with
volunteer recruitment.
OUTREACH
Forum participants agreed that funding to promote the availability of existing older adult
services and resources is inadequate and chronically insufficient.
Caregiver testimony expressed a need to conduct outreach to churches and other sites
to increase forum attendance and participation. Testimony also indicated that using e-
mail for communicating with older adults is not effective since many older adults don't
use e-mail.
Older adult testimony reported that many older adults are reluctant to accept help, and
that this reluctance is a barrier to effective service delivery that must be overcome.
INFORMATION AND ASSISTANCE
Elected official representative testimony reported receiving numerous calls from
constituents not knowing where to turn for help regarding older adult services, indicating
a need for Information and Assistance resources or support within legislative offices.
Testimony also stated support for increased funding of the Medicare Medicaid
Assistance Program (MMAP).
LEGAL ASSISTANCE
Service provider testimony reported that resource advocates and legal services staff
work together to help address the legal needs of older adults.
111-12
EXPLOITATION AND NEGLECT
Service provider testimony indicated that there are instances where children providing
care to elderly parents neglect them and "wait for them to die." Programs are needed
for these socially isolated older adults.
Service provider testimony expressed a concern that the elderly are vulnerable to
scams and are in need of greater protection against fraud and exploitation.
Service provider testimony reported receiving many calls from older adults regarding
scams. Testimony described how a scam victim was able to recover $17,000 through
legal action and that educating caregivers may help older adults avoid scams.
Older adult testimony expressed concern regarding the vulnerability of older adults to
fraud and exploitation when hiring home care help.
Older adult testimony questioned whether greater emphasis should be placed on the
use of gatekeepers such as utility workers, mail carriers, etc., to help identify isolated
older adults who may need assistance.
UNMET AND EMERGING NEEDS
Service provider testimony reported receiving an "astounding" number of weekly calls
requesting help with ramps.
Service provider testimony expressed a need for more funding for home and home
appliance repair because the current, limited source of funding has already been
exhausted. Additional testimony relayed a story regarding an older adult who had his
home demolished because he did not have enough money for repairs.
ADVOCACY
Older adult testimony called for an organized grass-roots effort to encourage older
adults to get involved with elected officials on a first name basis, increase older adult
voter turnout, and become more civically engaged.
Older adult testimony stated that older adults should be able to depend on relatives to
provide assistance with advocacy and in asking for help.
Elected official representative testimony indicated that it does help to contact legislators,
including those not from your district. Testimony further indicated that e-mail is the most
effective way to impact an elected official, however, phone calls and letters also work.
111-13
Community Forum
on the Needs of Older Adults
Monroe County
March 27, 2006
A summary of older adults needs, as indicated by older persons,
provider agency representatives, family caregivers, and elected officials at
the Monroe County Community Forum.
Sponsored by:
Area Agency on Aging 1-B
Monroe County Aging Blueprint
AArea
Aging I-B
Altroacy • Mb. • Asper, NI Mfg
Area Agency on Aging 1-B * 29100 Northwestern Hwy., Ste 400 Southfield, Michigan 48034 * (248) 357-2255
INTRODUCTION
On March 27, 2006, a Community Forum on the Needs of Older Adults was held in
Monroe County, Michigan, at the Frenchtown Senior Center. 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 establishment of priorities for older adult services.
The forum was co-sponsored by the Area Agency on Aging 1-B (AAA 1-B) and the
Monroe County Aging Blueprint, a collaboration of stakeholders in older adult programs
who are working to develop a strategic vision for the future of aging services in Monroe
County. The role of the sponsoring organizations was to listen to the testimony
provided at the forum, and use the information for their strategic planning efforts to
assure their activities are responsive to the needs of older adults. The forum testimony
serves as a basis for development of the AAA 1-B's Fiscal Year 2007-9 Multi Year Plan,
which distributes over $20.4 million in federal Older Americans Act and state funds to
support a range of social, nutritional, access, and long term care services. Forum
comments will also assist Monroe County Aging Blueprint committees to assure that
their deliberations consider the issues of greatest concern to the participants.
Forty-six individuals attended the forum, including 19 older adults, one elected official,
and 26 agency representatives or other interested parties. This report summarizes the
issues discussed at the forum, and documents needs among older adults.
Prepared by:
Area Agency on Aging 1-B
Sandra K. Reminga, Executive Director
29100 Northwestern Highway, Suite 400
Southfield, Michigan 48034
(248) 398-6404
www.aaa1b.com
I11-15
COMMUNITY FORUM ON THE NEEDS OF OLDER ADULTS
TESTIMONY SUMMARY
HEALTH AND NUTRITION
Older adult testimony stressed the importance of offering congregate and home
delivered meals that are sensitive to the cultural preferences of diverse populations. A
culturally appropriate meal does not necessarily mean that meal must be ethnic, but the
food and preparation techniques must be acceptable to that culture.
Older adult testimony expressed concern about the high out-of-pocket cost of health
care, indicating that many low-income older adults cannot afford to get sick.
Older adult testimony expressed appreciation for the liquid meals provided through the
senior nutrition program, indicating that the assistance with this special dietary need
helps relieve his family of a burden.
Written testimony from older adults extended thanks to the senior nutrition program
meal preparation staff, indicating that the meals taste good. Additional testimony
commented on the quality of the home delivered meals and explained that before
receiving the meals, they had no interest in food — but the meals are so good that they
now look forward to the arrival of their meal each day.
Elected official testimony called on older adults to enroll in the new Medicare Part D
prescription drug program before the May 15 enrollment deadline, so they will not be
forced to pay a premium penalty when they enroll at a later date. Testimony expressed
doubt that Congress or the federal government would extend the enrollment deadline.
Service provider testimony indicated that the current level of health care spending is a
problem; however, the problem will grow worse because of the impact of chronic
conditions on a growing older adult population.
Service provider testimony indicated that one of the most significant areas of unmet
need is dental, hearing, and vision care for those who do not have health insurance
coverage. There are no programs that provide for these needs, and requests for this
assistance are received every day.
Service provider testimony expressed concern about a federal proposal to cut the
commodity food program, which makes needed food available to low-income older
adults and others.
111-16
DIVERSITY
Testimony about the needs of Asian older adults indicated that transportation is one of
the greatest needs of minority individuals who immigrated into the United States after
their children had first established themselves here. They are aging in place and now
need assistance. However, many will not seek services because they believe service
providers will not understand their needs, and because of the language barrier. This
reluctance often leads to depression. The demands on family caregivers in the
"sandwich generation" impose a significant hardship, and should be addressed with
specific programs that help address older adult needs and prepare baby boomers for
their own aging. Additional testimony about Asian older adults indicated that
volunteerism is an expected part of the mainstream population, and should also be
expected of minority elders. Testimony encouraged volunteer recruitment efforts within
the ethnic community and support for the volunteers.
SENIOR CENTERS
Senior center provider testimony described the varied programming available at senior
centers, and indicated that they are an important link in the long term care continuum.
Wellness programming includes nine fitness classes, weight and resistance training
taught by physical therapists, an indoor walking course, and an outdoor track. The
center's fitness programs have become a valuable adjunct to cardiac rehabilitation
programs, and have helped attract younger older adults to the center. Many users find
that when their Medicare rehabilitation program ends, they still need the therapeutic
exercise, and can continue using equipment at the senior center that is comparable to
what they used in therapy. This is an important resource for those who can't afford
health club memberships. Another advantage that senior centers offer over health
clubs is that participants are exposed to valuable resource information and programs by
visiting the senior center. The senior center fitness program was developed under a
senior center staffing grant from the AAA 1-B. Even though the grant was a modest
amount, it has made a significant difference in the center's programming, and left a
great legacy to the center's programming. Testimony requested AAA 1-B support for
senior centers' advocacy efforts to secure a source of funding.
Senior center testimony stated that senior centers are an integral part of the Aging
Network, and expressed outrage that they are not funded under the Older Americans
Act because they offer the only prevention programming of any network resource. An
investment in senior center preventive programs represents the best use of funds
because it has the greatest potential yield toward the public benefit. Testimony urged
that state funding for senior center staffing and equipment be reinstated. The
elimination of these funds for FY 2006 sent a message that senior centers are not a
valued part of the Aging Network. Personal and public expenditures for health care are
a burden that will grow as the population increases. However, senior center participants
live healthier and for a longer period of time because of participating in center programs
and activities. Senior centers are an untapped resource for service provision that sit on
the front lines of prevention. Testimony requested that the governor reinstate senior
111-17
center staffing, and demonstrate the same level of commitment to modernizing senior
centers that has been shown by her funding initiative to modernize nursing homes.
Older adult testimony stated that senior centers need to offer programs that are
culturally sensitive, and encourage participants to invite friends from their ethnic
background to participate in center programs, trips, and games. Administrative barriers
to developing culturally sensitive programs must be overcome.
VOLUNTEERISM
Older adult testimony indicated that baby boomers are a valuable resource with $2
billion to spend. They don't necessarily need the services of senior centers, but have
the potential and time to make valuable contributions to centers. They present
challenges to organizations to use their talents. Agencies should consider how to best
utilize the time, money, and talents of baby boomers in their strategic planning activities.
Service provider testimony indicated that the three greatest areas of need for volunteer
assistance are for respite, friendly visits, and transportation. Additional resources will
be needed to support volunteer recruitment and assistance in these areas.
CAREGIVERS
Older adult testimony indicated that there are many older adults who have children with
mental illness or developmental disabilities who need help in planning for the care of
their child in the event of their own death or disability.
Service provider testimony identified a need for more respite and supportive services for
grandparents raising grandchildren and other kinship caregivers.
FINANCIAL EXPLOITATION
Older adult testimony expressed concern about low-income individuals who do not like
to admit they have needs, because this can make them more susceptible to abuse and
exploitation. Testimony recommended that older adults utilize living wills to prevent
unscrupulous children from taking their money, and warned that steps should be taken
to protect assets when individuals have been involved in multiple marriages. Older
adults are also victimized by gambling, telemarketing pressure, and individuals who
befriend vulnerable older adults for the purpose of taking money or being named in their
will.
INFORMATION AND ASSISTANCE
Older adult testimony stated that older adults need to know what resources are
available to them, and how to locate agencies that provide needed services.
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a wn' FY 2007-9 Multi-Year Area Plan
A 4'414 FY 2007 Annual Implementation Plan AIlowy • Aam, • *Nem
D. EVALUATION OF UNMET NEEDS:
The Area Agency on Aging 1-B (AAA 1-B) utilizes a variety of methods to identify
unmet needs among older persons in the planning and service area. Methods
include: Programmatic feedback from contractors and vendors; the conduct of
Community Forums on the Needs of Older Adults; analysis of relevant secondary
data and needs studies such as the Washtenaw County Blueprint for Aging and
the Seniors Count survey from St. Clair county; reports from the AM 1-B
Information and Assistance program; 2000 Census data; recommendations from
Ad Hoc Issue Study Committees of the AAA 1-B Advisory Council;
recommendations from the Michigan Association of Senior Centers/Area Agency
on Aging 1-B Senior Center Enhancement and Promotion Task Force; and the
Regional Community Needs Assessment developed in response to the Michigan
Department of Community Health's Single Point of Entry for Long Term Care
request for proposals.
Comments provided at two March, 2006 Community Forums on the Needs of
Older Adults conducted by the AAA 1-B, substantiated the need for the array of
services proposed in this plan. A marked emphasis was placed on the need for
in-home services that assist older persons with a disability to maintain their
independence in their own home. Other comments stressed the importance of
services that help older adults and family caregivers to access needed
assistance, and the vital role that Senior Centers and other Aging Network
programs play in promoting healthy lifestyles and preventive behaviors.
The most significant barrier to addressing identified needs of older persons is the
lack of sufficient public resources to provide the level of subsidized assistance
that is needed by older persons. As a result, many individuals are placed on wait
lists, receive less assistance than is needed, and/or become discouraged and
quit seeking assistance because there is little possibility their needs will be met.
Another significant barrier is that older persons often are not aware of services
that may assist them, or do not know how to find information on available
assistance because few public resources are available to promote the awareness
of community resources. Additional barriers include restrictive eligibility
requirements, communication problems, especially for limited English speaking
populations, cultural issues, and lack of transportation that is needed to help
older persons access available programs.
An analysis of these various data sources, and consideration of identified barriers
has led to six 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.
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FY 2007-9 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
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.
5. The Medicaid long term care system is in need of systems reform that
promotes consumer education and choice, rebalancing, person
centered planning, and money follows the person programs and
policies.
6. Greater emphasis and resources are needed for preventive services
that can help mitigate the impact of chronic and disabling conditions,
reduce the demand for other services, improve health status, and
enhance quality of life.
Service Priority:
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, resource development, and advocacy activities.
3. Service needs that are limited and/or emerging, and that require
further study and program development.
Funding Priority:
1. Access Services
• Information & Assistance
• Care Management
• Resource Advocacy
AAArea itgenayon FY 2007-9 Multi-Year Area Plan
Agiug143 FY 2007 Annual Implementation Plan Ms.e. y • San. • Ass..rli. Alt4.1
• Public Education
• Health Benefits Education
2. In-Home Services
• Chore
• Home Delivered Meals
• Homemaking
• Home Injury Control
• In-Home Respite
• Personal Care
• in-Home Unmet Needs
• Medication Management
3. Respite Services
• Adult Day Service
• Out-of-Home Respite
• Volunteer Caregiver
• Grandparents Raising Grandchildren
4. Special Population Services
• Hearing Services
• Vision Services
5. Community Services
• Congregate Meals
• Counseling
• Elder Abuse Prevention
• Legal Services
• Long Term Care Ombudsman
Plannina. Advocacy. Policy and Resource Development P
• Development of a Single Point of Entry for long term care
• Community-based health and long term care services
• Public transportation services
• Decent and affordable housing alternatives
• Nursing home transitions
• Employment and income maintenance services
• Strengthening senior centers' ability to offer wellness and prevention
programs
• Comprehensive need assessment and data collection
• Prescription drug assistance education and counseling
• At-risk older driver assistance
• Senior mobility issues
• Guardianship and conservator services
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Aaron • Mawr, IN Avg
Program Development Priority:
• Volunteer respite
• Affordable health insurance for the uninsured
• Dental services
• Specialized supportive housing for frail and mentally ill older adults
• Major home modifications, such as ramps
• Money management/bill paying assistance
• Assistance for older gay and lesbian individuals
• Assistance for those who have been victimized by, or are vulnerable to,
consumer fraud
• Assistance for older persons who are victims of domestic violence
• Assistance for older persons who are at risk of losing their home through
property tax foreclosure
• Health promotion and prevention services and education
• Housing for culturally Deaf
• Suicide Prevention
• Substance abuse education and prevention
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FY 2007-9 Multi-Year Area Plan
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E. AVAILABLE RESOURCES AND PARTNERSHIPS:
The AAA 1-B will work to address identified unmet needs by attaining the highest
value from existing state and federal resources, utilizing these funds to leverage
other public, private and individual resources, and maintaining and enhancing
families' ability to assist older persons in need. It will be necessary to
successfully engage in a variety of collaborative partnerships, resource and
program development activities, and advocacy on behalf of older persons in
order to accomplish these outcomes.
This plan stipulates the use of available state and federal funds to support older
adult services. In addition to these resources, a truly comprehensive service
delivery system will require substantial contributions of resources from other local
sources. The predominant method of supplementing state and federal dollars
with local resources is through the adoption of senior millages, which are present
in 58 of 83 Michigan counties. However, only two Region 1-B counties, Monroe
and St. Clair, have senior millages (which raise over $2 million each), and
several municipalities have local millages that either are dedicated to older adult
services or are partially dedicated in combination with other uses, such as
recreation. In the other four non-millage counties, county boards of
commissioners commit a significant amount of general fund dollars for older adult
services, and local municipalities are expected to provide leadership in
supporting the operation of senior centers. While this matrix of support has
created a strong service delivery system, there are many areas where resources
are clearly lacking and are inadequate to address needs.
The AAA 1-B plans to address this problem by educating funders and decision
makers about the importance and need for older adult services, and identifying
opportunities for partnerships with other public and private resources to expand
services. Plans to expand and enhance older adult services in the areas of
health, housing, transportation, social and nutritional services, senior centers and
long term care call for the development of collaborative partnerships that will
result in additional resources and increased sensitivity of other service delivery
systems toward the unique needs of older adults. Additional efforts will focus on
improving access to needed community resources for targeted populations by
working more closely with local governments and religious, cultural, ethnic, and
minority organizations. This strategy may include advocacy for the adoption of
county and/or local senior millages.
Another strategy to liberate resources will be to work toward a rebalancing of
Medicaid long term care services that features greater emphasis and utilization of
community-based long term care options. The implementation of long term care
policies that foster consumer choice and money following persons to the setting
of their choice will likely result in greater utilization of less costly community
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Aging " FY 2007 Annual Implementation Plan
based options. The "savings" that can be reaped from this shift will be needed to
assist others seeking access to community-based care, provide for the needs of
a nursing home population with greater needs, and invest in quality improvement
programs for all long term care consumers.
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IV. AREA AGENCY ON AGING 1-B SERVICE DELIVERY PLAN
Fiscal Years: 2007 - 2009
A. TARGETING:
Baseline Data
Below are the calculated current racial/ethnic and low-income serving data. This data will be used as a baseline for
development and measurement of the FY 2007-2009 targeting objectives.
Total # Native -Other Low
Service African Low Clients American/Native Asian Pacific Hispanic
Category American Income Income
Served Alaskan Islander Minority
In-Home 4 , 901 # Served 964 27 14 8 54 2,602 — 657
Services Percentage 19.67% .6% .3% .2% 1.1% 41% 13%
Access and # Served 2,986 126 206 205 474 9,769 2,769
Community 51,319
Services Percentage 6% .3% .4% .4% 1% 19% 5%
Congregate # Served 448 38 114 48 65 1,511 225
Nutrition 17,424
Percentage 3% .2% .7% .3% .4% 9% 1.3%
Home # Served 724 11 19 23 80 1,712 268
Delivered 11,188
Meals Percentage 6.5% .1% .2% .2% .7% 15.3% 2.4%
Source: Year-end National Aging Program Information System (NAPIS) report for FY 2005.
uNgem"
FY 2007-9 Multi-Year Area Plan Wrea
I"Agiar" FY 2007 Annual Implementation Plan Atmaety • Ude* Aa... WM
1. DESIRED OUTCOMES:
During FY 2007-2009 region 1-B contractors and AAA 1-B staff will successfully
increase serving levels to a broad spectrum of racially diverse, culturally ethnic,
and low-income older adults. This will be accomplished by:
Objective #1: 100% of Region 1-B contractors will develop and implement
annual targeting plans that shall include specific goals and measurable
objectives designed to outreach to various racial/ethnic and low-income
older adults.
Actions:
1, Monitor contractor targeting plans each quarter and during annual
assessment throughout the multi-year funding cycle. This shall include
stressing the importance of attempting to capture the "unknown" racial/ethnic
demographic information reported through the National Aging Program
Information System (NAPIS).
2. Distribute NAPIS advanced reports at contractor User Group meetings, which
are held two to three times per fiscal year. Allow time at each meeting to
review the progress in meeting regional targeting objectives as described in
this plan.
3. Provide programmatic technical assistance and support to contractors
experiencing difficulty in meeting targeting objectives. This may include
encouraging providers to change, revise, or further develop plans throughout
the multi-year funding cycle.
4. Obtain targeting plans, including goals and objectives, at least annually
throughout the multi-year funding cycle.
Objective #2: Increase overall racial/ethnic participation rates identified in
the baseline by a minimum of 2%. This shall include placing special
emphasis on increasing Asian participation rates for in-home, community,
and congregate meal Aging Network services.
Actions:
1. Work with the aging network officials to identify key community focal points to
promote Aging Network services no later than September 30, 2007.
2. Work with aging network officials to identify key older adults within the
community to assist in the promotion of aging network resources no later than
September 30, 2007.
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Area A Agency= FY 2007-9 Multi-Year Area Plan
iAging143 FY 2007 Annual Implementation Plan
3. Develop and distribute materials in English and other appropriate languages
to promote aging network resources and opportunities for education no later
than September 30, 2007.
4. Participate in a minimum of two cultural/ethnic events per year with an
emphasis on activities in Oakland and Macomb counties.
5. Track progress in meeting Objective #2 at least annually.
Objective #3: Offer language line translation service and enhance the AAA
1-B website to support the access needs of limited-English speaking older
adults.
Actions:
1. 100% of Information & Assistance (I&A) Resource Specialists shall be re-
trained in the use of language line services no later than September 30, 2007.
2. Incorporate a feature on the website which will allow individuals to view the
website in various languages no later than September 30, 2007.
3. Promote the availability of language services and website resources to Aging
Network providers no later than September 30, 2007. This shall include
congregate housing providers who often work with immigrant and refugee
limited-English speaking populations.
4. Conduct a baseline study of AAA 1-B DSP vendors to determine the
availability and use of bilingual home care workers at Region 1-B home care
agencies no later than September 30, 2008.
Objective #4: Identify cultural diversity and competence training
opportunities for AAA 1-B staff as well as Aging Network providers
throughout the multi-year funding cycle.
Actions:
1. Work with the Michigan Office of Services to the Aging (OSA),
Paraprofessional Healthcare Institute (PHI), local universities and/or other
human service groups to identify, promote, and/or develop annual training
opportunities that meet the varying needs of aging network providers.
2. Monitor provider participation at annual programmatic assessment.
Area A Agenoyon FY 2007-9 Multi-Year Area Plan
Aging " FY 2007 Annual Implementation Plan Aalawmejo Auk. • Anagrs Alm
B. ACCESS SERVICES:
1. INFORMATION AND ASSISTANCE:
The Area Agency on Aging 1-B (AAA 1-B) Call Center serves as a primary
access point for services, and is a visible place where older adults,
persons with disabilities, caregivers, and provider agencies can turn for
information and assistance (I&A) on a full range of service options. The
AAA 1-B is dedicated to providing older adults and their caregivers, as
well as persons with disabilities, with a single, coordinated system of
information and access to services that will minimize confusion, enhance
individual choice, and support informed decision making. Because of the
commitment to provide callers with a quality (I&A) program that will
streamline their access to needed resources, the AAA 1-6 utilizes a
technologically advanced state-of-the-art call center system that
incorporates an automated database with over 5,000 service listings. The
AAA 1-B Call Center enables resource specialists to immediately access
caller information and monitor call volume, thereby effectively and
efficiently responding to requests for information. Resource Specialists
have the ability to electronically schedule follow up calls to ensure needed
services have been received. The statistical reporting functions of the
system provide the AAA 1-B with the ability to continuously improve
callers' access to needed services and supports.
In FY 2005, over 59,000 calls were received by the AAA 1-B Call Center.
This represents more than a 400 percent increase from the FY 2004 call
volume of 11,440. It is anticipated that FY 2006 call volume will
significantly surpass the FY 2005 level because of the recent benefit
changes impacting both Medicare and Medicaid recipients.
The AAA 1-B Call Center is the centralized access point for all services,
including the Medicare Medicaid Assistance Program (MMAP), Care
Management, and Resource Advocacy. Additionally, the AAA 1-B works
with the national ElderCare Locator funded by the Administration on Aging
and the evolving 211s in Southeastern Michigan. The AAA 1-B maintains
continuous collaboration with these vital access entities to ensure older
adults are able to receive the services and supports they need.
2. TRANSPORTATION:
The AAA 1-B does not fund transportation unless it is provided in
conjunction with other services (i.e., in-home personal care, homemaking,
and respite) or for medical transportation authorized through the AAA 1-B
Care Managers. However, the AAA 1-B works with transportation
AAisa A Agency= FY 2007-9 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan
providers on various levels to assure that adequate transportation funding
is available within the serving area. A strong emphasis is placed on
program development and advocacy activities. To date, program
development activities have included: documenting the need for
transportation services; participating in local and public transit provider
coordination meetings; working with hospital systems to identify unmet
needs and improve access to health and medical facilities; and supporting
local specialized service providers in their efforts to garner state/federal
operating and capital equipment funds. Advocacy activities include:
participating on county coordination committees and public transit Local
Advisory Councils; identifying new resources to support public or
alternative transportation; and advocacy on the local, state, and federal
levels to support and expand public transit for all.
In addition, the AAA 1-B raises private funds to support the You Decide:
Senior Driving Awareness Program (SDAP). The goal of this program is
to keep older adults safely mobile through the provision of information and
support designed to assist with good mobility decision-making. The
program assisted 608 persons in FY 2005. Plans for FY 2007 include
expanding the provision of mobility assistance to more older adults and
family members through the Call Center and other mechanisms.
3. RESOURCE ADVOCACY:
The AAA 1-B contracts for outreach through the Resource Advocacy
service. Resource Advocates are part of the AAA 1-B Access Team,
which also includes Care Managers, Information and Referral Specialists,
and in FY 2007, Nutrition Assessors. In addition to using a Universal
Intake to facilitate easier communication with other Access Team
members, the group meets three to four times per year to discuss
outcomes and receive training.
Resource Advocates are required to place emphasis on outreach to
special populations including racial/ethnic groups, limited English speaking
individuals, homebound individuals, and other special need populations.
The AAA 1-B and Resource Advocates work together to ensure that
individuals gain access to services they need. In 2005 and 2006,
Resource Advocates were very involved in Medicare Part D enrollment
activities including assistance at outreach events and provision of in-home
counseling assistance to homebound individuals. Other outcomes
included: more than 400 referrals to AAA 1-B Community Care
Management programs; more than 800 referrals to the Department of
Human Services (DHS) programs; more than 250 referrals to Bridge
AAA4e'
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fA‘Agkag l-B FY 2007 Annual Implementation Plan Mammy • Mit. • Ammer. a. ARtai
Program benefits (through DHS); and more than 6,500 referrals to Focus
Hope and other food programs.
4. CARE MANAGEMENT:
The AAA 1-B will prioritize Community Care Management (CCM) services
to older adults (and persons with disabilities, where funding sources allow)
who have the fewest financial and family resources and the greatest need.
CCM, the In-Home Services Program (1SP), Rapid Response Short Term,
Rapid Response Respite, and the MI Choice program are all available in
each of the six counties of Region 1-B; making the five 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. Care Managers will use person centered planning to work
with individuals needing home care and provide 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 the DSP system will increase access
to services for individuals and their families, improve responsiveness to
the individual's particular needs, and provide the opportunity for consumer
choice in service delivery.
AArea A Aga* on FY 2007-9 Multi-Year Area Plan
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IN-HOME SERVICES:
1. GENERAL:
The AAA 1-B places a priority on the in-home needs of older adults and
caregivers residing in Region 1-B. In-home services are available through
both the Contract and Direct Service Purchase (DSP) systems.
Contracted in-home services include: Chore, Home Injury Control,
Volunteer Caregiver, and Home Delivered Meals. Contractors go through
a competitive Request for Proposals (RFP) process and are approved by
the AAA 1-B Board of Directors every three years. Contractors adhere to
all AAA 1-B and OSA minimum service standards. DSP in-home services
are arranged and purchased by the Care Managers. The services most
frequently needed are Personal Care, Homemaking, and in-Home
Respite. The DSP pool includes more than 148 agencies that meet
administrative and quality standards (including OSA minimum service
standards).
2. CHORE:
Chore services must be provided throughout the geographic area.
Mandatory tasks include: snow removal (at 2+ inches per snowfall); lawn
cutting (May-October); Screen/storm window/air conditioner
installation/removal; gutter cleaning/roof sweeping, and minor home
repairs. Emergency service must also be provided if called upon by the
AAA 1-B or the Emergency Operation Centers. Other tasks may be
performed, but only if financial resources are available. Historically, there
are several hundred persons at a time waiting for this service.
3. HOME INJURY CONTROL:
In FY 2007, the AAA 1-B will roll out a new Home injury Control (HIC)
service definition (see Appendix F), which was developed in conjunction
with current HIC contractors. The loss of the Blue Cross Blue Shield of
Michigan resources, meant a 20% decrease in funds in FY 2006. As a
result, the need to prioritize services (much as was done with chore
services in FY 2004) became apparent. In FY 2007, priority HIC services
shall include: provision of wall mounted grab bars, bath chairs, transfer
benches, raised toilet seats, stairway/hallway rails, safe lighting,
smoke/carbon monoxide detectors (being solicited from local fire
departments); non-slip treatments and ramps. Historically there are
several hundred persons waiting for this service at any given time, thus
the workgroup will work toward identification of other resources to support
the service. Further, the AAA 1-B will work with the Michigan Office of
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Aging 143 FY 2007 Annual Implementation Plan
Services tothe Aging (OSA) to identify if any group purchasing initiatives
coordinated through the state might reduce the costs of the assistive
devices identified above.
4. VOLUNTEER CAREGIVER:
For FY 2007, the AAA 1-B has dropped the word "Interfaith" from this
service definition. The AAA 1-B worked with current contracted providers
to rename the service, however, none of the service standards have
changed. This service has been developed through the use of a
Volunteers In Service To American (VISTA) grant. VISTA volunteers have
assisted in development of 1) a universal assessment tool; 2)
development of volunteer training modules; 3) development of volunteer
recruitment efforts; and 4) identification of additional resources to support
the technology needs of providers and volunteers (i.e., computers, cell
phones).
5. HOME DELIVERED MEALS:
Over the last two years, AAA 1-B staff has worked together with
contractors to develop and implement recommendations to strengthen the
function of nutrition assessment and begin building a database system to
gather and review comprehensive assessment data for health, nutrition,
and other outcomes. The Workgroup members recognize that the Home
Delivered Meal (HDM) is perhaps the most well-known door to accessing
community-based services, and it is critical to ensure that the HDM
assessment is thorou gh enough to capture other unmet needs and make
appropriate referrals to other aging network agencies as needed. In FY
2007, we will implement a new assessor trainin g module designed to allow
individuals to perform a more thorough nutrition assessment (a pilot
program is going on now), and we hope to be building a database to assist
in capturing baseline nutrition assessment data.
6. HOMEMAKING AND PERSONAL CARE:
All Homemaking and Personal Care services are provided through the
DSP system, after in-home assessments by Care Managers. Based on
the assessed level of need, clients will be assigned to a Community Care
Services program, and Homemaking and Personal Care services will be
authorized based on the client-approved care plan developed by the Care
Manager. Typically, In-Home Services Program clients receive the least
amount of service, followed by Rapid Response, Community Care
Management and then MI Choice clients with the highest service levels.
AAArea
Agency on FY 2007-9 Multi-Year Area Plan
Aging 143 FY 2007 Annual Implementation Plan
7. IN-HOME RESPITE:
In-Home Respite services will be provided through the DSP system, after
in-home assessments by Care Managers. Older adult clients may receive
respite services in any of the Community Care Services programs.
Through Tobacco Settlement funds, the Rapid Response Respite program
can also serve adults age 18 and over, with an identified need for
caregiver relief.
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A AginglIB,.. FY 2007 Annual Implementation Plan ANey • Acem • Mows -w•-•
COMMUNITY SERVICES:
The AAA's overall strategy for meeting the needs of older adults requiring
community services includes:
1. refining existing service definitions and standards based on unmet need or
gaps in service;
2. integrating/educating caregivers about community based respite services;
and
3. identifying additional resources to expand service availability.
In FY 2007, the AAA 1-B plans to fund the following community services:
1. Assistance for the Hearing Impaired; This service shall be available
throughout Region 1-B. It shall include the provision of assistance to older
persons with hearing impairments, or who are Deaf, and enable them to
better compensate for these losses in daily life. Activities shall include:
education/training; assistance in obtaining benefits and other services;
training in techniques for adjusting to lifestyle changes; and community
education.
2. Assistance for the Visually Impaired: This service shall be available
throughout Region 1-B. It shall include the provision of service to visually
impaired or blind persons. Activities shall include: orientation and mobility
training; rehabilitation for activities of daily living; optometric services; and
group education.
3. Comprehensive Care (Dementia) Adult Day Service: This service will be
available in Livingston, Macomb, Monroe, Oakland, St. Clair, and
Washtenaw counties. The service includes: dementia specific
programming, 1:4 staffing ratio, on-site personal care, specialized
transportation, nutrition/snacks, and expanded hours (M-F 10-12
hours/day). Saturday service is optional.
4. Congregate Meals: This service shall be available throughout Region 1-B.
This service includes the provision of nutritious meals and nutrition
education to older individuals in congregate settings.
5. Elder Abuse Prevention: This service shall be available throughout Region
1-B. It shall include activities that develop, strengthen, and carry out
programs for the prevention and treatment of eider abuse, neglect, and
exploitation.
Area/4474111 FY 22000077-A9 nMnuulatil-YI mepairetreenataPtliaonn Plan
6. Long Term Care Ombudsman/Advocacy; This service shall be available
throughout Region 1-B. It includes the provision of assistance to residents
of long-term care facilities to resolve complaints through problem
identification and definition, education regarding rights, provision of
information on appropriate rules, and referrals to appropriate community
resources. This service also involves assistance to prospective long term
care facility residents and their families regarding placement, financing,
and other long term care options including Nursing Facility Transition
Services. Identification and sharing of best practices in long term care
service delivery, with an emphasis on promotion of The Eden Alternative,
is also a part of the service. Program components include: 1) family
support; 2) complaint investigation/advocacy; 3) community education;
and 4) volunteer support.
7. Legal Assistance: This service will be scaled back in FY 2007 due to
decreases in federal funding. Contractors may provide confidential legal
services, advice, referrals and public education.
8. Out of Home Respite: The AAA 1-B purchases beds located in licensed
Homes for the Aged (HFA) and Adult Foster Care homes (AFC), and
coordinates scheduling of respite service for community participants. The
service is available to meet caregiver needs generally up to 14 days per
stay, and permits 2 stays per year. The service has been embraced by
caregivers and Care Managers throughout the region. The service
currently maintains a wait list.
AArea A Ageneyon FY 2007-9 Multi-Year Area Plan
Aging 143 FY 2007 Annual Implementation Plan
AAA ADMINISTERED DIRECT SERVICES:
The AAA 1-B proposes to administer directly the following services: Information
and Assistance, the Medicare/Medicaid Assistance Program, Care Management,
Refugee Assistance Program and selected activities under the National Family
Caregiver Support Program. Each of these activities are considered important
for the AAA 1-B to fulfill its role as a regional focal point for access to care and
information about needed community resources.
1. REGIONAL INFORMATION AND ASSISTANCE
The AAA 1-B utilizes a technologically advanced state-of-the-art call
center system that incorporates an automated database with over five
thousand service listings. The AAA 1-B Call Center enables resource
specialists to immediately access caller information and monitor call
volume, thereby effectively and efficiently responding to requests for
information. In FY 2005, over 59,000 calls were received by the AAA 1-B
Call Center. This represents more than a 400 percent increase from the
FY 2004 call volume of 11,440. The AAA 1-B coordinates with the
nationwide ElderCare Locator funded by the Administration on Aging and
has Memorandums of Understanding (MOUs) in place with evolving 211s.
2. HEALTH BENEFITS EDUCATION AND ACCESS
The AAA 1-B will utilize Title 111-B funds for the Health Benefits Education
and Access service to partially support the regional Medicare Medicaid
Assistance Program (MMAP). This program primarily utilizes volunteers
to assist older adults and their caregivers with questions pertaining to
Medicare, Medicaid, supplemental health insurance, and long term care
insurance. To effectively respond to the need for assistance generated by
the implementation of the new Medicare Prescription Drug Benefit, or
Medicare Part D, the AAA 1-B recognized the need to train all call center
staff on the Part D benefit so that calls could be effectively and efficiently
triaged to volunteers, when possible. During the first five months of FY
2006, the AAA 1-B experienced an 800 percent increase in calls related to
Medicare and Medicaid. It is anticipated that the demand on the AAA 1-B
to provide support with Medicare D will continue in the future. The AAA
1-B will continuously work to build its volunteer workforce and establish
new sites for volunteer placement.
3. CARE MANAGEMENT
The AAA 1-B believes strongly in the value of Care Management as the
heart of the comprehensive system for delivery of community-based long
AgeneY" FY 2007-9 Multi-Year Area Plan
A Aging " FY 2007 Annual Implementation Plan
term care services in Region 1-B. Care Management is seen as using
person centered planning in the process of working with older adults and
persons with disabilities, in order to assist them to maintain their
independence and improve their quality of life in their chosen home
environment. The AAA 1-B commitment to helping older adults identify
and address their needs using all available resources, and coordinating
care across medical and non-medical settings, drives the MA 1-B
decision to directly administer Care Management. Direct administration
provides clients and families a seamless approach to addressing their long
term care needs. The AAA 1-B planning, vendor relations, call center, and
public relations components all serve to strengthen the quality of the Care
Management provided. For these reasons, direct administration of care
management fits the mandates of the Older Americans Act and the
mission of the AAA 1-B.
4. REFUGEE ASSISTANCE PROGRAM
The AAA 1-B was selected by the Michigan Office of Services to the Aging
to receive a designated grant to conduct outreach activities to older adult
refugee populations. This project is designed to link older adult refugees
with aging network resources. FY 2007 represents the last year of the
project. The project goals and objectives are indicated in Appendix K.
Completion Date Activities
Increase resources for the
Senior Center Wellness
and Fitness Fund by
submitting funding requests
to at least five sources of
funding and donations to
support development of
senior centers' health
promotion and wellness
infrastructure.
Develop a strategy to
pursue a private business
relationship with a health
care plan that enables the
AAA 1-B to provide home
and community based
supports for selected
enrollees.
Senior centers will have access
to financial resources that can
support the development of
senior center wellness, fitness,
and health prevention
programs.
Older adults who are a member
of a health care plan will have
access to the AAA 1 - B home
and community based supports
that are paid by the health plan.
September 30,
2007
September 30,
2007
illAna A Agency on FY 2007-9 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan Aboorcy • Ad... • Al.& Atm,
AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2007
State Goal: Work to improve the health and nutrition of older adults
Obiective I Desired Outcome Objective
Identify and submit requests to at least
five individuals and/or organizations that
might contribute funds to a Senior
Center Wellness and Fitness Fund.
Establish an internal workgroup to
assess the AAA 1-B capacity to
establish a private business relationship
for the provision of home and
community based supports.
Identify a local health plan that is
interested in offering home and
community based supports as part of its
health promotion and prevention
programming for older adults and
persons with chronic disease.
V-1
Objective Desired Outcome
Desired Outcome
Call Center customers seeking
information on housing options,
or resources related to specific
diseases, will receive more
thorough counseling and
access to a more
comprehensive array of
resources.
Older adults will be able to get
to places they need to go.
Completion Date
September 30,
2007
Arra
nel on FY 2007-9 Multi-Year Area Plan
"Vging" FY 2007 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2007
Activities
Develop a proposal to pilot the provision
of community based supports through
the health care plan.
Com_pletion Date
State Goal: Improve access to information and services to older adults and their caregivers
Objective
Increase the capacity of the
AAA 1-B Call Center to
respond to caller needs in
two specialty areas:
housing options and
disease-specilic resources.
Secure additional
resources to support the
preservation and expansion
of public transportation
Activities
Meet with housing and disease-specific
agency representatives to learn about
the range of consumers' specialized
needs, and available resources.
Build new components on housing and
chronic diseases into the AAA 1-B
Information and Assistance database.
Provide training to Call Center
Resource Specialists on older adult
housing and disease specific needs,
and on related community resources.
Assist local transportation providers,
including the North Oakland
Transportation Authority, Troy Medi-Go
and others, to secure federal, state,
September 30,
2007
V-2
&Area A Agency ea FY 2007-9 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2007
Objective Desired Outcome Activities Completion Date
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.
-
Modify the AAA 1-B web Visitors to the AAA 1-B web Identify the most common languages September 30,
site to provide information site will be able to select four spoken by older Region 1-B residents. 2007
to consumers in at least new language options from
four foreign languages. which they can read the site's Determine key web site content that will
content, be translated into foreign languages.
Upload translated content and language
selection feature onto www.aaa1b.com
web site.
Increase the number of Medicare and Medicaid Develop relationships with organizations September 30,
racial/ethnic/cultural beneficiaries from diverse representing diverse ethnic/cultural 2007
volunteers to provide health racial/ethnic/cultural groups and identify needs within various
benefits education to at backgrounds seeking health communities.
least two diverse groups. benefits education, counseling
1 and assistance will have Collaborate with representatives from
V-3
Desired Outcome
access to a culturally and/or
linguistically competent
volunteer within their
community.
Objective
Completion Date
September 30,
2007
AlZejek ney on FY 2007-9 Multi-Year Area Plan
IA1. Aging" FY 2007 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2007
Activities
within identified ethnic/cultural
communities to develop and implement
volunteer recruitment plan.
Identify sites for culturally and/or
linguistically competent volunteer
placement.
Completion Date
Provide training to interested volunteers
on all aspects of Medicare and
Medicaid, and work with new volunteers
and volunteer placement site to ensure
adequate support is available and
provided.
State Goal: Protect older adults from abuse, neglect, or exploitation
Prevent or correct incidents
of abuse, neglect, or
exploitation for AAA 1-B in-
home services consumers.
Objective Desired Outcome Activities
The AM 1-B in-home service
consumers who are victims or
potential victims of abuse,
neglect, or exploitation will be
identified and referred to Adult
Protective Services (APS), and
encouraged to take other
Revise the current Critical Incident
Management process to include internal
reporting/tracking of incidents or
suspicions of abuse, neglect, or
exploitation.
Develop policies and procedures for
V-4
Objective
Develop a business plan
for creation of a specialized
housing development for
Deaf and hard of hearing
older adults.
Desired Outcome
The Deaf community,
advocates, and housing
officials will know the
requirements and steps that
need to be taken to create a
Deaf Senior Housing
development.
Completion Date
September 30,
2007
ANem on FY 2007-9 Multi-Year Area Plan
Aging " FY 2007 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2007
Objective Desired Outcome
protective measures.
Activities
incident documentation and notification
of APS.
Completion Date
Develop a report on incidents or
suspicions of abuse, neglect, or
exploitation that documents frequency,
APS referral outcomes, ongoing unmet
needs, and alternative protective
strategies and resources.
State Goal: Ensure that older adults have a choice in where they live
Activities
Expand participation in the Deaf Senior
Housing Coalition and committees for
housing design, financing, and publicity.
Charge each committee with developing
related components that will be required
to produce a comprehensive business
plan.
I Produce a business plan that identifies
strategies, responsible parties, and a
timeline for development of Deaf Senior
Housing.
V-5
AArea
iatrgr-B FY 22000077-A9nMnuualtil-Y
lmepalretreenataPtliaonn Plan
Aoonory • Asa. • Uwe.. Ainl
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2007
Objective Desired Outcome Activities Completion Date
Develop a long term care Older adults and persons with a Conduct outreach to Region 1-B nursing September 30,
transition initiative that will disability who need a nursing homes to identify persons who are 2007
assist at least 50 home level of care will have interested in transition to community
consumers to transition access to assistance in living.
between nursing homes planning to change their long
and community based term care setting. Review AAA 1-B MI Choice and Care
settings. Management consumers to identify
persons who are interested in transition
to other long term care settings.
Engage in person-centered planning for
long term care supports and services
with identified consumers.
Link consumers who are ready for
transition to desired community based
resources or long term care facilities.
Advocate for the Medicaid long term care Identify barriers to "Money Follows the September 30,
development of "Money consumers will have a choice Person" for assisted living settings. 2007
Follows the Person" of assisted living as a long term
policies that will allow care setting option. Develop an advocacy strategy for
Medicaid long term care systems change to allow Medicaid long
consumers to live in an term care consumers the choice of
assisted living setting. assisted living settings.
V-6
Objective Desired Outcome
Objective Desired Outcome
Provide at least three
training sessions for at
least 120 aging
professionals, advocates
and lay leaders on topics
related to their training
needs.
Develop and disseminate
an Advocacy Toolkit of
resources that will assist
individuals to advocate with
public and elected officials
more effectively.
Aging professionals, advocates
and lay leaders will be more
knowledgeable about how to
implement quality programs
and services in a manner that
is sensitive to the needs of
older persons.
Older adult advocates will have
access to tools that will give
them confidence that they can
advocate more effectively.
Completion Date
September 30,
2007
September 30,
2007
AlArea
lk Army on FY 2007-9 Multi-Year Area Plan
Aging " FY 2007 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2007
Activities
Implement components of the advocacy
strategy.
Completion Date
State Goal: Improve the effectiveness, efficiency and quality of services provided through the Michigan Aging
Network and its partners
Activities
Survey training needs of providers,
advocates and lay leaders.
Conduct a series of Aging Matters
training sessions that will address
identified needs.
Investigate advocacy training and
resource tools to identify components
for the AAA 1-B Advocacy Toolkit.
Acquire, adapt, and/or develop
advocacy resource materials that will
comprise the toolkit.
Produce and disseminate the Advocacy
V-7
I Area
Agency on FY 2007-9 Multi-Year Area Plan
1\x Aging " FY 2007 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Year: 2007
-- Objective Desired Outcome Activities Completion Date
Toolkit to senior advocates, advocacy
groups and other interested parties, and
through the AAA 1-B website.
Develop a web-based The AAA 1-B business partners Evaluate the implications of September 30,
system for data collection will be able to communicate recommendations from the Plante 2007
and communications with with and transmit data to the Moran Technology Report to develop a
AAA 1-B business partners. AAA 1-B in a fast, secure, and web-based data transmission and
economical manner. communications system.
Develop a work plan to implement the
web-based data and communications
platform.
Acquire and install needed technology
and technical support.
Beta test the web-based data and
communications system.
Develop users manual.
A4113"n
FY 2007-9 Multi-Year Area Plan
A Aging" FY 2007 Annual Implementation Plan
VI. ADVOCACY STRATEGY
The Area Agency on Aging 1-B (AAA 1-B) advocacy strategy will focus on issues
identified as priorities under this 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 and Board of Directors. The Advisory Council establishes advocacy
direction through the development of recommendations by its ad hoc study committees,
or reviews issues at Council meetings, and recommends positions to the Board of
Directors. Advocacy issue identification will also stem from the AAA 1-B Consumer
Advisory Boards.
Advocacy activities will include efforts to empower older persons to advocate on their
own behalf, through development of a strong Senior Advocacy Network, and through
development of and collaboration with other local and issue-specific advocacy groups.
Advocates will be supported by the AAA 1-B through: the distribution of The Advocate,
the AAA 1-B's advocacy newsletter; convening meetings with advocates to discuss
advocacy issues and strategies; issuing calls to action when advocacy is needed on
specific legislative and policy proposals; and development and distribution of a Senior
Advocacy Toolkit.
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.
Aheracy • Acits. • Anvers al Are,
ArlAuff
FY 2007-9 Multi-Year Area Plan
'a" Aging 1-B FY 2007 Annual Implementation Plan • Maws Arm
VII. COMMUNITY FOCAL POINTS
DEFINITION AND RATIONALE FOR SELECTION:
1. AAA DEFINITION FOR COMMUNITY:
A city, village or township which is defined as a municipal civil division under
state law. A religious, racial or ethnic group whose membership extends
across municipal boundaries constitute a social community.
2. 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 or
may not 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.
3. 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. Focal Points at a minimum serve as a point of contact for older
persons to learn about or be linked to older adult resources in their
community, and offer space for the facilitation of programs. The
effectiveness of identified focal points vanes greatly from thriving senior
centers with multiple service, recreational, nutritional, and social
programming, to small part-time centers and agencies that struggle
financially and in attractin g participants.
i/VenlY" FY 2007-9 Multi-Year Area Plan
A Aging " FY 2007 Annual Implementation Plan ecy • AU*. • Amen Aim
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 2007-9 Multi Year Plan. 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.
Arab and
Chaldean Elders
Dr. Radwan Khoury
Haifa Fahkouri
l Ana A Age:my on FY 2007-9 Multi-Year Area Plan
abliging 143 FY 2007 Annual Implementation Plan Advocacy • Amon • Adm. ad Arof
LISTING:
1. SOCIAL COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON
Arab-American and Chaldean Council
28551 Southfield Road, Suite 204
Lathrup Village, Michigan 48076
(248) 559-1990
www.myacc.org
Manoogian Manor
Michigan Home for the
Armenian Aged, Inc.
15775 Middlebelt Road
Livonia, Michigan 48154
(734) 522-5780
www.manoogianmanor.com
Chaldean American Ladies of Charity
30991 Ridgeway
Farmington Hills, Michigan 48334
(248) 352-5018
http://www.calconline.org/
Chaldean Federation of America
3077 Northwestern Highway, Suite 300
Farmington Hills, Michigan 48034
(248) 851-3023
Association of Chinese Americans
Detroit Chinatown
Drop-In/Outreach Center
420 Peterboro
Detroit, Michigan 48201
(313) 831-1790
www.acadetroit.org
Armenian Elders Rosemarie Arakelian
Chaldean Elders Jane Shallal
Clair Konja
Chaldean Elders T.B.D.
Chinese Elders Shenlin Chen
VII-3
AAgen°7 on
FY 2007-9 Multi-Year Area Plan
Aging 14 FY 2007 Annual Implementation Plan
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON
Association of Chinese Americans Chinese Elders Shenlin Chen
32585 Concord Drive
Madison Heights, MI 48071
(248) 585-9343
St. Mark Coptic Church
3603 Live mois
Troy, Michigan 48083
(248) 689-9099
www.pluralism.org
Egyptian Elders Father Mina Essak
Finnish Center Association Finnish Elders Lois Makee
35200 W. 8 Mile Road
Farmington Hills, Michigan 48335
(248) 478-6939
Jewish Community Center Jewish Elders Leslee Magidson
15110W. Ten Mile Road Mark Lit
Oak Park, Michigan 48237
(248) 967-4030
www.jccdet.org
Jewish Community Center Jewish Elders Mark Lit
6600 West Maple Road
West Bloomfield, Michigan 48322
(248) 661-1000
www.jccdet.org
Taekeuk Village Korean Eiders Hyojin Lee
3712 Williams Kyu Hong Cho
Wayne, Michigan 48184
(734) 729-7920
Southeastern Michigan Indians
Association, Inc.
26641 Lawrence Street
Center Line, Michigan 48015
(586) 756-1350
Native American Sue Parrish
Elders
COMMUNITY CONTACT PRSCIN
Polish and
Eastern
European
Elders
(Ukrainian,
Romanian,
Yugoslavian,
Albanian)
South Asian
Elders
Wojciech Zolnowski
Chandana Sarkar
AAging 1-B
Aasivy • MO. • Anon" vt Aging
FY 2007-9 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
COMMUNITY FOCAL POINT
International Institute of
Metropolitan Detroit
111 E. Kirby
Detroit, Michigan 48202
(313) 871-8600
www.iimd.org
Santosh Multicultural Resource Center
4205 Woodcreek Drive
Ypsilanti, Michigan 48197
(734) 572-3632
VII-5
CONTACT PERSON
Nancy Hall
APPROXIMATE #
0F60 PLUS
WITHIN
COMMUNITY
1,349
1,831
2,127
1,921
COMMUNITIES
Brighton
Brighton Twp.
Genoa Twp.
Green Oak
1,162
729
1,018
Alice Andrews Hartland Twp.
Oceola Twp.
Tyrone Twp.
Cohoctah Twp.
Conway Twp.
Fowlerville
Handy Twp.
losco Twp.
Helen Kropic 356
302
462
908
244
Deerfield Twp.
Genoa Twp.
Howell City
Howell Twp.
Marion Twp.
Oceoia Twp.
Mark Swanson 409
2,127
1,439
816
718
729
Hamburg Twp. Jamie James 1,964
AArea On FY 2007-9 Multi-Year Area Plan
ItAAgkag143 FY 2007 Annual Implementation Plan atom, • liaiOff • Amen am Ai
2. LIVINGSTON COUNTY COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT
Brighton Senior Center
850 Spencer Road
Brighton, Michigan 48116
(810) 299-3817
wwvv.brightoncity.org
Fowlerville Senior Center
203 N. Collins
Fowlerville, Michigan 48836
(517) 223-3929
Howell Senior Center
925 W. Grand River Ave.
Howell, Michigan 48843
(517) 545-0219
vvww.cityofhowelLorg
Hamburg Senior Center
10407 Merrill
Hamburg Twp., Michigan
48139
(810) 231-4266
www.hamburg.mi.us
Hartland Senior Center
3642 Washington St.
P.O. 900
Hartland, Michigan 48353
(810) 746-2135
www.hartlandseniors.org
COMMUNITIES
Pinckney
Putnam Twp.
Unadilla Twp.
County-Wide
CONTACT PERSON
Cindy Kaye
Kathy Sarb
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
177
804
450
18,610
M. Catherine Rea 18,610 County-Wide
Area FY nMnuualtil-YimepalreAmreenataPtliaohn Plan
11A44711 FY 22000077-A9 Aaa. • Anus., em Arms
COMMUNITY FOCAL POINT
Pinckney Senior Center
125 Putnam Street
Pinckney, Michigan 48169
(810) 225-3758
Area Agency on Aging 1-B
3550 W. Liberty Road, Suite 2
Ann Arbor, Michigan 48103
(734) 213-6704
www.aaa1B.com
Oakland Livingston Human
Service Agency
2300 E. Grand River
Suite 107
Howell, Michigan 48843
(517) 546-8500
www.olhsa.org
Aire& A Agency on FY 2007-9 Multi-Year Area Plan
hAla‘`Aging 143 FY 2007 Annual Implementation Plan Adam:v.), • Jai. • Angst, x1,04
3. MACOMB COUNTY COMMUNITY FOCAL POINTS:
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON COMMUNITY
Armada Twp. Sr. Center Armada Twp. Cathy Wylin 672
75400 N. Ave., P.O. Box 306
Armada, Michigan 48005
(586) 784-8050
Romeo-Washington-Bruce- Bruce Twp. Sandy Keown 1,006
Parks & Recreation Senior
Activity Center
361 Morton
Romeo, Michigan 48065
(586) 752-9601
www.rwbparksrec.org/Senior.htm
Center Line Parks & Recreation Center Line Ron Austin 2,248
Dept.
25355 Lawrence Blvd.
Center Line, Michigan 48015
(586) 757-1610
www.centerline.gov
www.centeriine.gov/Information/recreation/seniors/page.htm
Charter Twp. of Chesterfield Chesterfield Twp.
Senior Center
47275 Sugarbush
Chesterfield Twp., Michigan
48047
(586) 949-0400 Ext. 1138
www.chesterfieldtwp.org/department_senior.asp
Clinton Twp. Senior Clinton Twp.
Activity Center
40730 Romeo Plank Road
Clinton Twp., Michigan 48038
(586) 286-9333
www.clintontownship-mi.gov/seniors
Carol Rose 3,361
Matthew Makowski 17,453
Eastpointe Mary Grant 6,672
Fraser Cathy Blanke 2,948
Area A digeney on FY 2007-9 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan 'Newry • Action • Mann es Aging
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON COMMUNITY
Eastpointe Senior Center
16600 Stephens Dr.
Eastpointe, Michigan 48021
(586) 445-5084
Fraser Senior Center
34935 Hidden Pine Drive
Fraser, Michigan 48026
(586) 296-8483
Tucker Senior Center Harrison Twp. Eileen Holly 3,603
26980 Ballard
Harrison Twp., Michigan 48045
(586) 466-1498
www.harrison-township.org/id32.htm
Macomb County Department of Lenox Twp. Angela Willis 883
Senior Citizen Services
21885 Dunham Road
Clinton Twp., Michigan 48036
(586) 469-6313
www.macombcountymi.gov/seniorservices
Area Agency on Aging 1-B Macomb County Barbara Lavery 139,027
39090 Garfield, Suite 102
Clinton Township, Michigan
48038
(586) 226-0309
www.aaa1b.com
Macomb County Community
Services Agency
21885 Dunham Road
Clinton Twp., Michigan 48036
(586) 469-6999
www.macornbcountymi.gov/mccsa
Macomb County Frank Taylor 139,027
A48"
FY 2007-9 Multi-Year Area Plan
A Agiug " FY 2007 Annual Implementation Plan Aamemey • Adm. • Anwar Agiq
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON COMMUNITY
Macomb County Department of Macomb County Angela Willis 139,027
Senior Citizen Services
21885 Dunham Road
Clinton Twp., Michigan 48036
(586) 469-6313
www.macombcountymi.goviseniorservices
Macomb County Macomb County Thomas Kalkofen 139,027
Health Department
43525 Elizabeth Road
Mt. Clemens, Michigan 48043
(586) 469-5235
www.macombcountymi.govipublichealth
Macomb Twp. Sal DiCaro 5,216 Macomb Township
Senior Center
19925 23 Mile Road
Macomb, Michigan 48042
(586) 992-0710 ext. 2
www.macomb-mi.gov
Charter Twp. of Chesterfield New Baltimore Carol Rose 973
Senior Center
47275 Sugarbush
Chesterfield Twp., Michigan
48047
(586) 949-0400 ext. 138
Macomb County Department of New Haven Angela Willis 267
Senior Citizen Services
21885 Dunham Road
Clinton Twp., Michigan 48036
(586) 469-6313
www.macombcountymi.goviseniorservices
Richmond Cathy Wylin 846
St. Clair Shores Carole Kline 16,477
Shelby Twp. Lori DePauw 9,519
Ake& 2007-9 Multi-Year Area Plan
14Aging°11 Y FY 2007 Annual Implementation Plan AttN. • Amen on *al
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON COMMUNITY
Romeo-Washington-Bruce- Ray Twp. Sandy Keown 554
Parks & Recreation Senior
Activity Center
361 Morton
Romeo, Michigan 48065
(586) 752-9601
wwvv.rwbparksrec.org/Senior.htm
Richmond Township
Senior Center
34900 School Section
Richmond, Michigan 48062
(586) 727-6700
St. Clair Shores Senior
Activities Center
20000 Stephens
St. Clair Shores, Michigan
48080
(586) 445-0996
Shelby Township
Senior Center
51670 Van Dyke
Shelby Twp., Michigan 48316
(586) 739-7540
Anthony Lipinski 9,146 Roseville Parks and Recreation Roseville
18185 Sycamore St.
Roseville, Michigan 48066
(586) 445-5480
VII-1 1
Becky Rose
Henry Bowman
Warren 30,560
Becky Rose
Henry Bowman
Warren 30,560
Lori DePauw 807 Utica
Warren Sister Mary Jane 30,560
Kleindorfer
A ziolisk,Areliginga 743
*Mom, • Aillon • Maws "Am
FY 2007-9 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
APPROXIMATE #
0F60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON COMMUNITY
Sterling Heights Senior Sterling Heights Sharon Roosen 19,954
Citizen Center
40200 Utica Rd
P.O. Box 8009
Sterling Heights, Michigan
48313
(586) 446-2750
Shelby Township
Senior Center
51670 Van Dyke
Shelby Twp., Michigan 48316
(586) 739-7540
Owen Jax Parks &
Recreation Center
8207 East Nine Mile Road
Warren, Michigan 48089
(586) 757-7480
Stilwell Manor/Joseph
Coach Manor
26600 Burg Road
Warren, Michigan 48089
(586) 758-1310
St. Anne's Senior Center
6100 Arden
Warren, Michigan 48092
(586) 939-3110
AAgewon FY 2007-9 Multi-Year Area Plan
Alm:my • Ade. • Amsars MAI
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON COMMUNITY
Romeo-Washington-Bruce Washington Twp. Sandy Keown 2,593
Parks & Recreation Senior
Activity Center
361 Morton
Romeo, Michigan 48065
(586) 752-9601
www.rwbparksrec.org/Senior.htm
Aginga onn7 AnnIfni Imnizamnntafirtr FY 2007 Annual Implementation Plan
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITIES CONTACT PERSON COMMUNITY
Rita Sanders
Pamela Rybka
Barbara Mazur
Bob Clark
Wendy Colter
Frankie Foidl
Aaron Simonton
Ash Twp.
Bedford Twp.
Erie Twp.
Ida Twp.
Luna Pier
Whiteford Twp.
Berlin Twp.
Carleton
Exeter Twp.
Frenchtown Twp.
Dundee Twp.
Petersburg
Summerfield Twp.
Erie Twp.
LaSalle Twp.
Luna Pier
La Salle Twp.
Monroe
Monroe Twp.
Rai si nville
1,072
4,244
723
623
182
706
855
342
478
2,838
859
143
442
723
720
182
720
4,063
2,319
706
AgeneY
kingm FY 2007-9 Multi-Year Area Plan
.1!, FY 2007 Annual Implementation Plan
4. MONROE COUNTY COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT
Ash Seniors
P.O. Box 21
Carleton, Michigan 48117
(734) 586-8063
Bedford Senior
Citizen Center
1653 Samaria Road
Temperence, Michigan 48182
(734) 856-3330
Frenchtown Senior
Citizen Center
2786 Vivian Road
Monroe, Michigan 48162
(734) 243-6210
Dundee Senior
Citizen Center
284 Monroe Street
Dundee, Michigan 48131
(734) 529-2401
Water Tower Park Center
11345 Harold Drive
Luna Pier, Michigan 48157
(734) 848-8700
Monroe Senior Center
15275 South Dixie Highway
Monroe, Michigan 48161
(734) 241-0404
www.comonroe.mo.us
County-wide Rebecca Head 21,829
Carol Austerberry
County-wide Stephanie Kasprzak 21,829
AArea
lig907 Ina FY 2007-9 Multi-Year Area Plan
AIweasey • Aq1e, • MIIMr, A11.1 FY 2007 Annual Implementation Plan
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITIES CONTACT PERSON COMMUNITY
Sullivan Senior Center London Twp. Larry Black 384
13613 TuttlehiII Road Milan Frankie Paid 198
Milan, Michigan 48161 Milan Twp. 274
(734) 439-1733
Area Agency on Aging 1-B County-wide Gerilyn Powers 21,829
14930 LaPlaisance
Suite 119
Monroe, Michigan 48161
(734) 241-2012
www.aaa1b.com
Monroe County Comm. County-wide Terri Hamad 21,829
on Aging
106 East First Street
Monroe, Michigan 48161
(734) 240-7363
Monroe County
Health Department
2353 S. Custer Road
Monroe, Michigan 48161
(734) 240-7800
wvvw.co.monroe.mi.us
Monroe Co. Opportunity
Program
1148 S. Telegraph
Monroe, Michigan 48161
(734) 241-2775
VII-15
Berkley Oxford Park Towers
2345 Oxford Street
Berkley, Michigan 48072
(248) 399-9300
Pennae McLean 2,422
Kelly Jankowski
LAArea on FY 2007-9 Multi-Year Area Plan
AgIng " FY 2007 Annual Implementation Plan Atkopey• Aaron • AxaM, AV.9
5. OAKLAND COUNTY COMMUNITY FOCAL POINTS:
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON COMMUNITY
Addison Township Senior Center Addison Twp. T.B.D. 709
1440 Rochester Road
Leonard, Michigan 48367
(248) 628-3388
Auburn Hills Department Auburn Hills Karen Adcock 2,206
Senior Services
1827 N. Squirrel Road
Auburn Hills, Michigan 48326
(248) 370-9353
Berkley Recreation Dept Berkley Chris Doe
2400 Robina Kevin Price
Berkley, Michigan 48072
(248) 546-2450
2,422
Birmingham Area Senior Birmingham Theresa Monsour 3,484
Coordinating Council (BASCC)
2121 Midvale
Birmingham, Michigan 48009
(248) 203-5270
Greater Bloomfield Senior Bloomfield Christine Tvaroha 1,250
Association Hills 10,228
7273 Wing Lake Road Bloomfield
Bloomfield Hills, Michigan 48301 Twp.
(248) 341-6450
COMMUNITY CONTACT PERSON
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
Brandon Twp. Annette Beach 1,219
Commerce
Twp.
Farmington
Farmington
Hills
2,530
15,036
AA
Asea
Agency on FY 2007-9 Multi-Year Area Plan
king " FY 2007 Annual Implementation Plan Ad....„ • Afahrn • Anon ai Oleg
COMMUNITY FOCAL POINT
Ortonville Senior Center
345 Ball, P.O. Box 429
Ortonville, Michigan 48462
(248) 627-6447
Clawson City Senior Citizen Center
509 Fisher Court
Clawson, Michigan 48017
(248) 583-6700
Commerce-Richardson
Senior Center
1485 Oakley Park Drive
Commerce Twp., Michigan 48390
(248) 926-0063
Costick Activity Center
28600 Eleven Mile Rd. Suite 111
Farmington Hills, Michigan 48336
(248) 473-1830
Gerry Kulick Community Center
1202 Livernois
Ferndale, Michigan 48220
(248) 544-6767
Ortonville Senior Center
345 Ball Street, P.O. Box 429
Ortonville, Michigan 48462
(248) 627-6447
Hazel Park Senior Center
620 W. Woodward Heights Blvd.
Hazel Park, Michigan 48030
(248) 546-4093
Clawson Kathy Leenhouts
Emily Dubey
Mary DiManno
Ferndale Paige Gembarski
Annette Beach
Hazel Park Barbara Scott
Groveland
Twp.
2,419
3,626
2,815
535
2,757
Highland
Twp.
Barbara Rollin 2,051
Holly Judy Blakemore 1,356
Huntington
Woods
Nancy Waldman
Margaret Tripp
962
3,770
698
Lathrup
Village
Maralee Rosamond
&Area A ge hnoyon FY 2007-9 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan Mk* • Mawr io Al*
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
Highland Senior Center
209 N. John Street, P.O. Box 249
Highland, Michigan 48357
(248) 887-1707
Hollyhock Adult Activities
Senior Center
3323 Grange Hall Road
Bldg. 700
Holly, Michigan 48442
(248) 634-7571
Huntington Woods
Parks & Recreation
26325 Scotia Road
Huntington Woods, Michigan 48070
(248) 541-3030
City of Lathrup Village
27400 Southfield Road
Lathrup Village, Michigan 48076
(248) 557-2600
Independence Senior Center independence Margaret Bartos
6000 Clarkston Road Twp.
Clarkston, Michigan 48348
(248) 625-8231
South Lyon Center for Active Adults Lyon Twp.
1000 N. Lafayette
South Lyon, Michigan 48178
(248) 573-8175
www.southlyon.k12,mi.us/Center_for_Active_Adults,html
1,051 Connie Wickersham
COMMUNITY CONTACT PERSON
APPROXIMATE 4#
OF 60 PLUS
WITHIN
COMMUNITY
Madison
Heights
Jennifer Martin
Lee Giannini
5,586
1,939
534
5,107
Oak Park Leslee Magidson
Mark Lit
4,558
Oak Park Rhoda Hoerner 4,558
Milford Senior Center Milford Twp. Nancy lzzard
1050 Atlantic Street
Milford, Michigan 48381
(248) 685-9008
www.milford.lib.mi.us/mcin/groups/ymcaseniors/
Northville Area Senior Center Northville Sue Koivula
215W. Cady
Northville, Michigan 48167
(248) 349-4140
www.chnorthville.mi.us/Services/SeniorServices/SeniorServicesOverview.htm
Novi Senior Center Novi Rachel Zagaroiiat
25075 Meadowbrook
Novi, Michigan 48375
(248) 347-0414
Mismay • Acite. • Ammon Mgt
FY 2007-9 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
COMMUNITY FOCAL POINT
Madison Heights Senior Center
29448 John R
Madison Heights, Michigan 48071
(248) 545-3464
Jewish Community Center
15110W. Ten Mile Road
Oak Park, Michigan 48237
(248) 967-4030
Oak Park Senior Center
14300 Oak Park Blvc.
Oak Park, Michigan 48237
(248) 691-7577
www.oakpark-mi.com/Recreation/Senior_Activities.htm
FY 2007-9 Multi-Year Area Plan Aka
/AXAgilig 1.1/ FY 2007 Annual Implementation Plan Moon es Mar
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON COMMUNITY
Older Persons Commission
650 Letica Drive
Rochester, Michigan 48307
(248) 656-1403
www.opcseniorcenter.org
Oakland Twp. Marye Miller 1,440
Greater Bloomfield Senior Orchard Lake Christine Tvaroha 384
Association
7273 Wing Lake Road
Bloomfield Hills, Michigan 48301
(248) 341-6450
Orion Senior Center Orion Twp. Lisa Sokol
21 East Church Street
Lake Orion, Michigan 48362
(248) 693-2066
www.orion.lib.mi.us/township/seniorcenter/senior.html
Oxford Senior Citizens Center Oxford Twp. Evaid Jorgensen
28 North Washington
Oxford, Michigan 48051
(248) 628-9056
www.oxfordtownship.org/citizens.html
City of Pleasant Ridge Pleasant Scott Pietrczak
4 Ridge Road Ridge
Pleasant Ridge, Michigan 48069
(248) 542-7322
3,019
10,593
407
Bowen Senior Center Pontiac Mckinley Jones
52 Bagley Street
Pontiac, Michigan 48341
(248) 857-5723
7,548
COMMUNITY CONTACT PERSON
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
Pontiac Tamara Orza 7,548
John Ziraldo Pontiac 7,548
7,548 Pontiac T.B.D.
Rochester
Rochester
Hills
Rose Twp.
Royal Oak
Marye Miller
Judy Blakemore
Kathleen Heikkila
666
10,788
1,430
9,865
AA, Agenerm FY 2007-9 Multi-Year Area Plan
Agilig" FY 2007 Annual Implementation Plan Awe. • Mum. • 41.1
COMMUNITY FOCAL POINT
La Amistad Senior Center
990 Joslyn Road
Pontiac, Michigan 48340
(248) 858-2307
Lighthouse of Oakland County
46152 Woodward
Pontiac, Michigan 48342
(248) 920-6000
www.lighthouseoakland.com
Ruth Peterson Senior Center
990 Joslyn Rd.
Pontiac, Michigan 48340
(248) 857-5631
Older Persons Commission
650 Letica Drive
Rochester, Michigan 48307
(248) 656-1403
www.opcseniorcenter.org
Hollyhock Adult Activities
Senior Center
3323 Grange Hall Road
Bldg. 700
Holly, Michigan 48442
(248) 634-7571
Royal Oak Senior Center
3500 Marais
Royal Oak, Michigan 48073
(248) 246-3900
vvww.ci.royal-oak.mi.us/senior/index
Pearl Wright Senior Center Royal Oak
21075 Wyoming Twp.
Ferndale, Michigan 48220
(248) 547-9800 x225
COMMUNITY FOCAL POINT COMMUNITY
Southfield Senior Adult Center Southfield
23450 Civic Center Drive
Southfield, Michigan 48034
(248) 796-4650
www.cityofsouthfield.com/seniors/
South Lyon Center for Active Adults South Lyon
1000 N. Lafayette
South Lyon, Michigan 48178
(248) 437-0863
www.southlyon.k1 2.mi.us/Center_for_Active_Adults.html
CONTACT PERSON
Silena Johnson
Nicole Massina
Connie Wickersham
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
1,135
14,894
1,793
Jennifer Tucker 1,216
Carla Vaughn 11,500
Lannette Amon 10,317
Alleer.ey • MWoo • ARSON or AgOsi
FY 2007-9 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
Springfield Township
Parks & Recreation
12000 Davisburg Road
Davisburg, Michigan 48350
(248) 634-0412
Springfield
Twp.
Troy Community Senior Center Troy
3179 Livernois
Troy, Michigan 48083
(248) 524-3484
www.ci.troy.mi.us/ParksRec/SeniorCitizens
Waterford Senior Center
6455 Harper Street
Waterford, Michigan 48329
(248) 623-6500
www.waterford.k12.mi.us/seniorcenter
Waterford
Twp.
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY CONTACT PERSON COMMUNITY
West
Bloomfield
Twp.
West
Bloomfield
Twp.
Wixom
Christine Tvaroha
Daniel J. Navarre
Gloria Marsh
11,609
11,609
993
Oakland
County
Sandra K. Reminga 177,634
Oakland
County
Ronald Borngesser 177,634
AAxea FY 2007-9 Multi-Year Area Plan
FY 2007 Annual implementation Plan
COMMUNITY FOCAL POINT
Greater Bloomfield Senior
Association
7273 Wing Lake Road _
Bloomfield Hills, Michigan 48301
(248) 341-6450
West Bloomfield
Parks & Recreation
4640 Walnut Lake Road
W. Bloomfield, Michigan 48323
(248) 451-1900
Wixom Senior Citizen's Center
49045 Pontiac Trail
Wixom, Michigan 48393
(248) 624-2850
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400
Southfield, Michigan 48034
(248) 357-2255
www.aaa1B . co m
Oakland Livingston Human
Service Agency
196 Oakland Ave.,P.O. Box 430598
Pontiac, Michigan 48343
(248) 209-2600
www.olhsa.org
APPROXIMATE #
OF 64 PLUS
WITHIN
CONTACT PERSON COMMUNITY
Debbie Heraty 810
521
409
1,875
520
555
940
913
823
1,056
984
Jan Hathcock 342
205
299
440
356
Jan Hathcock 255
188
307
151
407
Scott Crawford 673
747
1,974
185
1,188
2,016
5,606
1,437
389
A Agenoyon FY 2007-9 Multi-Year Area Plan
Aging 143 FY 2007 Annual Implementation Plan Admay • nuer, • Any= *. NOM
6. ST. CLAIR COUNTY COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT
Cherry Beach Senior Center
7232 S. River Road
Marine City, Michigan 48039
(810) 765-3523
(800) 779-4488
West Central Senior Center
112 South Main
Capac, Michigan 48014
(810) 395-7889
(800) 361-8877
Mitchell Senior Center
3 First Street
Yale, Michigan 48097
(810) 387-3720
(800) 717-4422
Port Huron Senior Center
600 Grand River Avenue
Port Huron, Michigan 48060
(810) 984-5061
(800) 297-0099
COMMUNITIES
Algonac
Casco Twp.
China Twp.
Clay Twp.
Columbus Twp.
Cottrellville Twp.
East China
Ira Twp,
Marine City
St. Clair
St. Clair Twp.
Berlin Twp.
Capac
Emmett Twp,
Mussey Twp.
Riley Twp.
Brockway Twp.
Greenwood Twp.
Kenockee
Lynn Twp,
Yale
Burtchville Twp.
Clyde Twp.
Fort Gratiot Twp.
Grant Twp.
Kimball Twp.
Marysville
Port Huron
Port Huron Twp.
Wales Twp.
County-wide Laura Newsome 26,445
Abell
AA Agel"YAging°11
FY 2007-9 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITIES CONTACT PERSON COMMUNITY
County-wide Barbara Lavery 26,445 Area Agency on Aging 1-B
501 Gratiot, Suite 2
Marysville, Michigan 48040
(810) 388-0096
vvww.aaa1B.com
Council on Aging, Inc.,
serving St. Clair County
600 Grand River Avenue
Port Huron, Michigan 48060
(810) 987-8811
(800) 297-0099
vvww.thecouncilonaging.org
CONTACT PERSON
Linda McKenny
Anne Hampton Hawkins
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
11,839
enoY on FY 2007-9 Multi-Year Area Plan
A Aging" FY 2007 Annual Implementation Plan
1n11111111n11M1
7. WASHTENAW COUNTY COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT COMMUNITIES
Ann Arbor Community Center Ann Arbor
625 North Main
Ann Arbor, Michigan 48104
(734) 662-3128
Ann Arbor Senior Center Ann Arbor Pam Garza
1320 Baldwin
Ann Arbor, Michigan 48104
(734) 769-5911
www.ci.ann-arbor.mi.us/CommunitySetvices/Parks/Senior Center/senior_main.html
11,839
Jewish Community Center Ann Arbor
2935 Birch Hollow Drive
Ann Arbor, Michigan 48108
(734) 971-0990
Phyllis Herzig 11,839
Turner Senior Resource Ann Arbor Carolyn White 11,839
Center
2401 Plymouth Road, Suite C
Ann Arbor, MI 48105
(734) 998-9353
www.med.umich.edu/geriatricsitsrc
Milan Senior & Community Augusta Twp. Jennifer Michalak
Activity Center Milan Ben Swayze
45 Neckel Court York Twp.
Milan, Michigan 48160
(734) 439-1549
http://milan.mi.us/community_center.shtml
737
438
690
235
207
729
2,380
1,151
197
690
Reni Chemin
1,214
1,417
524
301
Tina A. Patterson
ArZany
FY 2007
22000077-9 A Multi-YearimpieAmreenataPtliaonn Plan
nnual Mmary • Acttem • 14.+INN
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY FOCAL POINT COMMUNITIES CONTACT PERSON COMMUNITY
Saline Area Senior Center Bridgewater Twp.
7605 North Maple Road Freedom Twp.
Saline, Michigan 48176 Lodi Twp.
(734) 429-9274 Pittsfield Twp.
Saline
Saline Twp.
York Twp.
www.ci.saline.mi.us/features/Senior Center
Chelsea Senior Citizen Chelsea
Activity Ctr. Sylvan Twp.
500 Washington Street Lima Twp.
Chelsea, Michigan 48118 Lyndon Twp.
(734) 475-9242
Dexter Senior Nutrition Dexter Cindy White 618
Center
7714 Ann Arbor Street
Dexter, Michigan 48130
(734) 426-5397
Manchester Senior Citizens Manchester Twp. Marian Ahrens 638
912 City Road Sharon Twp. 217
Manchester, Michigan 48158
Pittsfield Senior Center Pittsfield Twp. Carol Presley 2,380
701 W. Ellsworth
Ann Arbor, Michigan 48108
(734) 996-3010
www.pittsfieldtwp.org/departments/sup/parks/senior_html
1,999
4,964
1,160
35,478
35,478
Monica Prince
Donna Lee Hornyak
Kathy Sarb
Larry Voight
All4ena"n
FY 2007-9 Multi-Year Area Plan
A Agiug " FY 2007 Annual Implementation Plan MberAry • Mtn • alassers ARM
APPROXIMATE #
OF 60 PLUS
WITHIN
CONTACT COMMUNITY COMMUNITY FOCAL POINT COMM
Northfield Township Whitmore Lake Susan Laity 734
Senior Center
9101 Main Street, P.O. Box
431
Whitmore Lake, Michigan
48189
(734) 449-2295
www.twp.northfield.mi.us/services/sr_center/sr_center_home
Ypsilanti Senior Citizen Ypsilanti
Center
1015 Congress
Ypsilanti, Michigan 48193
(734) 483-5014
www.cityofypsilanti.com/services/recreation/scc
Ypsilanti Township
Recreation Center
2025 East Clark Road
Ypsilanti, Michigan 48198
(734) 544-3838
Area Agency on Aging 1-B County-wide
3550 W. Liberty, Suite 2
Ann Arbor, MI 48103
(734) 213-6704
www.aaalB.com
Catholic Social Services
of Washtenaw/Blueprint for
Aging
4925 Packard Road
Ann Arbor, MI 48108
(734) 712-3625
www.csswashtenaw.org
www.blueprintforaging.org
Ypsilanti Twp.
Superior Twp.
County-Wide
AAArea Ageney on . FY 2007-09 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan •Iction • Aamen . Mai
VIII. APPENDIX A
A. INPUT FORUMS & PUBLIC HEARINGS
Fiscal Years: 2007 — 2009
Area Agency: Area Agency on Aging 1-B
DATE LOCATION TIME BARRIER FREE NUMBER of
,
(Y or N) ATTENDEES
June 1, 2006 Port Huron 9:30 Y 8
June 1, 2006 Southfield 1:30 ---Y - 26 _
Narrative:
Testimony addressed the increasing demand on community-based services for older adults as a result of growth in the
older adult population, and the success in assisting a more frail older adult population to live independently in their home,
as opposed to a nursing home. These factors, combined with inflationary cost increases and reduced revenues due to
state and federal budget cuts, are eroding the capacity of the service delivery network to respond to the needs of older
adults.
While it is important to target services to this high need population, it is also critical that other community services be
preserved because they help enhance quality of life, prevent the disabling impact of chronic conditions, and can
potentially avoid or delay the need for long term care services. Concern was also expressed about the loss of senior
center funding and the plan's lack of recognition that senior centers can play a vital role in wellness and prevention
programming. Additional comments questioned whether the plan adequately addressed the issues of suicide,
guardianship, and substance abuse.
AZeneyon FY 2007-09 Multi-Year Area Plan MIX Aging 143 FY 2007 Annual Implementation Plan
Comments provided at the hearing, and five additional written comments, could be categorized into two general areas;
support for very specific aspects of the plan, and discussion of needed advocacy, funding, and program development to
expand services for older persons and family caregivers.
As a result of the comments received at the public hearings, the following changes were made to the proposed Plan:
In the I. Executive Summary section, senior centers were added to the list of organizations that will be involved in efforts
focused on improving access to needed community resources for targeted populations.
In the I. Executive Summary section, the following sentence was added: 'While access services are a high priority,
opportunities to strengthen other community services, and enhance the role of senior centers to engage in wellness and
prevention activities, will need to be identified."
In the III. Statement of Need, D. Evaluation of Unmet Needs section, the findings and recommendations from the
Michigan Association of Senior Centers/Area Agency on Aging 1-B Senior Center Enhancement and Promotion Task
Force, were added to the list of sources used to identify needs.
In the III. Statement of Need, D. Evaluation of Unmet Needs section, recognition of Community Forum comments
describing the role that senior centers play in promoting healthy lifestyles and preventive behaviors, was added.
In the III. Statement of Need, D. Evaluation of Unmet Needs section, a sixth basic conclusion was added, which reads:
"6. Greater emphasis and resources are needed for preventive services that can help mitigate the impact of chronic and
disabling conditions, reduce the demand for other services, improve health status, and enhance quality of life."
In the III. Statement of Need, D. Evaluation of Unmet Needs section, "Guardianship and conservator services" were
moved from Program Development Priority to Planning, Advocacy, Policy, and Resource Development Priority, to reflect
the need to address systemic weaknesses in support for available services.
In the III. Statement of Need, D. Evaluation of Unmet Needs section, suicide prevention, and substance abuse education
and prevention, were added to the Program Development Priority list.
VIII-2
Akre40, mon FY 2007-09 Multi-Year Area Plan
"Al Aging 143 FY 2007 Annual Implementation Plan
PUBLIC HEARING TESTIMONY SUMMARY
The following is a summary of testimony provided by attendees at the June 1, 2006 public hearings on the Area Agency
on Aging 1-B's Proposed FY 2007-9 Multi Year Plan. Also attached is written testimony submitted on the Plan.
Senior Center Funding
Testimony indicated disappointment in the Plan because of a lack of recognition and support for senior centers.
Testimony argued that senior centers promote health and well being, connect older adults to services, and offer important
prevention services. Additional testimony indicated that White House Conference on Aging resolutions emphasized
programs provided at senior centers, including resolution 15: "Encourage redesign of senior centers for broad appeal and
community participation". The Plan does not reflect this level of significance placed on senior centers.
Testimony expressed concern regarding comments made to re-allocate Title III-B dollars to senior centers. This would
require shifting dollars away from other services, which are in great demand and fulfill a need.
Access/Resource Advocacy
Testimony expressed admiration for the AAA 1-B's provider network, however, many older persons are not aware of
services available to them. Medicare Part D outreach and education efforts demonstrated that resource advocacy should
be an important part of the Plan.
Respite Care
Testimony described a respite care program funded by the Detroit Area Agency on Aging, and warned about the difficulty
of implementing volunteer-based respite services, indicating a common caregiver complaint is that the number of respite
hours provided is insufficient.
Health Promotion
Testimony indicated that senior centers are well suited to provide wellness, fitness, health promotion, and similar services.
Additional funding sources for these services should be identified and provided to senior centers.
ilAArea A geney on FY 2007-09 Multi-Year Area Plan
kAging " FY 2007 Annual Implementation Plan
Testimony suggested that the number of older adult suicides is under-reported because there is a stigma associated with
suicide, and Medical Examiners commonly do not report this as a cause of death in order to protect the dignity of some
older adults.
Grandparents Raising Grandchildren
Testimony expressed appreciation for the focus on grandparents raising grandchildren. Testimony indicated respite
services and resource advocacy are needed services for this population.
Elder Abuse and Neglect
Testimony indicated that network providers must be trained to recognize and report abuse and neglect. Testimony
indicated that respite and counseling services could help alleviate the stress of caregiving that can lead to abuse and/or
neglect,
Foundation/Grantor Education
Testimony supported plans to educate funders about the needs for funding older adult programs
In-home Support Services
Testimony supported the proposed priority for in-home services.
Testimony recommended using 150% rather than 100% of the federal poverty level as a measure for targeting services to
individuals with the greatest economic need.
Testimony expressed concern regarding comments made to re-allocate Title III-B dollars to senior centers. This would
require shifting dollars away from in-home and other services, which are in demand and fulfill a need.
Testimony expressed concerned that older adults on fixed incomes have increased out-of-pocket expenses, leading to the
self-rationing of private-pay services.
Chore and Home Injury Control Services
Testimony indicated that chore and home injury control are critical services.
VIII-4
Area IA /wino!' FY 2007-09 Multi-Year Area Plan
FIA\N Aging " FY 2007 Annual Implementation Plan Ainurcy Actin • Aug. .4 Agiei
Testimony identified a need for visual aids including magnifiers and lighting devices. Testimony further recommended
changing classification of these products to be included as high priority services under the Home Injury Control service
definition.
AAA 1-B Website
Testimony indicated that the AAA 1-B website should be available in a variety of languages including Spanish, Arabic, and
possibly Hmong.
Provider Education
Testimony indicated provider looks forward to participating in AAA 1-B provider training sessions.
Long Term Care Options
Testimony indicated support for expanding long term care options and implementing a nursing facility transition program.
Transportation
Testimony advocated for expanded transportation services for older adults.
Medicare Part D Prescription Drug Plans
Testimony expressed concern about the ability of Medicare Part D participants' ability to afford prescription drugs when
they must pay 100% of their drug costs out of pocket while in the coverage gap, or donut hole.
Prevention
Testimony indicated that substance abuse providers are also cutting prevention services and expressed concern about
the long term effects of the overall reduction of prevention services.
Testimony advocated for a statewide marketing effort to promote the image of senior centers and their role in prevention,
including suicide prevention.
Testimony called for advocacy to preserve Older Americans Act Title III-D funding because prevention services are less
expensive and more effective than "corrective" services.
VIII-5
AAAres Ageney on FY 2007-09 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan
Counseling Services
Testimony indicated that United Way is also experiencing funding constraints in Oakland County, which affects the ability
of counseling providers to maintain service if AAA 1-B funding is cut.
Testimony indicated that although Oakland County provides substance abuse services to older adults, the AAA 1-B plan
to cut counseling services funding will affect it. Testimony explained that the funding cut means low-income individuals
will not receive co-pay assistance to meet the Medicare benefit requirement of a 50% co-pay for counseling services.
Needs Assessments
Testimony questioned whether there are adequate plans to conduct older adult needs assessments.
Minor Home Repair/Home Maintenance
Testimony stressed the importance of minor home repair and other home maintenance services that enable older adults
to remain in their homes.
AAA 1-13/Service Provider Relationships
Testimony expressed gratitude to AAA 1-B for its continued support, and its openness to discuss and resolve
disagreements. Testimony reported having a positive working relationship with AAA 1-B.
Testimony reported that the use of cell phones by AAA 1-B care managers has greatly improved communications with
providers and referral sources.
Testimony thanked AAA 1-B for its advocacy efforts and for keeping service providers informed on important older adult
issues.
V111-6
Axea
MinOity • Acinn • Awmert.4041
FY 2007-09 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
APPENDIX A
Public Hearing Written Testimony
VIII-7
May 29, 2006
Sandra K. Reining; Executive Director
Jim McGuire, AAA 1-B Director of Planning and Advocacy
Area Agency on Aging 1-B
29100 Northwestern Hwy
Suite 400
Southfield, MI 48034
Dear M. Reminga and Mr. McGuire:
I am writing this letter on behalf of the Social Work Department at Turner Geriatric
Clinic. For over 20 years, we have provided counseling services to Washtenaw County
older adults, as supported by the Area Agency on Aging counseling grant. We believe
this is an incredibly valuable service to seniors and should not be eliminated as part of the
services you offer in our county.
The in-home counseling program has proven critical, and in some cases, life-saving for
our clients. For some, our interventions have kept them out of the hospital, both for
medical and mental health reasons, and have helped maintain stability. Our ability to go
into persons' homes has allowed us to see what others don't see and has been vital for
vulnerable adults who are at risk for physical abuse or substance abuse issues. The
support groups have linked seniors to ongoing support, as well as to resources out in the
community. Many of our group members cite these support groups as most helpful to
'them in terms of their own coping. The education we have provided has encouraged
seniors to seek both medical and mental health services in the community and given links
to ongoing services. Without this program, there are many homebound seniors without
billable insurance that would have no other way of being served in this community.
These are the most vulnerable of older adults in our county and the ones who will be the
most critically affected by the loss of the in-home counseling program.
Each year we have served over 350 clients. This number includes: home-bound
individuals, many of whom are in remote locations; numerous seniors that live in senior
housing, including the HUD-subsidized apartments; persons who attend a myriad of
support groups that we have offered on low vision, caregiving, grief, reminiscence
therapy, depression, and smoking cessation; and talks on subjects including depression,
anxiety, stress, winter blues, sleep disorders, community resources, loss and grief,
improving memory, substance abuse and more.
We have successfully targeted various hard-to-reach populations. One area hss been to
reach African-American seniors, which we have done through a variety of efforts
including our New Hope Outreach Clinic, which was designed to reach patients who have
not had ongoing primary care. Our efforts have also included individuals from many of
the subsidized senior apartment buildings, especially those with a high percentage of
minority residents. We have been able to reach these older adults not only through our
own patient population, but through collaborations with other community groups, such as
the Foster Grandparent Program. We have also made special efforts to reach the steadily
growing Asian-American population in this county by pairing our mental health offerings
with Turner's own Asian outreach program and the Multi-Cultural Health program at
UMHS. Most of these efforts would not have been possible without the support of the
Area Agency on Aging.
We are therefore asking you to please reconsider the elimination of the in-home
counseling program. For Turner Geriatrics, it has been vital to meet the needs of hard-to-
reach., minority, and low-income seniors in the community, who not only need mental
health counseling but whose other needs can be overwhelming. We believe the
counseling service is invaluable and strongly support its inclusion in the services that
Area Agency on Aging can provide.
Sincerely,
Mary Rumman, MSW, LMSW
Clinical Social Worker
Turner Geriatric Clinic
1500 E. Medical Center Drive
Ann Arbor, Michigan 48109-0924
734-764-2556
Monroe County Agency Testimony To the AAA 1-B Board of Directors
Regarding the Proposed 2007-2009 MuIt-Year Area Plan
Good Afternoon Chairman McMahon, Sandy and the Board of Directors-
I come today on behalf of the Monroe County service providers both co-funded
through the millage and AAA 1-B and not who face concerns and difficult
decisions over the AAA 1-B funding priority list. While we are aware that current
and new State and Federal funding are at a premium in our region, the shift of
prioritization to AAA 1-B directly provided services such as access and
community care management and in-home services places an extreme burden to
those systems as well as our local scale of economy. In view of the fact that
community based services are the first line of defense in keeping persons
independently in their homes for a longer period of time, the shift of burden to
prioritize access and homebound services unjustly places the independent and
more self-sufficient into a position of dependency further stressing an already
stressed system.
I urge this board of directors to consider taking another look at these long
established priorities to see how these are impacted by the changes and needs
of our population. With the advent of a large baby boomer population in our
region, the age of senior becomes more disproportionate. While the 60+
population presumably are less needy and reliant on in-home services, the
prioritization list will likely shift the bulk of the services to the older old. This
allows for fewer resources to fund community-based services whose aim is to
keep seniors healthy, happy and independent. These community-based services
are and will continue to be their initial access to service and quite often meet the
social and intermittent needs of the younger senior.
I support your efforts to look deeply into future planning, but urge your review of
the current funding priorities. Thank you.
Testimony on AAA 1-B 2007-2009 draft plan
June 1, 2006
Adult Well-Being Services is a community based non-profit agency that provides
services to older adults and adults with disabilities. We were established in 1953
and have expanded from one of the country's first senior centers to a
comprehensive_agency serving senior adults, their caregivers and the people
they care for, in a variety of ways. We provide outreach and assistance, case
management, health promotion, substance abuse prevention and treatment as
well as mental health and guardianship services.
Our guardianship services extend to adults in Oakland County. Because the
kinds of cases that are referred by the courts for guardianship entail the most
difficult and neediest people, and because AWBS provides extensive social work
supportive and, counseling services far beyond what is minimally & legally
required under guardianship laws, we would like to have this opportunity to
comment on the needs of people we serve in relation to AAA 1-B's plan.
We have always admired AAA 1-B's provider network for providing excellent,
quality servicesto older adults. AAA 1-B is a leader when it comes to
prioritizing what is really needed, identifying what is needed and then
advocating on behalf of older persons and their caregivers. Even with the best of
efforts, as you noted in your draft plan, there are still too many older persons
who are not aware of the services available that may assist them. The recent
efforts to educate and assist older adults about the Medicare Part D prescription
drug plan offers insight into the need to augment the existing resource advocacy
efforts. According to your own statistics, just one week before May 15, there
were still 97,000 people who had not signed up for any plan and might be in
need of assistance. We are pleased that you have included resource advocacy as
a top priority in your draft plan.
There were several other priorities identified in your plan: in-home respite,
respite services for grandparents raising grandchildren, health benefits
education, and support for older persons requiring guardianship. Adult Well-
Being Services has extensive experience with providing programs in each of
these areas.
We agree that family and friends who still provide the bulk of long term care to
older adults do so often at great cost to themselves. Many lose income when
they change jobs, work part time or even quit working to provide care. The
stress and lack of self-care can lead to health issues and even early death, for the
caregivers themselves. The unfortunate death of Dana Reeves may help to bring
this more into the public's awareness.
Through the Detroit Area Agency on Aging we have had the opportunity to
develop a model of respite care based on customer choice or self-determination -
they may have home health personnel come to their home, or they may utilize
day care, or assisted living or even a nursing home for overnight stays. We have
hired persons of their choice to provide the care. We have one complaint, and
one word of caution. OUT word of caution is that it is very, very difficult to
implement volunteer caregiving programs. We have tried it, even with the help
of faith based institutions, and it is difficult to meet the need with this type of
service. This ties into our complaint: every time we provide the service, we get
the response that it is just not enough time. We would like to join with AAA 1-B
advocacy efforts to encourage the state to find new ways to expand this type of
service. It is desperately needed.
We congratulate AAA 1-13's wisdom of addressing the need for health benefits
education. The vast majority of older persons live with several chronic health
conditions. We also know that the majority of our health care dollars are spent
for the older adult population in the last few years of their lives. With these facts
in mind, it is important that we recognize the increasing importance of
comprehensive health promotion in our service delivery system. And, these
services must be designed so that information is provided in a culturally and age
appropriate manner.
AWBS was the first agency in the country to receive funding for education on
HIV AIDS for the senior population. W e developed a health promotion program
that has been well received. The number of people 50 years and older that are
infected with HIV/ AIDS is growing along with the increase in our senior
population. Our experience is that given the difficulty of broaching subjects
having to deal with sexuality, such information is best offered in community
seminars. We would be happy to provide information and technical assistance in
this area, if needed.
We also join AAA 1-B in recognizing the needs of a special population:
grandparents raising their grandchildren. Through our experience with
grandparent support groups and respite services we have come to understand
first-hand what a significant role these grandparents play. Many of these
grandparents themselves have multiple health problems, fixed incomes and
constant demands and responsibilities. They need respite services. They also
need advocates who provide assistance arid support so they can learn how to
obtain and access community resources and benefits to which they are entitled.
Many grandparents are often fearful of making their needs known, for fear of
VIII-12
embarrassment or fear of having the kids taken away from them. We need to
expand our outreach efforts to them.
Finally, regarding elder abuse and neglect; we can all benefit from increasing
awareness and education in this area so that we are trained throughout the
network in recognizing and dealing with these situations. Uur President and
CEO, Karen Schrock, served on the Governor's Elder Abuse Task Force and
drafted recommendations to increase respite, caregiver training and mental
health services as a way to reduce neglect and abuse. For persons in need of
assistance, we support a range of alternatives from advocates and representative
payees to full guardianship when it is needed. Access to reliable persons or
organizations to assist families in these areas is essential.
Again, we applaud the vision and commitment of AAA 1-B to providing the
kinds of services older adults need most. With the projected exponential
explosion in the number of adults reaching the age of 60 within the next ten
years, we need to be proactive and ready to ensure their health and well-being, by
having in place the available resources to support their independence and
dignity. A fundamental rule of advocacy is "strength in numbers". We stand
ready to join AAA 1-B as partners in their advocacy efforts with the State to
increase funding and resources to older adults.
Thank you.
VIII-13
15275 South Dixie Highway A Monroe AMI A 48161
734/241-0404 Fax: 734/241-5302
www.monroectr.org
Aaron Simonton
Executive Director
Julie Kennedy Carpenter
Assistant Director
Pamela LaPan
Director,
Case Management
Joshua Diulio 1141
Director,
Cancer Connection
734/241-8888
Chris Croley
Director,
Fiscal/HR
Dawn Trouten
Director, -
-rood Service
United
Way
ice rely,
lir 04j
Aarefi P." Simonton
Executive Director
The Monroe Center/
President, Michigan
Association of Senior Centers
The eff4-
Monroe
Center
June 1, 2006 Mr. Jim McGuire, Director
of Planning and Advocacy
Area Agency on Aging 1-B
29100 Northwestern Hwy.
Southfield, MI 48034
Dear Mr. McGuire:
I am submitting these written comments on the FY 2007-9
Multi-Year Plan on behalf of the elderly of the County of
Monroe, the senior center network in the county and the
• Monroe Senior Citizens Center. I am also advocating on behalf
of the Michigan Association of Senior Centers and it's member
agencies.
The Draft AM Multi Year Plan states:
"The development of a comprehensive and coordinated service
delivery system has been facilitated by the AAA1-B through
partnerships with a diverse array of private and non-profit
organizations dedicated to delivering quality services to older
persons." (Draft Region 1-EI FY2007-9 Proposed Multi-Year Plan pg. 1-2)
It is inaccurate for the Area Agency on Aging 1-B to claim credit for the
development of a comprehensive coordinated service delivery system
when the Draft Multi-Year Plan has eliminated funding to the region's 90
Senior Centers, thereby making local community services their lowest
priority and failing to utilize Title IIIB funding in support of local priorities.
Furthermore, the draft plan only tracks service data from those agencies
funded by the Older American Act funds that the AAA 1-B allocates. By
eliminating funding for Senior Centers, AAA1—B eliminates the data that
Senior Centers collect, in addition to ignoring the contributions and
services provided by senior centers. This incomplete data is submitted to
the State and Federal units on aging and misrepresents services and
value provided, as well as an accurate accounting of met versus unmet
needs in the County of Monroe and Region MA 1-B in general.
Based on this Draft Plan, the priority is to use the MA 1-13's own high
cost services toward the ever-increasing demand to rescue seniors in
'need,' when in fact this demand is exacerbated by the MA 1-B's
reduction in efforts to local community services. The plan instead offers
token efforts aimed at senior centers and disregards their ability to
address such resources in an effective manner (cost as well as enhancing
quality of life by reducing or eliminating unnecessary suffering), setting a
dangerous precedent that moves the AAA 1-B into the status of being
just another layer of the "welfare system."
Senior Centers are uniquely positioned to address issues such as disease
prevention, health maintenance, chronic care management services,
education, information, assistance, wellness programming, socialization
and the coordination of volunteer efforts that keep our eiders, informed,
involved, connected and contributing members of the community through
their participation at senior centers across the county. They are uniquely
VIII-15
positioned because they are close to the people they serve at the local
level, and indeed are organized by the people they serve..
On page 1-3 the Area Agency notes that community services are the
lowest priority• and that the AAA1-B undertook the "difficult task" of
"reaffirmingiftheir priorities. However, regional Agencies on Aging
have been directed by the Older American Act to work with Multi Purpose
Senior Centers at the local county levels and to represent all of the
nation's older adults, not just "those with the greatest economic
need."
In this draft plan, senior centers have been eliminated as if they never
existed in the "aging network." Prior to the establishment of Area
Agencies, Senior Centers were the 'aging network" in Michigan and
continue to make significant contributions to promote the health,
independence and well-being of our aging citizens. Up until October of
2005 when funding was eliminated, senior centers have received AM
funding since the inception of the AAA's in 1974.
The draft plan goes on to state: "Plans to expand and enhance
older adult services in the areas of health, housing,
transportation, social and nutritional services and long term care
call for the development of collaborative partnerships that will
result in additional resources and increased sensitivity of other
service delivery systems toward the unique needs of older
adults."
The Monroe Senior Center/Mable Kehres Apartments and other county
senior centers provide services and activities that speak to all of the areas
listed in the above statement, and yet there are no provisions in the
AAA1-B plan to provide for the support, coordination or utilization of the
wealth of resources that exist among the four Multi-Purpose Senior
Centers in the County of Monroe.
In section D. Evaluation of Unmet Needs: the AAA1-B claims to utilize a
"—variety of methods to identify unmet needs among older
persons in the planning and service area."
VIII-16
In the past twenty years, no meaningful comprehensive, community wide
needs assessment, gap analysis, or local plan that speaks specifically to
aging in Monroe County has been initiated or completed by AAA1-B.
What has been accomplished by AAA1-B has been without significant
input from the local elderly themselves, other consumers, or any kind of
a broad cross section of the community service delivery system, including
churches, service clubs, U.W. agencies, the general public, etc.
The Community Forums sponsored by AAA 1-B overwhelming comprise
agencies who receive AAA1-B funding, their volunteers, or the consumers
who benefit from their services - not a cross-section of the county's
whole elderly population or of all services provided. And while the AM1-
B draft states that "Comments provided at two March, 2006
Community Forums...substantiated the need for the array of
services proposed in this plan/' there is no mention in the draft plan
about the testimony given at those forums that did not support the MA
1-B's arbitrary priorities. This omission skews the report to the
advantage of supporting the AM-1B's preconceived plan, ignoring the
opposing local views.
Page 111-8 states: The most significant barrier to addressing
identified needs of older persons is the lack of sufficient public
resources to provide the level of subsidized assistance that is
needed by older persons."
The MA 1-B's own evaluation suggests that it is very important to
maximize all the available resources that exist in order to do the most
good for the most elders. The need to collaborate, partner, and build
alliances is paramount to future success. By eliminating senior center
funding and making local community services the last priority, the AM 1-
B draft plan is ignoring, undervaluing and underutilizing the tremendous
resources that exist locally in our senior center network here in Monroe
and will only result in longer waiting lists, service rationing and
unnecessary waste of available assets. Ultimately the elderly themselves
will pay the price for this poor plan.
In summary, the draft plan as presented is incomplete in presenting total
data, is shortsighted in the fact that it will actually increase the need for
services, lacks details and supporting documentation, and is somewhat
MI-17
arrogant.in the fact that it steps over services that can be provided at a
local level with already well-established local relationships. Including
senior centers in the funding and the process of serving the elderly is a
vital piece of the effort to coordinate services where they live, because
they are involved with the actual needs of their home communities.
These communities have unique personalities and needs, and therefore
deserve the services of the multi-purpose senior centers uniquely
positioned to serve them.
FROM: Mark T. Robinson
Executive Director /
Livingston County Catholic Social Services
2020 East Grand River Avenue, Suite 104- Howell, MI 48843 (517)545-5944 Fax(5I7)545-7390
TO: Sandie K. Reminga
Area Agency on Aging 1-B
DATE: -June 1, 2005
RE: Draft — Multi-Year Plan
Thank you for this opportunity to provide input to the draft 2007-2009 Multi-Year Plan
and the Proposed FY 2007 Implementation Plan. As a service provider, in Livingston
County, and now as an Oakland County resident who has passed the 50-year mark, I
am appreciative for this opportunity to share my thoughts in reaction to this extensive
and well thought out document.
Overall, I do believe that this is a good plan and I agree with the funding priorities and
the goals and objectives that are contained within it. Most specifically, I support
nutrition services continuing as the most important funding priority. While many within
our eider population have adequate nutrition resources, for those that do experience
financial hardship and/or nutrition deficiencies, this is a very critically needed area. In
addition to the nutritious meal, the contact with staff and volunteers, both within
congregate sites and through the home delivered meals, can be a critical life-link for
many of our seniors.
I wholeheartedly embrace the goal of joint training efforts for the senior-serving
employees and volunteers across our region. As service providers, many of us are
small organizations and have limited financial resources; to the extent that joint training
efforts can occur, it helps to strengthen our internal professional skills, yet helps us, as
employers to minimize the diversion of limited resources into training. For those of us
with small senior-serving btarib, joint training efforts can truly be helpful.
There is one funding priority that, even within the current funding limitations, in which I
would like to encourage growth: the area of Access Services, in particular for Resource
Advocacy. Annually, the 1.275 FTE Resource Advocates at Livingston County Catholic
Social Services (LCCSS) assist 500 — 600 seniors, most living at low-to-marginal
income levels, to team about and access currently available resources. Each year the
Resource Advocates at our agency are significantly stretched as they try to assist the
older adults seeking out the services that can help them to continue to live within their
own homes and long-term communities. The government, both State and local, along
with the non-profit sector, provide many services that can help the elderly to continue
VII1-19
their independence, yet many of them continue not to know of the options that are
available to them.
In addition to these comments about funding priorities, I would like to raise two overall
comments about the content of the draft document. First, it might be informative to see
a county-by-county comparison of how services for the elderly are distributed. Most
specifically, would be the opportunity to compare St. Clair and Monroe with the rest of
the region; thus, providing an analysis of the impact of the Senior Millage. Second, the
chart on page IV-1 provides a comparison of the participation rates of the racial and
ethnic minorities within service categories. Does the AAA 1-B know why the
participation rates are so much lower in all of the categories, with the exception of In-
Home Services? If this is not known, it might be very helpful in the outreach efforts of
the other service areas to try to learn what is behind this difference.
Again, thank you for this opportunity to provide input. All of us at LCCSS look forward
to three more years of partnership with AAA 1-B.
AAnge
noy on FY 2007-9 Multi-Year Area Plan
A Aging " FY 2007 Annual Implementation Plan Adwascy • Adios • Amen s. 41ffl
APPENDIX B
MEMBERSHIP OF THE BOARD OF DIRECTORS
Agency: Area Agency on Aging 1-B As of: May, 2006
DEMOGRAPHICS
Asian/ Pacific African Native Hispanic Persons with Female Total
_ Island American American/Alaskan Origin Disabilities
Total 0 2 0 0 3 10 15 Membership _
Age 60 or 0 2 0 0 3 6 11 Over
NAME of BOARD GEOGRAPHIC Check Those That Are Appropriate
AFFILIATION MEMBER AREA Elected Official Appointed Community Rep
Maggie Jones Livingston County Commissioner X X
Bob Gibson Macomb County Commissioner X X
Floreine Mentel Monroe County Commissioner X X
Greg Jamian Oakland County Commissioner X X
Pam Wall St. Clair County Commissioner X X
Barbara Levin Bergman Washtenaw County Commissioner X X
Vurn Bartley, Jr. Regional Banking (Retired)
VIII-21
Airteney on FY 2007-9 Multi-Year Area Plan
Aging " FY 2007 Annual Implementation Plan Actin • Am Atiff
1
NAME of BOARD GEOGRAPHIC Check Those That Are Appropriate
MEMBER AREA AFFILIATION
Elected Official Appointed Community Rep
Public
Mae Derdarian Regional Relations/Media X
, (Retired)
Corporate/Business Chris Gustafson Regional Corp X (Retired)
Andrew Hetzel Regional Health Care X
Robert McMahon Regional SEMCOG X
Mary Schieve Regional Legal X
Sandra Schiff Regional Gerontology X ,
Clara White Oakland Social Work (Retired) X
Walter Ernst Livingston Older Adult Rep X
Jerry DeMaire Macomb Older Adult Rep X
Nancie Disher Monroe Older Adult Rep X
Jan Dolan Oakland Older Adult Rep X
_
Vacant St. Clair Older Adult Rep X
Tom Miree Washtenaw Older Adult Rep X
4eneyon FY 2007-9 Multi-Year Area Plan
AI Aging " FY 2007 Annual Implementation Plan
APPENDIX C
MEMBERSHIP OF THE ADVISORY COUNCIL
Agency: Area Agency on Aging 1-B As of: May, 2006
DEMOGRAPHICS
Asian/ Pacific African Native Hispanic Persons with Female Total Island American American/Alaskan Origin Disabilities
Total 0 1 0 1 4 10 16 Membership
Age 60 or 0 1 0 1 4 7 13 Over
NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER _
Wayne State University Peter Lichtenberg Private Sector Representative Institute of Gerontology
Kay Miller Private Sector Representative Presbyterian Villages of Michigan
Dan Sier Private Sector Representative Griswold Special Care (DSP Vendor)
Oakland Macomb
Kelley Wilson Private Sector Representative Center for Independent Living
Tom Rau Private Sector Representative Nexcare Health Systems, LLC
Macomb County Community Services Kathryn Benford Macomb Agency (Title III Nutrition Provider)
Citizens for Better Care
Nancy Jackson Regional (Title III Social Services Provider)
V111-23
Area
ykkkeleY on FY 2007-9 Multi-Year Area Plan
rAY4al Aging FY 2007 Annual Implementation Plan
NAME of ADVISORY COUNCIL
MEMBER GEOGRAPHIC AREA AFFILIATION
Tom Leyden Regional MPRO
Margaret Warner Oakland Department of Human Services
Robert Hull Regional (Oakland) Michigan Senior Advocate
Jean Robinson Regional (Washtenaw Michigan Senior Advocate
Donald Ziemer Regional (Oakland) Michigan Senior Advocate
John LaBelle Livingston County Older Adult Services Representative
SaraMarie Watson Macomb County Older Adult Services Representative
James Seeged Monroe County Older Adult Services Representative
Ardemis Kalousdian Oakland County Older Adult Services Representative
Anna Mickel Oakland County Older Adult Services Representative _
Robert Sanchez Oakland County Older Adult Services Representative
Marilyn Dunn St. Clair County Older Adult Services Representative
Vacant St. Clair County Older Adult Services Representative
Vacant Washtenaw County Older Adult Services Representative
A u Th'Y
FY 2007-9 Multi-Year Area Plan
MA Aging" FY 2007 Annual Implementation Plan
AREA AGENCY ON AGING 1-B
CRITERIA AND PROCEDURES FOR APPLICATION REVIEW
FY 2007-2009
D. PROPOSAL SELECTION CRITERIA:
1. .REVIEW
a. Pre-Screen Criteria:
(1) Applications submitted to the AAA 1-B for federal or state
funding will only be accepted from agencies that attend the
mandatory Applicant's Workshop.
(2) One (1) original copy (with original authorized signatures on
the summary budget, agreement, assurances, and
certification pages; as well as, an original match letter) and
four (4) copies of the application packet must be submitted
to the AAA 1-B Southfield office by the published deadline,
(3) Verification of the applicant's corporate status and federal ID
number must be submitted with the application.
(4) A Certificate of Insurance or a letter stating when the original
certificate will be available,
A separate application for each social service as listed in the
AAA 1-B Request for Proposals. A combined application for
both Home Delivered Meals and Congregate Meals is
appropriate.
b. Applications Are Reviewed Based On The Following Criteria:
(1) Completeness and appropriateness, clarity of goals and
objectives, and accuracy of the application.
(2) Responsiveness to OSA and the AAA 1-B Service
Standards.
(3) Ability to be person-centered in bringing quality service to
older adults.
(5)
VIII-25
AAArea
Agency on FY 2007-9 Multi-Year Area Plan
Asing l-B FY 2007 Annual implementation Plan ANNeasy AillAR • AM.'," IN OW
(4) Evidence of directing service to targeted populations
(economically/socially disadvantaged).
(5) Cost efficiency and expanded service capacity through
budgeting, use of additional resources, use of volunteers,
etc.
(6) Flexibility and creativity of service delivery.
(7) Past performance in meeting goals/objectives (current and
prior contractors only).
c. Review Protocols
(1) Programmatic and fiscal application review tools are used to
identify how well an application meets the criteria stated
above.
(2) Applications are reviewed by an Application Review
Committee (ARC) appointed by the AAA 1-B Board of
Directors Chairperson, that consists of representatives from
the AAA 1-B Advisory Council and Board of Directors.
(3) Funding recommendations developed by the Application
Review Committee (ARC) must be approved by the AAA 1-B
Board of Directors.
(4) Contracts will be awarded to agencies whose applications
best meet the stated criteria, demonstrate cost effective
delivery of quality services, and are responsive to older
adults most in need.
(5) in cases where no application best meets the criteria, the
AAA 1-B has the right to deny all applications and issue a
second request for proposals for the desired service.
(6) Requests for a waiver of any AAA 1-B policy must be
submitted in a cover letter to the AAA 1-B along with the
application. At a minimum, requests for a policy waiver must
include the following: 1) the specific AAA 1-B policy for
which the waiver is requested; 2) the reason(s) why the
waiver is needed; and 3) the proposed date on which the
waiver (if approved) would take effect. No waiver of
minimum insurance requirements will be considered or
granted.
11Area A Agana Yon FY 2007-9 Multi-Year Area Plan
4414 " FY 2007 Annual Implementation Plan Ationity • Action • firm. on Agiq
2.
g.
AWARD
a. Applicants will receive written notification of funding approval or
denial within two (2) months. Written notification of the Board's
decision will be mailed within seven (7) calendar days of the AAA
1-B Board of Directors meeting.
b. Once the AAA 1-B Board of Directors has determined funding
levels for the contract year, client and unit numbers may be further
negotiated by the MA 1-B Programmatic Contract Managers.
Other application changes, program requirements, and/or
stipulations may be added to the funding decision.
c. Applicants must return an acknowledgement letter to the AAA 1-B
accepting the funding decision. Any negotiations or changes to
client, unit numbers or stipulations should be discussed with the
Programmatic Contract Manager at this time. Contracts will be
developed based on the information contained in the acceptance
letter.
d. Applicants approved for funding may be required to submit new
budgets reflecting board approved funding, clients, and/or unit
amounts. Applicants may be required to resubmit match letters if
contract funding amounts have changed.
e. Negotiations must be completed and signed contracts must be
returned to the AAA 1-B no later than October 1. Contractors who
do not return signed contracts to the AAA 1-B by October 1
may jeopardize their funding award.
f. All contracts are awarded for a three-year period, with first year
funding determined at the start of a contract, and subsequent
funding determined on an annual basis or more frequently if
federal/state funding levels change.
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:
1) inadequate contractor performance; 2) amendments to the AAA
1-B multi-year plan or annual implementation plan; 3) significant
changes in the scope or nature of the service to be provided as
related to state or federal requirements.
h. Contracts for Nutrition services are reimbursed on the basis of a
fixed unit rate and the number of units served. All other contracts
are reimbursed on a monthly basis.
VIII-27
AarzenoYAgingoni.
Mhumsty • Action • Amers ea ARP,
FY 2007-9 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
The unit rate method reimburses the contracted provider with a set
fixed rate for each eligible unit documented as served. Congregate
and home delivered unit rates are negotiated at the beginning of
the three-year contract cycle. Contractors must serve all units as
specified in the contract to receive the full contract award.
Funding levels for contract negotiations for the second and third
years are based on the following:
(1) Availability of funds
(2) Successful fulfillment of contract spending and serving levels
in the current contract
(3) Fiscal and programmatic site assessments
(4) Any other criteria which may effect contract performance
k. Contractors will be assessed for compliance with program service
standards annually. Items identified as out of compliance should
be in compliance no later than the third quarter (June 30), unless
there are compelling circumstances for a later date. A later date
must be approved by the AAA 1-B Programmatic Contract
Manager. If it is warranted, contractors may be asked to submit a
Corrective Action Plan to address compliance issues.
1. Contractors will be assessed for compliance with fiscal standards
annually. This assessment will be separate from and in addition to
programmatic assessments. See the appendix for Social Service
and Nutrition Service fiscal assessment guidelines.
m. Contracts are awarded based on the availability of funds.
Availability of funds may increase or decrease during a contract
period.
3. DENIAL
a. Applicants not awarded funding will receive written notification
within seven (7) calendar days of the AAA 1-B Board of Directors
meeting at which the funding decisions are made.
b. Applicants not awarded funding may contact the AAA 1-B to
receive specific information about the denial.
V111-28
AA
Area A Ageuey on FY 2007-9 Multi-Year Area Plan
Aging " FY 2007 Annual Implementation Plan Atmatty • AdillA • ON Qin
Applicants not awarded funding have the right to appeal the
.decision.
d. Letters indicating intent to appeal must be received at the AAA 1-B
by the stated deadline.
e. Administrative appeal procedures can be found in the FY 2007-
2009 Request for Proposals and Service Provision manual.
C.
VIII-29
YimepalreAmreenataPtliaonn Plan
SaAgAeglig°511-1B FY 22000077-A9nMnuualtil- Aaettey • Act_ • .4.nter• OM
APPENDIX E
PLANNED ENTREPRENEURIAL ACTIVITIES
Fiscal Years: 2007 - 2009
The Area Agency on Aging 1-B will engage in activities directly designed to develop and
promote greater awareness, understanding, and support of the continuum of community
care resources available to older adults and their caregivers. To that end:
With the increasing heed 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 comprehensive long-term care options are available for older adults.
Initiatives will be pursued that combine the cumulative strengths of organizations
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 awareness 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 office managers and other relevant organizations on 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, the St. Clair County Caregiver Fair, the Monroe County Caregiver Fair
through the Monroe County Aging Consortium and partnerships with corporations that
maximize 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 AAA 1-B will solicit funds from private donors and corporations to expand existing
program efforts and nurture the development of innovative programming enhancing the
quality of life for southeast Michigan older adults and their caregivers.
The AAA 1-B will continue to expand its resource development activities, the garnering
of additional financial support through grant writing, on behalf of collaboratives the
agency engages in with other community-based nonprofits.
V111-30
n•••• AAreaAgenay _F_Y 22000077- Multi-Year9impleArnreenataPtliaonn Plan
• Actiot Aswan se 4Elq Annual
REGIONAL SERVICE DEFINITIONS:
In-Home Services - Home Injury Control:
Home Injury Control
B-3
In-Home
Providing adaptations to home environments of older
adults in order to prevent falls and/or minimize the
occurrence of injuries in the home. Priority adaptations
shall include devices, which minimize or prevent falls.
Home injury control does not involve home restoration or
structural renovation, or home maintenance chores that
must be re seated.
Installation of one safety device in an older adult's
residence. For ramps, installation of one ramp section.
Installation is defined as connecting, preparing, or setting
into place for use.
Priority Home Iniury Control Adaptations
Adaptation(s) listed below must be provided by contractors:
• Wall mounted grab bars/tub or other grab rails/assistive other break apart
rails
• Bathroom chairs/seats/transfer benches
• Hand-held showerhead
• Raised toilet seats (with or without rails)
• Stairway/hallway hand rails (interior/exterior)
• Safe (enhanced) lighting
• Smoke alarms/Carbon Monoxide detectors
• Non-slip treatments for steps/ramps/tubs
• Ramps (portable and non-portable)
• Other adaptations as requested by the AAA 1-B Care Managers or
designated as emergencies by contractors
Optional Home Injury Control Adaptations
Adaptation(s) listed below shall be provided if units/funding is available or additional
resources are secured:
• Fans/air conditioners (as appropriate)
• Vision or hearing adaptive devices (when not provided by AAA 1-B
hearing/vision contractors)
• Devices not requiring installation (i.e. first aid kits, reachers, large button
phone)
VIII-31
AArea A Agenoyon FY 2007-9 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan
• Other devices designated to prevent injuries in the home
MINIMUM STANDARDS
1. Only the Home Injury Control adaptations listed above shall be performed by the
contractor unless prior approval is obtained from the AAA 1-B.
2. Funds awarded for the Home Injury Control program may be used to purchase
materials and disposable supplies needed to complete the adaptation of the
home.
3. Up to 10% of the award amount may be used for administrative costs of the
program.
4. Installation of safety devices purchased or donated for Home Injury Control may
be performed by Chore workers provided the worker's time is allocated to the
Home Injury Control program budget. Devices purchased by clients/families may
be installed under the Chore contract as a minor home repair.
5. 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 or Veterans Administration. If it appears that an individual
can be served through other resources (e.g., CDBG funded programs), an
appropriate referral should be made.
6. Each program must use an AAA 1-B approved home environment assessment
tool, or ensure that the tool, or comparable tool, is used by organizations
referring older adults for the Home Injury Control service.
7. Each program shall provide assistive devices as described above, and offer
explanation and demonstration on usage to the client. Installation of the device
is required unless a written waiver is obtained from the client.
8. Individuals that choose not to have the device installed, shall sign a AAA 1-B
approved client waiver which indicates that they do not require this component of
the service and also list the reason why they do not require installation (e. g.,
family member will assist, client refusal, device does not require installation.)
9. Each program shall provide educational literature, with an emphasis on fall
prevention (as applicable) or injury prevention.
10. Each program must develop working relationships with aging network providers
including AAA 1-B Community Care Services and the Call Center, home care
agencies, chore, home repair and housing assistance service providers, and
VIII-32
/Nen" FY 2007-9 Multi-Year Area Plan
A Aging " FY 2007 Annual Implementation Plan *Mow y Attie. - Anson e. Aftq
resource advocates as available in the project area, to ensure effective referrals
and coordination of efforts.
11. Each program shall offer clients the opportunity to meet with a Resource
Specialist, if other community based needs are identified during the in-home
assessment (e.g., need for home delivered meals, home care, etc.).
12. Each program must maintain a record of homes adapted, including date of
assessment or referral, date work completion, tasks performed, materials used,
cost and sources of payment.
13. Each program must establish and utilize written criteria for prioritizing clients in
need of service. See page 11-4 for more information on prioritization.
14. Each program must develop and utilize a written policy for reuse of equipment
and materials (e.g., ramps) whenever possible.
15. All safety devices installed must conform to local building codes and meet
respective UL® Safety Standards.
16. Home Injury Control (HIC) contractors shall demonstrate efforts to coordinate
with other HIC contractors in areas which include:
• Participation at regional meeting/trainings
• Fundraising, grant writing, group purchasing, corporate sponsorship, and
volunteer recruitment (whenever possible)
• Sharing/reusing donated equipment or supplies (whenever possible)
• Developing a suggested donation scale
• Exploring methods to ensure timely installation of devices
• Developing private pay opportunities (as appropriate)
Note: This service definition was developed by the AAA 1-B and Home Injury
Control contractors in 2005.
V111-33
APPENDIX
NUTRITIONIST BUDGET
Fiscal Year 2007
Agency: Area Agency on Aging 1-B
Congregate Home Delivered
FTE: 0.85 LOCAL
MATCH TOTAL
Federal State Federal ' State
Salary/Wages $28,845 $11,430 $40,275
Fringe Benefits $8,449 $3,451 $11,900
'Travel $966 $394 . $1,360
Conferences $604 $247 $851
Office $3,437 $1,572 $5,009
Utilities $0 $0 $0
Equipment $440 $12 $452 _
Audit $109, $44 $153
Other (Specify): $0 '
. a. In-kind Match $6,667 $6,667
b. $0
C. 'JO
TOTAL: $42,850 $17,150 $0 $6,667 $66,6671
V111-34
kell 3Y
on FY 2007-9 Multi-Year Area Plan
Aghlg" FY 2007 Annual Implementation Plan
APPENDIX J
WAIVER FOR DIRECT PROVISION OF SERVICE
NARRATIVE
Agency: Area Agency on Aging 1-B
Service: Care Management
The AAA 1-B believes strongly in the value of Care Management as the heart of the
comprehensive system for delivery of community-based long term care services in
Region 1-B. Care Management is seen as using person centered planning in the
process of working with older adults and persons with disabilities, in order to assist them
to maintain their independence and improve their quality of life in their chosen home
environment. The AAA 1-B commitment to helping older adults identify and address
their needs using all available resources, and coordinating care across medical and
non-medical settings, drives the AAA 1-B decision to directly administer Care
Management. Direct administration provides clients and families a seamless approach
to addressing their long term care needs. The AAA 1-B planning, vendor relations, call
center, and public relations components all serve to strengthen the quality of the Care
Management provided. For these reasons, direct administration of care management
throughout the six county region fits the mandates of the Older Americans Act and the
mission of the AAA 1-B.
Quality is assured through the measurement of clinical outcomes for each participant,
comparing selected areas of health and functioning between assessment and
reassessment, or between reassessments, and identifying any participant whose status
declined during the review period so follow-up and corrective action can be
implemented.
A random sample of participants is surveyed annually by telephone using the AAA 1-B
Home Care Satisfaction Measures for Homemaker/Personal Care and Care
Management, to measure participants' perception of the quality of care management
and vendor services. At each reassessment care managers review and document
participant satisfaction and outcomes from the care plan. During regular monthly
monitoring phone calls, the care managers review and document participant satisfaction
with services and with the care plan.
Supervisors review and approve all care plans to assure that all participant needs have
been addressed and that person centered principles have been followed. They also
regularly review a random sample of participant files for each care manager, and
observe care managers conducting assessments or reassessments in participants'
V111-35
Area A Agency on FY 2007-9 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan Aro. • Aroma AM
homes to assure that department guidelines are met and help assure that participants
are receiving the highest quality care management.
A semi-annual process peer review is conducted for all care managers, and annual
supervisor reviews of participant files are conducted in each office to identify
deficiencies in compliance with care management and documentation standards, and to
implement corrective actions to address any deficiencies.
The semi-annual peer review is a required review of the participant files for
completeness and accuracy, by care manager peers: ten percent of open/active care
management participant files are selected for review from care manager caseloads.
The tool MA 1-B Client File Audit is used to review elements of files for a designated
time frame (the first and third quarters of the fiscal year). No care manager reviews
his/her own files. After completion of the review, the results are tabulated and reports
are created in SPSS for individual care manager, by county.
The AM 1-B Quality Assurance Feedback form is used to identify problems with
specific participant files, and forwarded to the regional supervisor for review with the
care manager. The review includes a formulation of corrective action and is returned to
the Clinical Quality Assurance Manager (CQAM). The CQAM then completes an overall
summary of the major problems. This summary, along with the SPSS reports, becomes
part of the QA final report for the year. The regional supervisor uses the SPSS reports
and the QA Feedback form for individual follow-up with the care managers.
Date
Signature, Authorized Area AgencyOfficial Date
Approved
Denied
Signature, OSA Director
VIII-36
By September 30, 2007
By June 30, 2007
By September 30, 2007
=BM
Nrea
Allem on FY 2007-09 Multi-Year Area Plan Aging 1-E FY 2007 Annual Implementation Plan Ion AdrooftrAdMot.4
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, Ml 48034
Service to be Provided:
Care Management
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
INN
Goal # 1
Conduct four trainings for care management staff
in both clinical and technical areas of knowledge.
Goal # 2
Revise the client plan of care format to better
reflect person centered principles.
Goal # 3
Measure client satisfaction with care
management and direct care workers by
conducting and reporting on a telephone survey
of clients and caregivers.
RE
VIII-37
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034
Service to be Provided:
Care Management
r t
Current
Year
Planned
FY 2007 PROGRAM OBJECTIVES
350
300
300
1,500
350
300
300
1,500
50 50
Arts
AllA Amer= FY 2007-09 Multi-Year Area Plan
A444,1/4,Aging" FY 2007 Annual Implementation Plan
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
1. Number of Client
Screenings
2. Number of Initial Client
Assessments
3. Number of Initial Client
Care Plans _
4. Total Number of Clients
parTover plus New
5. Staff to Client Ratio
(Active & Maintenance per full
time Care Manauer
V111-38
@ANDRA K REM INGA
CIPINTIVE DIRECTOR A( '0
Date
FY 2007 CARE MANAGEMENT PROGRAM - Area Agency on Aging 1-B
PROGRAM SUMMARY
BUDGET FORM (A)
TOTAL OSA CM TCM MATCH OTHER
LINE ITEM BUDGETED FUNDS FUNDS CASH 1N-KIND RESOURCES
Wages/Salaries 914,182 680,174 32,665 67,307 0 134,036 _
Fringe Benefits 171,961 128,340 11,477, 7,414 0 24,730
,Travel 19,815 16,625 0 0 0 3,190
Training 0 0 0 0 0 0, ,
Supplies 15,969 12,469 0 0 0 3,500
Occupancy I 99,726 73,936 0 906 10,000 14,884
Communications 36,386 19,742 0 0 10,000 6,644
Equipment 59,498 31,172 0 9,691 3,689 14,946
Administration 0 0 0 0 0 0
Other/Contractual/Legal 29,176 18,703 0 2,000 0 8,473
Direct Service Purchase 51,146 30,000 0 2,906 0 18,240 _
-
Totals 1,397,859 1,011,161 44,142 90,224 23,689 228,643 ,
I certify that I am authorized to sign on behalf of this agency.
The budgeted amounts represent necessary and proper costs for implementing the program.
615/2006
VIII-39
FY 2007 CARE MANAGEMENT PROGRAM - Area Agency on Aging 1-B
SCHEDULE OF MATCH & OTHER RESOURCES
BUDGET FORM (B)
MATCH
VALUE
SOURCE OF FUNDS Cash In-Kind Planned Usage
Oakland County Funds 70,789 Salaries/Rent
Eldercare 2,906 Services
Information and Assistance 23,689 Rent/Communications/
Equipment
Pro•ram Income 6 209 Travel
Family Caring Network 10,320 Salaries/Rent
,Total Match 90,224 23,689 113,913
OTHER RESOURCES
VALUE
SOURCE OF FUNDS Cash In-Kind Planned Usage
Title III-B Funds for Access Center Development 97,771 Salaries/Fringe/Travel/
Rent/Insurance
Title V 9,908 Salaries - Macomb
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 218,735 9,908 228,643
6/5/2006
V111-40
A'n FY 2007-9 Multi-Year Area Plan Aitrea
143 FY 2007 Annual Implementation Plan Ahocuy • Ad** • Mann Apti
APPENDIX J
WAIVER FOR DIRECT PROVISION OF SERVICE
NARRATIVE
Agency: Area Agency on Aging 1-B
Service: Health Benefits and Access
The Medicare Medicaid Assistance program (MMAP) primarily utilizes volunteers
to assist older adults and their caregivers with questions pertaining to Medicare,
Medicaid, supplemental health insurance, and long term care insurance. A huge
new responsibility of the program was brought on by implementation of the new
Medicare Part D prescription drug program, increased the need to recruit and
train new volunteers, and train all call center staff on the Part D benefit so that
calls could be effectively and efficiently triaged to volunteers, when possible.
During the first five months of FY 2006, the AAA 1-B experienced an 800 percent
increase in calls related to Medicare and Medicaid. It is anticipated that the
demand on the AAA 1-B to provide support with Medicare Part D will continue in
the future. However, very limited additional funding has been provided to
conduct this work. These new demands will continue in 2007-9 because there
are annual enrollment periods. In addition, ongoing outreach and education will
be needed to help those who are eligible for, but have not taken advantage of,
the extra help in paying for premiums, co-pays, and deductibles that are available
to low-income beneficiaries. In addition the additional funding was time-limited,
and will not be adequate to support the needed assistance that Medicare
beneficiaries will require. Therefore the AAA 1-B will utilize Title Ill-B funds for
the Health Benefits Education and Access service to partially support the
regional Medicare Medicaid Assistance Program.
Wk ?_ 3 00
Signature, Authorized Area Agency Official Date
Approved
Denied
Signature, OSA Director Date
ii7 eneyon FY 2007-9 Multi-Year Area Plan n
Al Aging " FY 2007 Annual Implementation Plan AdmittcY Awn • A....* Afiq
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034
Service to be Provided:
Health 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 developed for each direct service provided.
Through 9/30/2007
Goal # 1
Provide assistance to 4,000 Medicare and older
adult Medicaid beneficiaries residing in
Livingston, Macomb, Monroe, Oakland, St. Clair,
and Washtenaw counties by phone and/or in
person.
Direct provision of this service is required to
educate, assist and advocate for Medicare and
Medicaid beneficiaries so that they are able to
access the benefits to which they are entitled. It
is anticipated that the demand on the AAA 1-B
will continue to substantially increase because of
the need to provide assistance with the new
Medicare prescription drug benefit (Part D).
In FY 2005, the AAA 1-B Medicare Medicaid
Assistance Program (MMAP) assisted 4,157
beneficiaries, exceeding FY 2004's total of 2,542
by nearly 65%.
During the first five months of FY 2006, the AAA
1-B MMAP experienced an 800 percent increase
in calls due to Medicare Pad D. Beneficiaries
turned to the AAA 1-B MMAP for guidance,
assistance, and help with the enrollment process.
It is anticipated that this demand will continue in
the future.
Through 9/30/2007
11,A*Remen FY 2007-9 Multi-Year Area Plan
Al Aging " FY 2007 Annual Implementation Plan Adronecy • Aritsa • Assam ea Agirl
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034
Service to be Provided:
Health 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 developed for each direct service provided.
Through 9/30/2007
Goal #2
One (1) new volunteer training for potential
MMAP volunteers recruited in FY2006 will be
facilitated in early FY 2007. Ongoing recruitment
activities for new volunteers will be conducted.
Goal #3:
Public outreach efforts will continue to be
expanded through MMAP volunteer placement at
senior centers, housing facilities, for-profit
organizations, and hospitals. An emphasis will
be placed on increasing the number of
racial/ethnic/cultural minority volunteers and
increasing the number of diverse sites.
Because of the implementation of Medicare Part
D, six trainings for Medicare Prescription
Assistance Counselors (MPACs) were conducted
in FY 2006, with a total of 235 persons attending
these sessions.
A volunteer recruitment plan was developed in
FY 2006; initial contacts at potential placement
sites have been and will continue to be
established.
VIII-43
WiffMINISPINIE
t Agenoy on FY 2007-9 Multi-Year Area Plan
Aging " FY 2007 Annual Implementation Plan
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034
Service to be Provided:
Health 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 developed for each direct service provided.
Through 9/30/2007
Goal #4
A minimum of one (1) in-service training will be
conducted for Medicare Medicaid Assistance
Program (MMAP) volunteers each quarter in
addition to on-going technical assistance as
needed. This training ensures that accurate and
comprehensive information can be provided at all
times to those who need to understand their
rights regarding public benefits and insurance
programs.
Quarterly refresher trainings and networking
meetings are held for all current MMAP
volunteers in addition to an initial period of
individual one-on-one training at the Southfield
office. Periodic training as needed is offered
throughout the year.
FY 2007 Multi-Year & Annual Implementation Plan
Appendix J - Direct Service Budget
AAA: Area Agency on Aging 1-B FISCAL YEAR: 2007
SERVICE:_ Health Benefits Education
Federal OAA Other Fed Funds State Program Match Other Total
LINE ITEM Title III Funds (non-Title 110 Funds Income Cash In-Kind Resources Budgeted
Wages/Salaries $12,121 $12,121 1
Fringe Benefits $4,380 $4,380
Travel $144 $144
Trainin il $219 $219
Supplies $219 $219
Occupancy $1,795 $1,795
Communications $1,35-6 $1,358
Equipment $219- $219
Other (e.g., Raw Food Costs) $1,112 $6,000 $7,112
Administration $2,400 $2,400,
Purchased Services $0 $0
Volunteer Recognition $33' $33
TOTAL $24,000 $6,000 $30,000
SERVICE AREA: Region 1-B
(List by County/City if service area is not the entire PSA)
I certify that I am authorized to sign on behalf of this agency. The budgeted amounts represent necessary and proper costs for
Impleenting the program.
)
nature
SANDFIA K. REMINGA
EXCCUTIVEDIREG1171—
Date
Title
VIII-45
Ngeu"
FY 2007-9 Multi-Year Area Plan RI%
A‘kgiag 14 FY 2007 Annual implementation Plan Afteerey • Agi•• • Armrt
APPENDIX .1
WAIVER FOR DIRECT PROVISION OF SERVICE
NARRATIVE
Agency: Area Agency on Aging 1-B
Service: Information and Assistance
The AAA 1-B is a visible advocate on behalf of older adults and acts as a
regional focal point for older persons and others seeking information about older
adult resources. As such it is imperative that the AAA 1-3 have the ability to
effectively counsel callers about problems and concerns, and link them to
needed resources. The AAA 1-B utilizes a technologically advanced state-of-the
art call center system that incorporates an automated database with over five
thousand service listings to offer information and assistance services to any
caller. The AAA 1-B Call Center enables resource specialists to immediately
access caller information and monitor call volume, thereby effectively and
efficiently responding to requests for information. Therefore resources are
needed to support the AAA 1-B Information and Assistance program.
C. 1/14 MJ
Signature, Authorized Area Agency Official
Approved
Denied
2- 3 o
Date
Signature, OSA Director Date
R0ggl7=FRA
— .11 11-1
NM=
i\Area
11 Ageney on FY 2007-09 Multi-Year Area Plan
'4111 Aging " FY 2007 Annual Implementation Plan Ads.. • Anew HOU
KEE
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034
Service to be Provided:
Information and Assistance
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
9/30/2007
Goal # 1
To provide 22,000 units of service to 20,000 older
adults and their caregivers residing in Livingston,
Macomb, Monroe, Oakland, St. Clair, and
Washtenaw counties by phone and/or in person.
Direct provision of this service is required to
assist callers who need to locate age-related
services in the counties of Livingston, Macomb,
Monroe, Oakland, St. Clair, and Washtenaw.
Persons can call the Area Agency on Aging 1-B
and have their questions personally answered by
an information and referral specialist. The
information and assistance computer database
contains information on nearly 2,000 service
providers and 5,000 older adult services in
southeast Michigan.
In FY 2005, a state of the art call center was
implemented and over 19,828 persons
immediately received assistance through the AAA
1-B Information and Assistance Program. This
represented over a 70% increase in 11,440
persons served in FY 2004 by this program.
The AAA 1-B Information and Assistance
program provided resources for callers on the
following services:
Home Delivered Meals
State Medicaid Waiver Program
Housekeeping Assistance
Care Management
Friendly Visiting
Personal Care
Subsidized Housing
Medical Transportation
Adult in Home Respite Care
V111-47
AAres on FY 2007-09 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034
Service to be Provided:
Information and Assistance
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
Senior Transportation
Emergency needs and more
The scope of the program's resources will
continue to evolve to meet the needs of older
adults and their caregivers throughout FY2009.
Goal #2
Maintain quality assurance in every aspect of
AAA 1-B Call Center Resource Specialists
interaction and assistance in provision of
information that is provided to callers.
Developed and implemented quality assurance
protocol and measurements, designed to enable
the AAA 1-B the ability to electronically monitor
the quality and accuracy of information provided
by Resource Specialists to callers. Ongoing
trainings were and will continue to be conducted
to ensure staff possess the knowledge required
to proficiently respond to callers' requests.
Vili-48
9/30/2007
Goal #3:
AAA 1-B's role in the 2-1-1 initiative has been
defined; AAA 1-B as a specialized participant
continues to develop with 2-1-1 and other local
county l&A plans/initiatives.
Participation in the 2-1-1 collaboration is
continuing to develop throughout the year.
Meetings with key groups is on target with
expectations.
Ai%°11143
Advocacy • Action, • Atlee, 04 Athol
FY 2007-09 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034
Service to be Provided:
Information and Assistance
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
rr
•
VIII-49
(e, t
at
n
Dat
FY 2007 Multi-Year & Annual Implementation Plan
Appendix J - Direct Service Budget
AAA: Area Agency on Aging 1-B FISCAL YEAR: 2007
SERVICE: Information & Assistance _
Federal OAA Other Fed Funds State Program Match Other Total
LINE ITEM Title Ill Funds (non-Title Ill) Funds Income Cash In-Kind Resources Budgeted _
Wages/Salaries $91,246 $91,246
Fringe Benefits $32,984 $32,984
Travel $1,088 $1,088
Training $1,648- $1,648-
Supplies $1,648 $1,648,
Occupancy $13,516 , $13,516
Communications $10,220 _ $10,220_
Equipment $1,648 _ $1,648
Other (e.g., Raw Food Costs) $8,373 $1,000 $9,034 $36,872 $55,279
Administration $18,069 $0 . $18,069
Purchased Services $0 $0
Volunteer Recognition ______ $249 $249
'TOTAL $180,689 $0 $1,000 $9,034 $36,872 $227,59,
SERVICE AREA: Reg ion 1-B
(List by County/City if service area is not the entire PSA)
I certify that I am authorized to sign on behalf of this agency. The budgeted amounts represent necessary and proper costs for
impleinenting the program.
O'r €
SIctfiature
SANDRA 9EMINGA
EXECILI:MAIREC5011,--
Title
VIII-50
MEI
EMU EMU
AArea A Army on FY 2007-9 Multi-Year Area Plan
Aging " FY 2007 Annual Implementation Plan
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, Ml 48034
Please identify your goals to address the needs of elderly refugees in your program planning and service area. Include the stated goal,
specific activity(ies) to be undertaken, and the planned time frame of the activity. Use additional pages as needed.
By 9/30/06
By 9/30/06
Goal #1
Assist older adults from various refugee countries
including the former Soviet Union, Eastern
African, Asian, and eastern European countries,
with obtaining aging network information and
services.
Goal #2
Continue the language line and the translation
pool for use by the access team members, which
include: Care Managers, Resource Specialists,
Resource Advocates and nutrition assessors.
Encourage aging network providers to utilize the
service through the call center.
A minimum of 100 older adult refugees will
receive needed information and services and
obtain greater understanding, access and use of
aging network resources to assist in maintaining
health, independence, and dignity.
Aging network professionals will be better able to
communicate with and serve limited-English
speaking older adult refugees.
By 9/30/06
By 9/30/06
Goal #3
Establish Care Management outreach sites at a
minimum of 4 congregate housing facilities in
Oakland and Macomb counties.
Goal #4
Strengthen referral resources through continued
meetings with stakeholder groups representing
refugee interests.
Provide access to on-site Care Management a
minimum of 1 day per month at locations with
high concentrations of refugee elderly.
Facilitate ongoing communication and new
project development opportunities.
Goal #5
Reprint translated materials for various aging
network providers.
By 9/30/06
ACSAr
A Ares
on
41‘ Aging 1-8
Aiwa, AWN, Am:m.14w
FY 2007-9 Multi-Year Area Plan
FY 2007 Annual Implementation Plan
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034
Please identify your goals to address the needs of elderly refugees in your program planning and service area. Include the stated goal,
specific activity(ies) to be undertaken, and the planned time frame of the activity. Use additional pages as needed.
Allows aging network providers to promote
services to non- or limited English speaking
refugees.
VIII-52
Agency:
Budget Date: =.4
Federal ID #:
Revision ft:
Fiscal Year:
$900 2.0%
Amount Percent
62.9%
$45,5001
35.2%
Michigan Older Refugee Support Program
State of Michigan—Office of Services to the Aging
FY 2007 Budget
Category
Access Services
1 Information and Assistance
2 Case Coordination & Support
3 Transportation
4 Outreach
Total Access Services
Direct Operating/Staff Costs
5 Wages/Fringe Costs
6 Supplies/Prinited Materials
7 Translation Services
8 AAA Cultural Training Costs
9 Other
Total Operating/Staff Services
Direct Client Services
(Other than Access Services Reported Above)
10 Contracted Client Services Expenditures
11 Purchased Client Services Expenditures
Total Direct Client Services Expenditures
Total Amount Budgeted
% of Total Grant Budgeted
Total Grant Award Amount 100.0% 1
Rev. 9.2002
Page 50
VIII-53
Agena"n FY 2007-9 Multi-Year Area Plan
A Aging 1-B FY 2007 Annual implementation Plan AtAles - Assn. Agiq
IX. ASSURANCES & 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 FY 2007-2009 Multi Year Plan includes an Annual implementation Plan
covering the period October 1, 2006 through September 30, 2007.
2. To administer its Annual Implementation Plan in accordance with the Older
Americans Act (OAA), the Older Michiganians Act (OMA), federal and state rules,
and policies of the Michigan Commission on Services to the Aging (CSA) as set
forth in publications and policy directives issued by the Michigan Office of
Services to the Aging (OSA).
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 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 Annual Implementation
Plan 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 the Annual Implementation Plan in a manner that
provides service to older persons in a consistent manner over the entire length of
the 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 Area
Implementation Plan.
8. That all services provided under the Annual Implementation Plan 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.
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 Annual Implementation Plan, or related
IX-1
A411"11 FY 2007-9 Multi-Year Area Plan
LB,„, FY 2007 Annual Implementation Plan •
matters, in accordance with procedures issued by the Michigan Office of
Services to the Aging in compliance with the requirements of the Older
Michiganians Act and Administrative Rules.
11 That the AAA will coordinate planning, identification, assessment of needs, and
provision of 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 has in place a grievance procedure for eligible individuals who are
dissatisfied with or denied services.
13. That the AAA will send copies of the Annual Implementation Plan to all local units
of government seeking approval as instructed in the Plan Instructions.
14. That the Area Agency on Aging Governing Board and Advisory Council have
reviewed and endorsed the Annual Implementation Plan.
The undersigned hereby submit the FY 2007 Annual Implementation Plan that
describes 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 Aqino 1-B
Name of Area Agency on Aging
Signature:
ees-L1- C • M cit4LE- 3 2. 0
Chairperson, Board of Directors
Robert 0. McMahon
Typed Name
Date
Signature:
Executive Director Date
Area Agency on Aging 1-B
Sandra K. Reminqa
Typed Name
IX-2
NlespY "
FY 2007-9 Multi-Year Area Plan Aka
AfAk‘Aging 1-B FY 2007 Annual Implementation Plan Ai/0mm • Auiro • Ammar sa Arq
ASSURANCE OF COMPLIANCE
with
TITLE VI of the CIVIL RIGHTS ACT of 1964
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 Title 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
IX-3
AreAilen
ng1
oyon
4
FY 2007-9 Multi-Year Area Plan
"AX Agi FY 2007 Annual Implementation Plan Ahmexy • AcInn - ilnomrt es .40..
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 whose signature appears below is authorized to sign this assurance,
and commit the Applicant to the above provisions.
Signature:
?------
N e of Authorized Official
l
Date
)6./1- ytt (a
.
--r----As
Executive Director
Title of Authorized Official
Area Agency on Aaino 1-B
Name of Applicant or Recipient Agency
29100 Northwestern Hiahwav, Suite 400
Street Address
Southfield. Michiaan 48034
City/State/Zip
Form HHS-690 (05/97)
IX-4
AA:envon FY 2007-9 Multi-Year Area Plan
AA A4Ing l-B FY 2007 Annual Implementation Plan Aanny • AGSM • A.M. ar41
ASSURANCE OF COMPLIANCE
with the
ELLIOT LARSEN CIVIL RIGHTS ACT
ASSURANCE OF COMPLIANCE WITH THE ELLIOT LARSEN CIVIL RIGHTS ACT, PA 453 OF
1976 AND THE PERSONS WITH DISABILITIES CIVIL RIGHTS ACT, PA 220 OF 1976.
The Applicant provides this assurance in consideration of and for the purpose of obtaining State
of Michigan and Federal grants, loans, contracts, property, discounts or other State and Federal
financial assistance from the Michigan Office of Services to the Aging.
THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH:
Non-Discrimination: In the performance of any grant, contract, or purchase order resulting
herefrom, the Contractor agrees not to discriminate against any employee or applicant for
employment or service delivery and access, with respect to their hire, tenure, terms, conditions
or privileges of employment, programs and services provided or any matter directly or indirectly
related to employment, because of race, color, religion, national origin, ancestry, age, sex,
height, weight, marital status, physical or mental disability unrelated to the individual's ability to
perform the duties of the particular job or position. The Contractor further agrees that every
subcontract entered into for the performance of any grant, contract, or purchase order resulting
herefrom will contain a provision requiring non-discrimination in employment, service delivery
and access, as herein specified binding upon each subcontractor. This covenant is required
pursuant to the Elliot Larsen Civil Rights Act, 1976 PA 453, as amended, MCL 37.2201 et seq,
and the Persons with Disabilities Civil Rights Act, 1976 PA 220, as amended MCL 37.1101 et
seq, and any breach thereof may be regarded as a material breach of the grant, contract, or
purchase order.
The person or persons whose signature(s) appear(s) below is/are authorized to sign this
assulance, and commit the Applicant to the above provisions.
e•l"
Sinature:
andra K. Reminga
Name of Authorized Official
Executive Director
Title of Authorized Official
Area Agency on Aging 1-B
Name of Applicant or Recipient Agency
29100 Northwestern Hwy., Suite 400
Street Address
Southfield, MI 48034
City/State/Zip
(09 zbt
Date
/ y
&Area A Agency on FY 2007-9 Multi-Year Area Plan
Aging" FY 2007 Annual Implementation Plan Mi•eramy • 4011.11 • &warm My
IX. ASSURANCES AND CERTIFICATIONS
D. GLOSSARY OF ACRONYMS IN AGING:
AAA 1-B Area Agency on Aging 1-B
AARP
AD
ADA
ADC
ADS
ADL
AFC
AIP
ALF
4AM
AoA
APS
BEAM
ASA
CAP
CBC
CM
CMS
CNS
COA
CPHA
CR
CSA
DCH
DCIS/CIS
DHS
American Association of Retired Persons
Alzheimer's Disease
Americans with Disabilities Act
Adult Day Care
Adult Day Service
Activities of Daily Living
Adult Foster Care
Annual Implementation Plan
Assisted Living Faculty
Area Agencies on Aging Association of Michigan
Administration on Aging
Adult Protective Services
Bringing the Eden Alternative to Michigan
American Society on Aging
Community Action Program
Citizens for Better Care
Care Management
Center for Medicare & Medicaid Services (formerly HCFA)
Corporation for National Service
Commission on Aging/Council on Aging
Community Public Health Agency
Caregiver Respite (state)
Commission on Services to the Aging
Department of Community Health
Department of Consumer and Industry Services
Dept. of Human Services (formerly Family Independence Agency)
IX-6
A
Are
Aa on FY 2007-9 Multi-Year Area Plan
—Aging 143 FY 2007 Annual Implementation Plan
DHHS/HHS
DoE
DMB
DoT
DSP
EPIC
ELM
4AM
FGP
FY
GAO
HB
HCAM
HOBS/ED
HDM
HIPAA
HMO
HR
HSA
HUD
l&A
IM
loG
LEP
LSP
LTC
MAHSA
MHSCC
MIACoA
U.S. Department of Health and Human Services
Department of Education
Department of Management and Budget
Department of Transportation
Direct Service Purchase
Eider Prescription Insurance Coverage
ElderLaw of Michigan
Area Agencies on Aging Association of Michigan
Foster Grandparent Program
Fiscal Year
General Accounting Office
House Bill (state)
Health Care Association of Michigan
Home & Community Based Services for the Elderly and Disabled
Waiver (HCBS/ED) program commonly known as MI Choice
Home Delivered Meals
Health Insurance Privacy and Accountability Act
Health Maintenance Organization
House Bill (federal)
Health Systems Agency
Housing and Urban Development
Information and Assistance
Information Memorandum
Institute of Gerontology
Limited English Proficiency
Legal Services Program
Long-Term Care
Michigan Association of Homes and Services for the Aging
Michigan Hispanic Senior Citizens Coalition
Michigan Indian Advisory Council on Aging
IX-7
lAArea
, AganaYon FY 2007-9 Multi-Year Area Plan
aAgIng FY 2007 Annual Implementation Plan
MI Choice Michigan's Medicaid Home and Community-Based Elderly/Disabled
Waiver
MICIS MI Choice Information System
MIS Management Information System
MLSC Michigan Legal Services Corporation
MMAP Medicare/Medicaid Assistance Program
MSA Medical Services Administration
MSAC Michigan Senior Advocates Council
MSC Michigan Senior Coalition (formerly Senior Power Day)
MSHDA Michigan State Housing Development Authority
MSG Michigan Society of Gerontology
MYP Multi-Year Plan
N4A National Association of Area Agencies on Aging
NAPIS National Aging Programs Information System
NASUA National Association of State Units on Aging
NCBA National Center on Black Aged
NCOA National Council on Aging
NFA Notification of Financial Assistance
NFCSP National Family Caregiver Support Program
NIA National Institute on Aging
MSC National Institute of Senior Centers
NSSC National Senior Service Corps
OAA Older Americans Act
OAVP Older American Volunteer Program
OHDS Office of Human Development Services
OMB Office of Management and Budget (federal)
OSA Office of Services to the Aging
OWL Older Women's League
PA Public Act
Part D Medicare Prescription Drug Assistance program
PCP Person-Centered Planning
IX-8
AAgelle"n
FY 2007-9 Multi-Year Area Plan Akin
\ Aging " FY 2007 Annual Implementation Plan Alioary • Amen • Amen. t. AM,
PI Program Instruction
PRR Program Revision Request
PSA Planning and Service Area
RCNA Regional Community Needs Assessment
RFP Request For Proposal
RSVP Retired and Senior Volunteer Program
SAC State Advisory Council
SB Senate Bill (state)
SCP Senior Companion Program
SCSEP Senior Community Service Employment Program
SEMCOG Southeast Michigan Council of Governments
SGA Statement of Grant Award
SMART Suburban Mobility Authority for Regional Transportation
SMSA Standard Metropolitan Statistical Area
SNF Skilled Nursing Facility
SPE Single Point of Entry
SR Senate Bill (federal)
SS Social Security
SSA Social Security Administration
SSI Supplemental Security Income
SUA State Unit on Aging
TA Technical Assistance
TCM Targeted Case Management
Title V Senior Employment program of the OAA
TSR Tobacco Settlement Respite (state)
USDA United States Department of Agriculture
VA Veterans' Administration
WHCoA White House Conference on Aging
Resolution #06141 July 20, 2006
Moved by Moss supported by Jam ian the resolutions (with fiscal notes attached) on the Consent Agenda,
be adopted (with accompanying reports being accepted).
AYES: Coleman, Coulter, Crawford, Douglas, Gershenson, Gregory, Hatchett, Jamian, KowaII,
Long, Melton, Middleton, Molnar, Moss, Nash, Palmer, Potter, Rogers, Scott, Suarez, Wilson,
Woodward, Zack, Bullard. (24)
NAYS: None. (0)
A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent
Agenda, were adopted (with accompanying reports being accepted),
0114110.
I IRBY APPROVE THE FOREGOING SOLUTION
-7/24 16
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Ruth Johnson, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and
accurate copy of a resolution adopted by the Oakland County Board of Commissioners on July 20, 2006, with
the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac,
Michigan this 20th day of July, 2006.
1110140.1,,+,r(Litc:: 7t0(411.1(41.1r4i1:,,, T , „