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HomeMy WebLinkAboutResolutions - 2009.07.30 - 9798MISCELLANEOUS RESOLUTION #09153 July 30, 2009 BY: General Government Committee, Christine Long, Chairperson IN RE: BOARD OF COMMISSIONERS — AREA AGENCY ON AGING 1-B - FISCAL YEAR 2010-12 MULTI-YEAR PLAN FOR OLDER ADULT SERVICES AND FY 2010 ANNUAL IMPLEMENTATiON PLAN To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS the Area Agency on Aging 1-B has been supporting services to Oakland County residents since 1974: and WHEREAS the Area Agency on Aging 1-B has assessed the needs of older county residents and developed a plan to provide assistance that addresses identified need; and WHEREAS the proposed plan has been submitted for review by the public and has been subjected to a public hearing; and WHEREAS the comments at the public hearings on the proposed plan were mostly favorable and constructive changes in the plan were made as a result of some comments; and WHEREAS the Oakland County Board of Commissioners appoints two representatives to the AAA 1-B Board of Directors, a county commissioner and a county resident who is at least 60 years of age; and WHEREAS the Michigan Office of Services requires that county boards of commissioners be given the opportunity to review and approve an area agency on aging's annual implementation plan. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby approves the Area Agency on Aging 1-B Fiscal Year 2010-2012 Multi- Year Plan for Older Adult Services and the FY 2010 Annual Implementation Plan for the purpose of conveying such support to the Area Agency on Aging 1-E3 and the Michigan Office of Services to the Aging. Chairperson. on behalf of the General Government Committee I move adoption of the foregoing resolution. GENERAL GOVERNMENT COMMITTEE Motion carried unanimously on a roll call vote with Cabello absent. =MIn1 County Access Centers Oakland/Main Office 2q100 ltiortliwe....t ern 11 s%),, SAM' 4:tr). SCRIIIIIICALL MI 4,S034 Vionc. 24,S-357-2255 5. 776 Fox! 74S.94S-9691 Livingston/Washtenaw 3943 lie:k.urcli Pork Driv Suite B Aor Ar't7or. MI 481C Phone: 734 ,213.6704 I:px! 73,»-Z 3.6806 Maconnb 39090 OarfieI6, Suite 1C: CI[mon TAT, MI 43038 Pne 536-22o-0309 Fix; 58-6,226-040S. Monroe 14q30 LaPlaisunLe Suite 130 Monroe. MI 48161 Phone: 734-24:.202 Fax: 734,241.6877 St. Clam 50: Orritiot Blvd.. 7, L1110 Ik'..arysvillt. 4SL4t) i'hoac; S10-3S-019 Fax S]O.3012 Sincerely, /1. / Area Agency on Aging 1-B Adcocricy • Action • Airsa.eis on Aging June 26, 2009 Commissioner Bill Bullard, Jr., Chairperson Oakland County Board of Commissioners County Service Center, Bldg 12 East 1200 N. Telegraph Pontiac, MI 48341-0421 Dear Commissioner Bullard: Enclosed please find a copy of the Area Agency on Aging 1-B's (AAA 1-B) Region 1-B FY 2010-12 Multi-Year Plan. This Plan was adopted by action of the AAA 1-B Board of Directors on June 26, 2009, and has been submitted to the Michigan Office of Services to the Aging for approval. The MA 1-B Board of Directors' review and approval process involves two appointees of each Region 1-B County Board of Commissioners, a member commissioner and an older adult representative from the County. As you may know, the AAA 1-B Board of Directurb ounbistb uf a majority of County Commission appointees. The plan has also been reviewed and approved by the AAA 1-B Advisory Council, and has been the subject of a public hearing, where favorable comments on the plan were received. This document is being sent to you in accordance with a directive from the Michigan Office of Services to the Aging, which allows each County Board of Commissioners to adopt a resolution of approval for the plan. A model resolution is enclosed for your convenience. State policies stipulate if a County chooses to take such action, it must be completed by July 31, 2009. Please forward any adopted resolution, or minutes of the meeting where such action is taken, to the AM 1-B. Thank you for your consideration of this request. If you have questions or require assistance relative to the plan, please contact Amy Smyth. AAA 1-B Interim Director of Network Development, at (248) 213-0545. "7-? L1/Li Tina Abbate Marzolf Chief Executive Officer sa Enclosures Websire.: wtnsr.rioalb..C(-1711 1.:24!:',r.00...Q.ar:141:1.•.DA..,AREAPLAtr2C-10.12 Letter: PriC-10.civ( ). Area A Agency on Aging 143 $96,000 $82,000 $33,000 Advocacy • Action • Answers on Aging County Access Centers Oakland/Main Office 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Phone: 248-357-2255 800-852-7795 • Fax: 248-948-9691 Livingston/Washtenavr 3941 Research Park Drive Suite B Ann Arbor, MI 48108 Phone: 734-213-6704 Fax: 734-213-6806 Maeomb 39090 Garfield, Suite 122 Clir,ton Twp., MI 45038 Phone: 586-226-0309 Fax: 586-226-0408 TO: Interested Parties FROM: Tina Abbate Marzolf, Chief Executive Officer t DATE: July 1, 2009 SUBJECT: FY2010-12 MYP Budget Update in the past six weeks, the Area Agency on Aging 1-B has been notified of more than $1 million in funding reductions. The enclosed revised budget reflects a 15% reduction in state funding, as follows: The Governor's Executive Order reduced state funding for the fourth quarter of FY2009 by $317,000, and the initial funding plan for FY2010 reduced spending by an additional $750,000. • The nutrition program, which includes home delivered meals and congregate meal sites, was reduced by $408,000. Fortunately, the President's stimulus program will provide an additional $630,000 to the nutrition program through December 31, 2010. • Social service programs have also been severely impacted. A selected list of reductions include: Care Management $136,000 Monroe 14930 LaPlaisance Suite 130 Monroe, ML 48161 Phone: 734-241-2012 Fax: 734.241-6877 St. Clair 501 Gratiot Blvd., Suite 2 Marysville, MI 48040 Phone: 810-388.0096 Fax: 810-388-0122 Respite Services I $110,000 L Homemaking Services Personal Care Services Adult DAy Care Services • The AAA 1-B has also incurred a significant reduction in administrative support and has already made staffing reductions and other spending changes to accommodate the current funding environment. Please replace the budget in the AAA 1-B FY2010-12 Multi-Year Plan (MYP) with the enclosed revised budget sa Enclosure Website; www.aaalb,com `1E Agency: Area Agency on Aging 1B PSA: 1-B 1,1/ T,56B —1-65TE 1,044.83g Rev , 4/2009 ADMINIST RA i irariusts Local Cash I Loci( In-Kind TCT1 ea era! Aorninistraec State Administration MATF Administration Other 72,924 143,432 72,924 Date: Budget Period: 10101/09 to 09/30/10 01 Page lot 3 06/30/09 Rev. No.: fl pa . MS 1, Salarks/Wages .' 18.50 • 700i197 2. Hinge Benords . er. .. I .erialions '4 0 o r : 114 Cash Match Osten In-kind Match Detail Source Amount Source Amount 1.9,10.0.40...-,ntiti';':' ::-;":1'4V2*.' ::........ , • •;. 4QP. P-POrt.Nii.sclr.Y 300)s - '-.- - . '- ..:,.....:`..;',.,,,;,,,:::".,.I.L. -..". .".., Cv5 Nr0.4 r.i,..:•6.1i-,-;,;i!Al-;'''..-i'V. . iei ... .i: .„,550 CO)-(414Vers 6,1791 , .• .r.,..1'r•..:/....1 : .i.---- — . r ...,:. --.:..;o"/..0..,-.: ..,...........,.. 1..-J..e,1.•. „ • L•., - ... ...•-• ,.....'.:1,..r„,.1.:, .1,i..' tote 121550 Total: 9,1/9 /7 e V// a Date chiefF-Xecr_tithiePfacer Title Signature • • e° 1 • FUND SOURCE it" TOTAL 1. Federal Me 111-B rvices 2250,98 _. 2,25 ,S88 .... 2. Fed. Title III-C1 (Congregate) 1,625,654 1,625,854 _ .. 3. Stale Congregate Nutrition 1111MILMIIMILESI 4. Federal Title III-C2 (HDM) -111111.5FLMEMISMO 5. Stale Home Delivered Meals' 2,083,364 2,083,364 _ . 8. Fed. Tide Iii -D (Prey. Health) 160,721 160,721 . . 9. Federal Title III-E (NFCSP) 980249 980 249 0. Federa i e1/11•A 10. era! Ole VI F I. State Access 179,095 179,095 2. State In-licime 590,152 590,152 3. State Alternative Care 702,162 71/2,1fs2 . tale are Management ,400 3 ,400 . tale N H emJjdsman 3,0 3,03 9. Merit Award Trust Fund Includes C11C2 transfer of $1,083,700 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. 20-09-188_Allschnwmt_ I B_2C10 Okters Ran Grant Buckle! with WHO {April 2009) li FY 010 A - • AGENCY GRANT FUND • SUPPORT SE -`" DETAIL Agency Ares Agency nri: ing4B, . Budget Period: 11410/A19 •to 09/30;10 R0,4121309 P SA: 1-8 Date: 06130/09 Rev. No.: 01 page 2 of 3 _ State Slate Slate Care State SL Respite merit Award Medicaid Program Cash In-Kind SERVICE CATEGORY Title 16-13 Tiile III-D Title ill - E Title Vil Access In-licime Mgml NHO (ESCheal) Trust Fund CMP Fund Income Match Match TOTAL 1. Access 71 , • ,,, '...;:-I, IHOTat .203 . _ • _ . _._. a. Care Management IQ •t * , 9 A. MIMI , 7 DO0 . .. 5.000 Si 502 1,529,833 b. Case Coord/SUpp tr2r. ':.7 ;k1 .. . C. Disaster Advocacy 11111161 i MIMI MIMI d. Inforrnaton & Assis RIMEL , I siorl IA lee MEM 742.650 6. Outreach 111=13:..:,.--7,.. -:I r•..-,.'• i:':. SI? MEM NEMEI 730,011 E Transportation MIME '[. A'•i1V-4000 '-_,.-!-'' ,........,.4,PM1 2005: NINEZEI 32.1535 Z In-l-tome :- -- • '1 I ,.--. _ - : L.:. ....-n• 6....4..."::. a. Chore IBIEM1 :,• • .462. St..1.20 16,172 579,173 b. Home Care AssIs MEE! InNEFIN .41-40W1 :- I ' c. Home Injury Cntrl igzot . 11 15,1156 111•3313 i0si MI= d. Homemaking 4.ee 46s' IIIIKIE3 IMMO r- _ 15.00d 43500 192,422 1,704.611 . . • , ._ e. Home Health Ade jinn=MEM • f. Medicabon Mgt 111.1111 4$01 _ 41114MENSINV), -- , . _ . 111111.11112099 8.124 51,117 g. Personal Care 1.11rEa :. 417((2tir 1§51%.3 91,090 49. 30 .E.3m 120E0589 h. PERS Ili= il, - '15511111, RiNikrAl. ' IINNIIINI NUNN NENE NMI I. Respite Care .S 090r i MOM WPM IIIMI-F.:7:17 53.000 "OS 11111112E1 583,111i I. Friendly Reassure I MIMI IIMMIM MIN 3. Legal Assistance . /l.rr,..8.Afr _ - .,. INE3121 1'1 731 .. 2515,224 4. Community Service3 a. Adult Day Care ERIffli ,-.i.,, „. ._ , - ..„,,.. - .. NUNN MEIN '-', .i 21 05 t,.. . 511.00k , . . , 21'5,000 157132 10,164 NOME b. Dementia ADC MEM - • .mgram I . ,uson, c. Disease Prevent NNE. NIENEINENLIE - . I. . .... . _ INNEN - d. Health Screening IIIIME gnaw - - , .. . . :, !NMI! NONN - . e. ASSISI to Deaf i ownv 400° In= • 3 20 ,241 65 2aNNEE ::.. I . Home Repair IIIIIIII ' g. LT 014005man ' 27019 - ' Iffildt. '1%9 II , .... r.507. .,.. 25,014 • , • - =ram k Sr CU Operations Non - NEN! MINIIII l. Sr Clr Staffing NININ ..... , . NINE 1111111111INEINI • l. Vision Servces I I I, . , 'Xi00, 9.206 . 2,444 ao 750 k. Elder Abuse Prevni Men •900• 7,186 2'3U3 MEG 1. COunsaling II. ElitilientiWa , _ iiiiiimmiiii nom. rn. Spec Respite Cars ,,.. _._ ._ __ . I: ,. . • ' n. Caregiver Supploit ISINRIN, _ o Moship Suppol INN= L : - . , 1.500 1775 =mg 32.6,50, _ q. Caregiver E.S,T MININI MEN.MIMI 11111•1 .. program Develop INCE751 . . ... _. 10,000 22 2°° 'SEIM 567.469 . . . Region Specific - - ,I ' I nal , 7.101 33,724 3S,1140 a. Reg.IFIACi CHR 1115M1 INEMIIINCEMINEEEN1 INIENNERNIEIZIENINI , HO Services NIV31119 MINE NINFFIE IINIMEINIENEMIENEEVr' lliEllIENI - .1 111111111111111111111111111 17.190 39,602 ATF ad mirestraton 1 l' ' ' -1111111= ... _ _ . -.7 ---.--1 -.-: . .-. ''ll • . . M.= till'atilit.larkiT41,311 2,250,985 150,721 960,241 MI= 179,005 590,1-52 702,162 937,4431) 73,035 191,320 810,255 34,307 505,343 70,179 1,013.000 9276020 2009—IN_Aftectiment_113_2010 Area Plan Grunt Budg•l lath NHIC/ 144 2009) I, 1, 4 1 FY 2010 AREA PLAN GRANT BUDGET- NUTRITION SERVICES DETAIL _ 602009 Agency: Area Agency on Agin 18 Budget Period: 10/01/09 to 09/30/10 PSA: 1-B Date: 06/30/09 Rev Number 01 page 3 of 3 SERVICE CATEGORY Title III C-1 Title III C-2 State State HDM NSJP Program Cash in-Kind TOTAL Con re ate Income Match Match 7 Nutrition Services P . _ . ... I . Congregate Meals 1.592 5z . ,REP5ROM. — "'S —.650.;:.:;: g86 :b00., r. 06 ;-.4.0 . 2,934,676 2. Home Delivered Meais lffluazol : inEtwaMIC-7 ','0.tv ' i --,M6,1,60s, EMBIEM ', '60fA5- 8,071,000 3. Nutrition Counseling SMIMIIIIMINSE i),';',IttlArlial. . :-:.:.'1-i=:::,:1'-' WREN 4. Nutrition Education INEEIBMINIMEM a:, ,;3:1:0.:11:4 Menai , 4 Z .1 . 7.. ,i. MEM - 5. AAA RD/Nutritionist * - 30,6, .30 t : !;[:-:'F'4:67 ;54'; Mill*PA IN. MEM ',' : . '1 '60: 70,000 Nutrition Services Total 1,625,654 2,459,837 85,454 2,083,364 1,510.748 2615,695 - 694,924 11,075,676 *Registered Dietitian, Nutritionist or individual with comparable certification, as approved by OSA. end detailed 41 Appendix H. FY 2010 AREA PLAN GRANT BUDGET-TITLE VII LTC OMBUDSMAN DETAIL SERVICE CATEGORY Title VII-A Title VII-EAP State NHO CMP Fund Program In-Kind TOTAL Income _____________ LTC Ombudsman Services I .. .. . i 1. LTC Ombudsmen .,27',Q 9. ORMINFM iRAPE7F-31, 41-.- .,._ ...3A-VA - _ . --.500' . , 25014 - Eilanni =MO 2. Eider Abuse Prevention MEM ..51EME - - C!' 7,188.'2,303NM= 3. Region Specific MEINERNEMONNaM''J'if 1r,^1 . 'tt-'1 ...; g1RIMPAI 'ENIMOINIIMIN11110111111111MIN _ _ TC Ombudsman Ser. Total 27,262 - 37,723 73.035 27,307 1,400 32.202 2,303 201,232 FY 2010 AREA PLAN GRANT BUDGET- RESPITE SERVICE DETAIL ERVICES PROVIDED AS A T1110111-8 Title 111-E State Alt Care State State In-Home Merit Award Program Cash/In-Kind TOTAL FORM OF RESPITE CARE Escheats Trust Fund income Match 1. Chore . . -.391,601; :i:1401. ..t 4.7.11:2Ljai='-',J *A.:,;,*,'14.,Z.4.-1;:ii 211',...t.i.tr,....,4.i.::; .`, :i:;:z=.:.'1,:..:7:i :'-' - , .. ' 89822 . :, :.',::sgtODA 579,123 2. Homemaking ' 488.405-: -..11.1?: Z''''''' o' :,.:17.,:..h.•,..:',3:c;'-7i,L'7-Fotb9'§t10:, -;,,,..!:7:5-I:,,....i..',' 4. ,;:.:.'.',!.:::*030.1 ;A,:,,..c..--.6''4-22; 1,204,611 3. Home Care Assistance BIENEM ERTEETNE11; '' ''' il''''''.;::2 -.' '-. t,',.,'-t.0.. i; R_ • ' : -,.., . ,r_A:•”1.,,, 0,:-.." 1.44.: : - 4. Respite . , , .y w -.ef -1 , i.:.- , 1,.0- .0„0..,,. :::,:,06024' 583,119 5. Meal Preparation/HDM MIME r.:.-', MAIM „ :.X1!"''r7V'i :.-' NMENI MinniM MEE 6. Personal Care ' .;!! .14 n26. ,..A W.A114-IN . ,-7"71W- A A.:...,:71101E11 -. — IFIMMINI 243Q1 8 1,796.6a9 _ - espite Service Total 1,035,417 26,350 702,162 151,113 590',152 226,262 251,222 682,864 3,665,542 201:19-1Et8_Attachmerit_ I B 2010 Area Plan Grant Butte! with NI-ID {AprII 2009) FY 2010 Planned Services Summa Pa«e for PSA: Budgeted Percent of Method of Provision Service Funds the Total Purchased i Contract I s' 41.11+1MIWAMIVEMMEMEMMEM ,:,..,=,,w7.:,:77... :7.1 --7:. 7'77 Care Mane. ement 1 529 833 EmmmummlImmommommom Case Coordination & Su • • srt $ - 0% z • Disaster Advocac & Outreach Pro' ram 00/D . . ' z . . Information & Assistance $ 242 650 1°/0 . Outreach $ 730 611 4%M.MMEMMMEMMAMEMER Trans 1 • nation $ 32 636 0% inMINI=.1 IN-HOME SERVICES . i.,.L:, 777. 777-7 7—r- -7777] Chore 579 123 300 • • • Home Care Assistance 1 0% • Home Irfu Control 194 431 1% . Homemakins $ 1 204 611 6% x : Home Delivered Meals $ 8 104 444 40% x x Home Health Aide f 0% • • Medication Maria . ement 0% .• • Personal Care 1 298 689 6% x : Personal Ernersenc Res•onse S stem $ - 0% : Restite Care $ 583 119 3% x • Friendl Reassurance 11=1n111 0% : : • COMMUNITY SERVICES ... 7 -_ ... .. . • Adult Da Services 1 0% " Dementia Adult Da Care $ 1 161 978 6% x l Goner- sate Meals $ 2 971 232 150 . . Nutrition Counselin. 111 11 0° : • 1 • : Nutrition Education FINEn13 0% ' Disease Prevention/Health Promotion It - 00 .- • . : : : • : Health Screenin• EMInE 00/, . • • : Assistance to the Hearin. irn 'aired & Deaf $ 65 220 0% : - .- Home Retair - 0% : • Le al Assistance $ 258 224 1% i x i • T C - I buds A. •-•1/4 A 152 875 1% • • : Senior Center 0.erations IFInil 00/, : • - Senior Center Staffin• - 0% : - Vision Services $ 60 750 0% Programs for Prevention of Elder Abuse, 48 357 0% 1 x I Counselin • Services 0% • - • : Slecialized Reslite Care f 0% : - Care. iver SU • • lemental Services - 0% : • • . i Kinshi * Sul sort Services $ 32 850 0% : MEWALWAWAsmaLmv.,& .1•MMIIMEM 0% : I • laalieplAIT,ICATAARCUL14171 EIME2622 . REGION-SPEC I $ 368 951 2% NHD Services 38 602 0% x . v - a erninistra ion • MEMMEMMEMMIIMMUMMIWAVII I I 0 oF 1 i cs TOTAL FUNDING $ 20 350 696 . I i 2LZKILVAIMY4114.10111 2009-151:1_Attachnw.s_13_2010 Area Plan Grar, t! wiLtl 'ULO lAorit 2009) Area Agency on F ‘Aging 1-B Advocacy • Action • Answers on Aging Region 1-B FY 2010-12 MULTI-YEAR PLAN For Older Adult Services and FY 2010 ANNUAL IMPLEMENTATION PLAN I W.! n vohr i 4.W 1...&.1 AREA AGENCY ON AGING 1-B Tina Abbate Marzolf, Chief Executive Officer Serving the counties of Livingston, Macomb, Monroe, Oakland, St, Clair, and Washtenaw 29100 Northwestern Highway, Suite 400 Southfield, Michigan 48034 (248) 357-2255 www.aaa 1 b•com 41. Area A Agency cm 16X Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual implementalion Plan TABLE OF CONTENTS I. Executive Summary A. Narrative 2 B. FY 2010 Planned Services Summary Narrative 3 Budget A. FY 2010 Planned Services Summary 4 B. FY 2010 Area Plan Grant Budget and Services Detail 5 C. Nutrition Program Budget 7 D. Organizational Chart 8 III. Statement of Need A. Demographics 10 B. Input Forums and Public Hearings 11 C. Evaluation of Unmet Needs 28 D. Available Resources and Partnerships 30 IV. Service Delivery Plan A Targeting 32 B. Access Services 34 C. Direct Service Waiver Request 37 V. Program Development A. Objectives 40 B. Program Objectives Narrative 46 VI. Advocacy Strategy 48 VII. Community Focal Points 51 VIII. Appendices A. Board Membership 77 B. Council Membership 79 C. Current Provider Demographics 81 D. Proposal Selection Criteria 82 E. Planned Entrepreneurial Activities 83 F. Regional Service Definitions 84 IX. Assurances & Certifications A. Assurances & Certifications 86 B. Assurance of Compliance with Title VI of Civil Rights Act of 1964 88 C. Assurance of Compliance with Elliot Larson Civil Rights Act, PA 453 of 1976 90 D. Signature Page 91 E. Glossary of Acronyms 92 1 Area A Agency on La Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan I. EXECUTIVE SUMMARY A. Narrative The Area Agency on Aging 1-B (AAA 1-B) is a non-profit organization that is responsible for services to more than 546,000 persons age 60 and older and persons with disabilities 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 and persons with disabilities; 2) allocating federal and state funds for social and nutrition services; 3) ensuring access to a network of long term care services; 4)developing new older adult and independent living service programs; 5) coordinating activities with other public and private organizations; and 6) assessing the needs of older persons and persons with disabilities and linking them with needed community-based long term care services. The AAA 1-B prioritizes activities that allow older persons and persons with disabilities to maintain their independence with dignity and places a special emphasis on assistance to frail, low-income, disadvantaged, and minority elders and persons with disabilities. 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 and persons with disabilities to maintain their independence with dignity, and provide access to their entitled benefits: Adult Day Health Service Home Delivered Meals Nursing Facility Transition Services . Care Management i Home Injury Control Nursing Home Diversion Chore Homemaking Out-of Home Respite Congregate Meals Information & Assistance Personal Care Elder Abuse Prevention In-Home Respite Resource Advocacy Family Caregiver Services Legal Assistance Transportation _ — Grandparents Raising Long Term Care Ombudsman Vision Services Grandchildren Health Benefits Education Medication Management Volunteer Caregiver Unmet Needs Hearing Assistance National Family Caregiver Support Program 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 and persons with disabilities. 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 and disabled 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 2 Area Age ney on 40,4da Agin' g 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan health problems, and seek assistance through more costly and, in some cases, less desirable institutional alternatives. The AAA 1-B plans to address this problem by educating decision makers about the importance, need, and value of person-centered community based services, and identifying opportunities for partnerships with other public and/or private resources to expand services in fiscal year 2010. 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 and persons with disabilities. 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 in-home, access and respite 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, are included The AAA 1-5 promotes the significant role that the Aging Network plays in providing high quality community-based long term care supports and services for older adults and persons with a disability. The AAA 1-B role serves as an impartial, service-neutral access point by providing information, assessing needs, and distributing funds to support direct services to consumers. To reinforce this role, the AAA 1-B serves as a MI Choice Waiver Agent, provides Community Care Management, and continues to develop Nursing Home Diversion skills. The AAA 1-B is on the forefront of many new initiatives including person centered approaches to care, working with Medicare Advantage Organizations and the Veterans Administration, new menu options for home delivered meals, targeted trainings for aging professionals and implementation of a new technology solution, called Harmony, for the region. B. FY 2010 Planned Services Summary Narrative The AAA 1-B anticipates, based on the proposed FY 2010 budget negotiation, that there is a potential for the loss of federal and state funds in FY 2010. In addition to the state and federal cuts for respite services sustained in FY 2009, which may not be recouped in FY 2010, the AAA 1-B is planning for further decreases in state escheats funding and a 15% loss in OSA funding for FY 2010. These decreases are noted in the budget in Section II, The remaining services are budgeted at maintenance levels, to the extent that funding will allow, 3 Are a Aegency on Ida Aging 1• FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan BUDGET FY 2010 Planned Services Summary Page for PSA: Budgeted Percent of Method of Provision Service Funds the Total Purchased Contract Direct ACCESS SERVICES Care Management $ 1,700,205 8% x x Case Coordination & Support $ 0% Disaster Advocacy & Outreach Program S - 0% Information & Assistance $ 242,650 1% x Outreach $ 730,611 3% x x Transportation $ 32,636 0% x IN-HOME SERVICES Chore $ 579,123 3% x Home Care Assistance $ - 0% Home Injury Control $ 194,431 , 1% x x Homemaking $ 1,317,754 6% x Home Delivered Meals $ 8,340,482 39% x x x Home Health Aide $ - 0% Medication Management $ 51,117 0% x Personal Care $ 1,401,189 7% x Personal Emergency Response System $ - 0% Respite Care $ 720,153 3% x Friendly Reassurance $ - 0% , COMMUNITY SERVICES Adult Day Services $ - 0% Dementia Adult Day Care $ 1,203,120 6% x x Congregate Meals $ 2,952,991 14% x x Nutrition Counseling $ - 0% Nutrition Education - 0% Disease Prevention/Health Promotion $ - 0% Health Screening $ - 0% Assistance to the Hearing Impaired & Deaf $ 65,220 0% x Home Repair $ - 0% Legal Assistance $ 258,224 1% x Long Term Care Ombudsman/Advocacy $ 152,876 170' x Senior Center Operations $ 0% Senior Center Staffing $ - 0% Vision Services $ 60,750 0% x Programs for Prevention of Elder Abuse, $ 48,821 0% x Counseling Services $ - 0% Specialized Respite Care $ - 0% Caregiver Supplemental Services $ - 0% Kinship Support Services $ 32,850 0% x Caregiver Education, Support, & Training $ - 0% PROGRAM DEVLLOPMENT $ 567,469 3% REGION-SPECIFIC 375,204 2% x NHD Services $ 87,460 0% x x 1,1ATF administration $ 82,141 0% x TOTAL PERCENT 100%, 20%j 69% 11% TOTAL FUNDING $ 21,197,473 $4.159.925 $14,711,525 : 52,326.025 4 FY 2010 AREA PLAN GRANT BUIDaT Agency: Area Agency on Aging 1B PSA: 1-B Budget Period: Date: 05/18/09 Roy. 4/2009 09130110 01 Page tof 3 ADMINISTRATION Revenui Local Cash local 1n-Kind Th FUND SOURCE SERVICES I SERVICES TOTAL Federal Adminis1ration 328,463 123.550 961,212 2,310,143 143.432 2. Fed. Title :11-C1 (Congregale) 1527,936 1,627,936 12ATF Administration 67,147 82,147 3. State Congregate Nutrition 94,626 94,825 4. Federal Title 1:1-C2 (HDM) 2,464,130 2,464,130 T,054,062 123,550 I 1, i86,7gi 1T;Ifek 9:179 2,310,143 Slate Admi.nostration 143,432 9. Federal Title II:-E (NFCSP) 8. Fed. Title I11-0 (Prey. Health) 5. Stale Home Delivered Meals 162,343 1 0! 0 1 /019 to Rev. No.: 983.612 2,324,636 2 324,636 162.343 983 612 Expenditures _ FTEs - 1. SalarlesiWages 18.50 700,192, 2. Fringe Benefits 218 234 3. Office Operations 228,480 I. Total: 1 I 1,146,9061 17 Local Match 12 38,094 700,941 662,202 792,319 1,051,652 73,036 38,094 200,941 662,202 792,319 1,051,852 73,036 10. Federal Title V1I-EAP 11. Stale Access Stale In-Home 13, State Alternative Care 14, Stale Care Management 16 Slate N.H. Ombudsman i Cash Match Detail in-Kind Match Detail - -11 Sol..rce Amount - .@ource Amount inlerest Income 40,000 Board/Advisory 3 000 County funds 83,550 Caregivers 6,179 Total:. 123,550, Total: . 9,17.' gx-4,00C 19. Merit Award Trust Fund 21, Program Income 709,179 1,127279 240,60 912,741 639,650 709,179 1,850,760 240,509 612,741 1,510,748 3,255,345 20, NSIP 723,481 1,510,748 2,615,695 a. Oast b. In-Kind 18. State Respite Care (Escheat) (/' i7 ... ignature Chief Executive Officer Title Date 10. Federal Title VII-A 'includes C1/C2 transfer cii$1,083,700 certify that 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 Ai:11 be maintained to support required program expenditures. 5 . , . FY 2010 AREA AGENCY GRANTFUNDS - SUPPORT alwicEs DETAIL Agency. Area Agency on Aging 'IS Budget Period, 10/01.109 to a 9/30110 Rey. 412009 PSA: 1-8 Date: 051t .09 Rev. No..: 01 page 2 of 3 _ Slate Stale St. Alt. State Care Slate $1. Respile Merit Award Medicaid Program Cash In-Kind SERVICE CATEGORY Tite III-B Title III-D Title III - E Tile VII Access In-Horne Care Mgmt NH 0 (Escheat) Trust Fund CMP Fund Income Match Match TOTAL 1. Access i - 7 . _ 1 .. . a. Cate Management 97,771 -209.94' 1,051,852 '7,000 .5,000 I 81.632 256.039 1.7CV,205 - - b. Case Coord:Supp - - - =- - . - c. Disaster Advocacy - d. Information & Assis - 193,320 - 1.000 10.165 35.164 2-42,650 _ a Outreach 265.653 294,300 5,670 59,656 85,332 Q2611 , , .. 1. Transportation 22,109 _ • - 5,001 2.105 3,42.2 32,636 , 2. In-Horne . _. a. Chore 391,601 ' 39,622 81)28 15 i72 579123 _ . b 1'-ionle Care Assis 1 - c. Home Injury Cntrl 142.655 - 15.9K 25.519 10,197 ¶94.4:?, _ - d.. Homemaking 458.772 229,958 305.443 25.0n0 43..5r 215,05' .317,754 . . , e. Horne Heallh Aide - • - , - , f. Medication Mg1 - 40,994 ' - . . - 2,099 8,124 51.1 sl 9. Personal Care 149,261 . 4.32,214 472,596 . . ' 63,600 49,150 213.766 1,401,189 h. PERS - -- - - _ .. _ . 1 Respite Care 6,093 26,350 . 14260 200,402 266,600 53,000 40.795 92,506 720,-'53 _ _ ! • ,.. j. Friendly Reassure . , a . Legal Assistance 187.699 23 500 35194' 11.731 259.224 . 4. Community Services a-Adult Day Care - - - . b, Dementia ADC 1.692 .. 125;756 I. - 21 054 . 542.994 271000 /6 7232 18392 1,203,120 c Disease Prevent -- - - ... d. Health S - creening - - . _ , - - e. Assist to Dear - 51.855 • 1 400 9.723 3.241 65 220 f. Home Repair _ g. LTC Ombudsman 27,019 - 73,036 27307 500 25,014 152,876 h. Sr Ctr Operations - _ i. Sr Ctr Staffing - . . . , i. Vision Senicas - 46,500 .. 2,509 9,295 2,444 60,750 . X. Elder Abuse Prevnt 243 38,094 900 7;139 2.396 48921 I. Counseling - • .. m. Spec Respite Care - - n . Caregiver Supplmt - - - , 0. Kinship Support - 25.000 1,600 2.770 3,472 32,850 - q. Careglyer E.s.r - 5. Program Develop 445,975 i . 10.000 , 22,200 89.294 567.469/ 6. Region Spec* , . a. Reg .IFVCOHR 5.542 22,993 246,777 . - 19.153 - 1 in1 33,124 39.914 3 75 2rA NHD Services 68,9E0 - -• - . - 17.490 87,450 MATF administration , 82,147 i 1 1 I 82,147 SUPPAT SEllY TOtAL 2,310,11.13 .162,343 933,612 38.094 220,94' / 654202 792,319 1.051352 73.026 240.509 • 912,741 34_307 1 61352.43 709 179 1,127,279 9.904 0001 6 FY 2010 AREA PLAN GRANT BUDGET- NUTRITION SERVICES DETAIL Rev. 4/2009 Agency: Area Agency on Aging 13 Budget Period: 10/01109 to 09/30/10 PSA: 1-8 Date: 05/18/09 Rev. Number 01 page 3 of 3 _ SERVICE CATEGORY Title III C-1 Title III C-2 State State NOM NSIP Program Cash In-Kind TOTAL Congregate Income Match Match . .. _ Nutrition Services 1. Conprevate Meals . 1,600,067 94,625 390,000 680,000 - , 188,299 2,952,991 2. Home Delivered Meals 2,430,999 2,324,636 1,120,748 1,935,695 - 528.404 8,340,482 3. Nutrition Counseling ,_ - - - - 4. Nutrition Education . _ _ _ _ _ . - „ 5. AAA RD/Nutntionist" 27,869 33,131 6,778 67,778 - Nutrition Services Total 1,627,936 2,464,130 94,625 2,324,636 1,510,748 2,615,695 723,481 11,361,251 'Registered Dietitian, Nutritionist or individual with comparable certification, as approved by OSA. and detailed in Appendix H. FY 2009 AREA PLAN GRANT BUDGET-TITLE VII LTC OMBUDSMAN DETAIL SERVICE CATEGORY Title III-B Title VII-A Title VII-EAP State NHO CIMP Fund Program Cash In-Kind TOTAL Income _ Match Match , LTC Ombudsman Services . . , 1. LTC Ombudsman _ 27,019 , 73,036 27,307 500 25 , - .014 , 152,876 2. Elder Abuse Prevention 243 38,094 900 7,188 2,396 48,821 3. Region Specific - LTC Ombudsman Ser. Total 27.262 - 38,094 73,036 27,307 1,400k 32,202 2,396 201,697VV FY 2009 AREA PLAN GRANT BUDGET- RESPITE SERVICE DETAIL SERVICES PROVIDED AS A Title III-B Title III-E State Alt Care State 1 State in-Home Merit Award Program Cash f In-Kind TOTAL FORM OF RESPITE CARE , . Escheats Trust Fund Income 1 Match .. 1. Chore 391,601 . 89.622 1 97,900 579,123 2. Homemaking 498,772 305,443 229,988 , 25.000 , 258,551_ 1,317,754 , 2 Home Care Assistance _ - • 1 - 4. Respite 6,090 26,350 14,280 200,402 , - 286.600 , 53.000 133,431 720,153 5. Meal Preparation/HDM .. .. . - 1 , 6. Personal Care . 149,261 , . 472,596 432,214 L 83,600 263,518 1,401,189 - , Respite Service Total _ 1,045,724 26.350 792,319 200,402 662,202 286,600 251,222 _ 753,400 4,018,219 7 I ff If ;0',S) 74m11110.4.kj 10.1 swirAn}!. uroOlula^,{ 1 I I 1 1 1 1 1I iH 1 a Age Orga ol Agin Dr. Chart an P.09 • I flokuk U ii Hre Moray:Ea e Mar ........... a Klelba u. Marks Mana9r cOri Arni e Laos.: Nasr • 40 5-0 Manag F J ro Mani Lys P.,I•raIs Mara r '6 rem 9112 Ca Maps r 2 r r Pr'. Mar a 17 !tow rook Ca Maria r hle par lc Mir r' r a a t rn bar DaMI link .01 ,r)El ii rv P Manaorx 1 2 LA 3 Cy Pt. 4 te..a Rh 5 9encyiniad S1/VC M Eilli1C;er .10n71, agar rid ar agar in agor Karl Kashrter LChi RN Valen re IM an ansta re fsl Par rie are : Ler.A re Ma Er Garr(' eMarrafr 07 I"( enty E? Maleg a Krorp a Maria Burke a Mar. eg 12 lager )ner agar al_ZR1 I 1 Lager tant ravon V,Olton (land P.)9 I ovvr .e SW a Jane Ir. RN , I ea E Prog d Elhz h RN I •uso I I oho K. I ary K •rarr bar I 'NC I arr.arrt 'rJ Ca I acant I 'N C I aria I 'N Ca I I .W Ca ar cy ' •V•fr-. , owe n , my r7f Cava Marair Manair Marra r' South Marra r a tor Maria r boa rager Maria t r raiz Lana r" Mar a r ginsk. Man atrr Maria !Aerator ler 17-0(X.0 er istant S. Sin nager yacht Vac re flaw ro an aco RN Canada/9 Malone. ir RN Car a r.11 RN Car a g Carleae el Progra s a Ja , Ss/Care rage Ni RI I ra Ril Care h na.ger p low Care nager in ma (.:01!117, • ..rivairriyry,m. rr Assistari•SsiP•er a Mal IL a 32 33 3,1 9 jo6 re a A Agency on /AN Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan III. STATEMENT OF NEED A. Demographics Total Population in PSA for All Ages 2,772,332 Total Population in PSA for Ages 60 and over 419,023 Total Population 65+ At or Above Poverty 25,400 Total Minority Population Age 60 and Over 27 617 Total Minority Population Age 60 and Over by Race/Ethnicity African American (Black) 17 081 El Less than 1% Asian 2,355 LI Less than 1% Am. Indian/Alaska Native 600 Z Less than 1% Native Hawaiian/other Pacific Islander 35 E Less than 1% Arab/Chaldean E Less than 1% Hispanic/Latino 3,535 El Less than 1% Total Low Income Minority Age 60 and Over by Race/Ethnicity African American (Black) 2,175 El Less than 1% Asian 495 M Less than 1% Am. Indian/Alaska Native Native Hawaiian/other Pacific Islander Arab/Chaldean Hispanic/Latino Total Kinship Caregivers Age 60 and Over 45 E Less than 1% 4 PXi Less than 1% ID Less than 1 1)/a 220 Z Less than 1% 13 437 The Region 1-B older adult population will experience consistent growth from 2010-2015, with the age 60+ population growth totaling approximately 100,571 individuals, and county growth rates increased from 14.7% to 24.2%. 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 3-4% 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. 10 Area A Agency on /AN Aging " FY 2010-12 Multi-Year Plan FY 2010 Annual implementation Plan B. Input Forums and Public Hearings r BARRIER NUMBER of DATE LOCATION TIME FREE 1 ATTENDEES (Y or NO) , Macomb County Senior 2-26-2009 9:30 a.m. - Yes 30 Citizens Services , 10:30 a.m. Ann Arbor Center for 2-26-2009 Independent Living 1:00 p.m. - Yes 24 Washtenaw County 3:00 p.m. The Summit on the Park 3-2-2009 9:00 a.m. — Yes 48 Wayne County 11:00 a.m. Monroe Center for Healthy 5-28-2009 Aging Yes 4 1:00 p.m. Monroe County Area Agency on Aging 1-B 6-2-2009 Yes 7 Oakland County 1:00 p.m. The Council on Aging, Inc., 6-5-2009 Yes 6 serving St. Clair County 1:00 p.m. The purpose of each community 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 testimony serves as a basis for development of the AAA 1-B's Fiscal Year 2010-12 Multi Year Plan, which distributes over $20 million in federal Older Americans Act and state funds to support a range of social, nutritional, access, and long-term care services. MACOMB COUNTY COMMUNITY FORUM On February 26, 2009, a Community Forum on the Needs of Older Adults was held in Macomb County, Michigan, at the Macomb County Department of Senior Citizen Services. Thirty individuals attended the forum, including three older adults, three elected officials (or their representatives), and 24 agency representatives or other interested parties. TESTIMONY SUMMARY TRANSPORTATION Service provider testimony expressed a concern regarding the fragmented transportation system and limited services options, especially in cases where people needed to cross city or county boundary lines. Service provider testimony indicated that requests for transportation are up 40%. Also, the agency has seen more requests from those with mental handicaps, further indicating that with 11 Area A Agency on /AX Aging 1-E FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan the increase in baby boomers with adult disabled children, this need for transportation will continue. Service provider testimony expressed concern with drivers that are cognitively impaired and questioned what resources were available to assist with getting unsafe drivers off the road. CAREGIVING Older adult testimony indicated trouble affording home care for their spouse at the level needed to care for him at home. Service provider testimony expressed the need to continue to "blast out" information regarding resources for caregivers through a variety of means. SERVICE COORDINATION Service provider testimony suggested the need for greater collaboration and coordination among the providers in the aging network to the extent that there would be a "no wrong door" approach to receiving information regarding resources. Service provider testimony indicated the need for better collaboration among agencies. Some callers and stressed caregivers "hit a brick wall" and do not know where to turn next for the resources and information they need. Services provider testimony suggested that coordinating additional funding streams is needed to expand services to meet community needs such as Meals on Wheels. LONG TERM CARE Elected official testimony questioned what was being done for middle-income seniors to stay in their homes. Testimony expressed concern that most programs were focused on lower- income elderly, leaving those with "too much, but not enough" income without options. Service provider testimony suggested looking to reverse mortgages for assistance with paying for long term care at home. Written testimony shared a concern regarding the distribution of Social Security, namely that each spouse should receive checks, even after one of the spouses dies. It is difficult to live on one check because the amount is so small. WASHTENAW COUNTY COMMUNITY FORUM On February 26, 2009, a Community Forum on the Needs of Older Adults was held in Washtenaw County, Michigan, at the Ann Arbor Center for Independent Living. Twenty-four individuals attended the forum, including two older adults, one elected official, and 21 agency representatives or other interested parties. 12 Area A Agency on /AN Aging 1.B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan TESTIMONY SUMMARY NUTRITION Service provider testimony stated that more funding is needed to expand Meals on Wheels. More people are asking for mileage reimbursement with the economic downturn. Also suggested that in order to attract more volunteers, increased mileage reimbursement is needed to include the meal delivery territory, not just mileage to the meal site and home. Furthermore, more funding is needed to be able to reimburse meals for persons under age 60, in order to address the growing number of permanently disabled under 60. Service provider testimony suggested developing infrastructure to address the 'dead zone" areas that are not receiving meals. Service provider testimony indicated the need for more funding and less restrictive dietary guidelines to be able to provide culturally appropriate meals. TRANSPORTATION Older adult testimony suggested that transportation needs to be improved in all of the AAA 1-B service area, including better transportation options to area senior centers. Service provider testimony suggested targeting advocacy and education efforts at township boards encouraging them to provide leadership in their townships to move toward countywide or regional transportation. HOUSING Service provider testimony commented on the need for affordable housing for seniors. While subsidized housing is available, more affordable housing options are needed for those who may not be income-eligible for subsidized options. Service provider testimony added information regarding the Home Share program through the Housing Bureau for Seniors. Currently, in the county there are 42 homes with housemates living in them and helping out the elderly owners. Seniors can use the rent money they charge to help pay for any additional services they need in order to stay in their homes. However, the service provider also pointed out that most people still want to stay in their own homes. Service provider thanked the AAA 1-B for their support of the foreclosure prevention program started several years ago. Testimony indicated that a relatively new program was started out of the foreclosure prevention activities, the Relocation Assistance Project. This project recognizes that every situation is different and complex, and offers one-on-one assistance including accompanying the client to court. Testimony further suggested that the project could be expanded into a regional project. 13 Area A Agency an /AN Aging 113 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan LONG TERM CARE Older adult testimony commented on the rising costs of health care premiums, from $27 per month to $76 per month for the same Medicare Part D plan. Testimony stated that even though the number of medicines was reduced, the plan premiums still increased. Service provider testimony commented on the gap between what a program costs to administer and the reimbursement to the program for clients served. This gap in reimbursement is putting programs at risk that serve low-income people. Testimony indicated that with the growing population, this problem will only become larger. Service provider testimony recommended a millage to help fund senior services. Service provider testimony commented on the increase in chronic illness and dementia in the patients being seen. Testimony suggested that more emphasis be placed on prevention and chronic disease management. RESPITE Service provider testimony stated that because people are living longer with more chronic conditions, greater burdens are being put on caregivers. Testimony suggested more money was needed for emergency respite. ADVOCACY Older adult testimony stated that seniors should be able to keep both Social Security checks as opposed to the current system. Testimony indicated how difficult it has become to live off of Social Security earnings as they are distributed currently. Service provider testimony suggested sharing with township boards as well as county commissioners the benefits of having older adults in their communities. Testimony further suggested using a consistent and coordinated communication plan so that people are hearing the same message from different sources repeatedly. DISABILITIES Service provider testimony stated that the blind and physically disabled population is a growing part of the community population, and can sometimes be an isolated constituency. Older adult testimony stated that hearing loss is the third most important health problem for the elderly and over 30% experience some hearing loss. Testimony indicated that hearing loss tends to be ignored both by doctors and seniors, who accept declining hearing as a normal part of old age. Testimony continued that although hearing aids can provide substantial help, they are expensive and covered by only a few insurance plans. Older adult expressed concern that not many doctors tell patients about the hundreds of other products that can either supplement or replace hearing aids in helping to mitigate the social and psychological problems resulting from hearing loss. 14 Area A Agency on /AN Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan Written testimony indicated that while hearing loss is the third most prevalent health problem for the elderly, with over 30% experiencing some loss, it tends to be ignored both by medical practitioners and by those suffering hearing loss. The advice commonly given to persons suffering from hearing loss is to get a hearing aid. However, while hearing aids can provide substantial help, they are expensive and covered by only a few insurance plans. UNMET NEEDS Service provider testimony stated the need for in-home counseling services. Older adult testimony indicated the growing problem of the lack of dental care and oral health care among the elderly. Medicare does not cover the benefit. Many people who are homebound or live in nursing homes may not be receiving adequate care. WAYNE COUNTY COMMUNITY FORUM On March 2, 2009, a Joint Community Forum on the Needs of Older Adults was held in Wayne County, Michigan, at The Summit on the Park. Forty-eight individuals attended the forum, including nine older adults and 39 agency representatives or other interested parties. TESTIMONY SUMMARY SENIOR CENTERS Older adult testimony inquired if there were any plans to restore cuts to senior center staffing. Testimony indicated the need and value of senior centers in the community. Service provider testimony stated the importance of senior centers to ethnic populations, including the value of the centers to the Chinese elderly who receive many services through the centers including financial literacy, learning English, and accessing services. Service provider testimony indicated that senior centers are focal points for evidence-based programs and other wellness initiatives. Testimony suggested that AAAs advocate for the re- instatement of senior center line items in state budget. Older adult testimony addressed the success of programs for the Chinese elderly at regional senior centers and asked for more resources for a bigger meeting space and more resources to teach older Chinese about disease prevention and long term care. TRANSPORTATION Service provider testimony indicated more funding was needed for community-based transportation. Service provided testimony stated the need for additional transportation resources and suggested a transportation cooperative to help the current patchwork system. 15 Area A Agency on Ana Aging 1-B FY 2010-A2 Multl-Year Plan FY 2010 Annual Implementation Plan LONG TERM CARE Service provider testimony encouraged the expansion of PACE in the region (currently, the program only operates in Detroit). Service provider testimony acknowledged the AAAs as a great resource to the aging network, in terms of working toward long-term care systems change, wellness, home and community based care, nutrition, and caregiver support. Testimony suggested the need for leadership by the AAAs in changing the orientation of the aging discussion: portraying aging as an asset to communities, instead of a liability; and portraying the elderly as a contributor to the economy, rather than just a consumer of resources. Written testimony by an older adult stated that with the downward turn of the economy, a single-payer health care system was the only way to go. It would eliminate multiple billing systems; everyone should be covered. Doctors should determine care, not the insurance cornpanies. Written service provider testimony stated that more funding is needed for services to keep seniors in their homes, such as home injury control to prevent falls. Home injury control keeps older adults from falling and out of hospitals, which is cheaper for the government in the long run. Also, more money is needed for other Older American Act programs. A possible countywide or statewide senior millage should be considered to help pay for senior programs. CAREGIVING Service provider testimony indicated the need for increased services for caregiving and respite. Testimony suggested that more emphasis was needed on direct caregiver support such as education, respite and support groups. ADVOCACY Service provider testimony suggested the need for a regional collaboration or coalition to develop policies, including changing the eligibility for Medicaid, passing laws to prevent elder abuse, and working toward a senior millage for those counties in the represented regions that currently do not support a millage. Service provider testimony indicated that a millage is long overdue, and that Southeast Michigan needs to look at moving toward a miliage even in difficult financial times. SUMMARY OF PUBLIC HEARINGS TESTIMONY Comments from the community as part of the public hearing process were provided at three different hearings: Monroe Center for Healthy Aging, Monroe; Area Agency on Aging 1-B, Southfield; and The Council on Aging, Inc., serving St. Clair County, Port Huron. The following is a summary of the comments provided at the Area Agency on Aging 1-B (AAA 1-B) 2009 public hearings on the proposed FY 2010-2012 Multi-Year Plan: 16 AreA Agea ney on /AN Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan ADVOCACY Service provider stated that while mental health parity for Medicare beneficiaries is planned to be implemented in 2010, it has not yet been funded. Service provider further stated that advocacy is needed to ensure the service is funded. COMMUNICATION Concerned citizen expressed the importance of communicating information and events to seniors, and the need to find more creative ways to communicate now that the newspapers, in their traditional, format are ending. FUNDING Service provider referenced the many county "blueprints for aging" and stated that funding from the AAA 1-B should allow more flexibility to address county-specific needs. Service provider would like to see objectives and outcomes from the county plans incorporated into future AAA 1-B Annual Implementation Plans. Service provider suggested the AAA 1-B contracting with agencies that already have resource advocates in place to conduct client assessments in order to eliminate duplication in service in counties where assessments are done by more than one agency. Service provider suggested that if funding cuts need to be made that basic needs to keep people in their homes are prioritized. HEALTH AND WELLNESS Service provider expressed concern that in-home counseling remains a gap in service since the AAA 1-B ceased funding the service. Many older adults don't qualify for in-home counseling under Medicare because they don't meet the definition for home-bound, or are between the ages of 55-65. Service provider suggested implementing evidence-based health promotion programs more uniformly across the region and integrating them into the community (i.e. not just holding the programs at the senior center). Service provider further suggested tracking and measuring outcomes. CHANGES TO PROPOSED 2010-2012 MYP BASED ON PUBLIC HEARINGS TESTIMONY As a result of the comments received at the public hearings, the following changes were made to the proposed 2010-2012 MYP: Ill. Statement of Need D. The AAA 1-8 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 17 tiA Area A Agency on IAN Aging 141 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan advocacy on behalf of older persons in order to accomplish these outcomes. The AAA 1-B recognizes the county planning efforts in the forms of "blueprints for aging" and "senior needs assessments" as imperative to accomplishing the above outcomes. V. Program Development A. Objectives State Goal #1: Work to improve the health and nutrition of older adults. Objective: Identify Desired Outcome: Older Activities: Survey current evidence-based health adults will have access to programs and locations; promotion programs in evidence-based health work with housing service Region 1-B, and explore promotion programs. coordinators to establish opportunities to target programs in subsidized underserved populations, congregate housing. COMMUNITY FORUM WRITTEN TESTIMONIES From: Alice Andrews S.D.C., Director of the Hartland Senior Center To: Area Agency on Aging 1-B Date: March 4, 2009 Michigan senior centers are an important link in the long-term care continuum. Senior centers are vital to the health, well-being and independence of today and tomorrow's older adults. This is a time when we should be building and strengthening our senior centers. Social isolation, inactivity and lack of mental stimulation inevitably lead to both physical and mental decline and increasing dependence. Senior centers are uniquely positioned in the community to provide services and programs that lead to a healthy and independent aging. Senior centers across the state provide vital programs and services to their communities including but not limited to those offered by the Hartland Senior Center: • Physical activities including aerobics, resistance exercise, chair fitness, yoga, well- equipped fitness room, dance and competitive sports • Health and vocational education classes • Volunteer opportunities that can include friendly visiting, telephone reassurance, clerical, instructor opportunities, and many different jobs within the center • Caregiver support groups, outreach and Resource Advocacy programs, information and assistance, tax assistance, Medicare and Medicaid counseling • Recreational programs that include many opportunities for fun and friendship • Door-to-door transportation for medical appointments, grocery trips and other errands These programs are designed to achieve our mission to promote healthy, happy and independent aging. I feel it is essential that state and federal dollars be used to strengthen and expand the vital services of the senior centers throughout the state. 18 Area A Agency on /AN AVing 1-13 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan Several years ago I noticed that many of our members who regained their health and strength from cardiac and other rehab programs had nowhere to go when these services ended. We applied and were granted money from the Offices of Services to the Aging to purchase fitness equipment for our center that would allow our members to continue their fitness regimen. Ten years later we still have that equipment that is used daily by many of those same cardiac rehab graduates. The state's investment of $10,000 has saved many times that amount in Medicare and Medicaid dollars. Unfortunately those funds for senior center staffing and equipment are gone. The senior centers around the state do much to keep older adults healthy, involved and independent but we could do so much with the financial support from the state of Michigan and our regional area agencies on aging. I urge the AAA 1-B to advocate for additional dollars to help senior centers. It may be a cliché but an ounce of prevention is worth a pound of cure. From . JoAnn Blackford Date: February 24, 2009 Subject: Senior Services To Whom It May Concern: am personally interested in the Macomb County Services for Seniors and I hope my thoughts may apply to other counties as well. I have both parents in their mid 80s at home in Macomb county. My father is the caregiver for my mother all day and every day. At age 81 he started aging exponentially due to the added care of his spouse and complete takeover of household chores, shopping, bills, cooking, etc. They are still in need of respect and want to be completely independent, however I see that this has taken a huge toll on my 85-year-old father's health. For years he was able to get out and walk almost daily with friends at the mall. Now, if he is lucky, he meets with the friends once a week and can no longer walk for the exercise. In the past, I have contacted the Services for Seniors program in Macomb County to help my parents, and I am aware that you presently offer some help to homebound seniors. With your newly added resources in mind. I would like to suggest some things that may help them and others who are still at home and do not have the financial resources to stay independent and healthy. • Provide more help to seniors who are the caregivers to their spouse at home. • Provide subsidized meals for the homebound three times a week as an alternative to the present whole week program. This would give the choice to those who still want to provide for themselves and need some relief from the daily chores. It would not be wasteful, as I watched my deceased aunt who did have meals delivered in Wayne County, needed them daily, but did not always eat all the food. • Provide a daily video exercise program for seniors at home that is broadcast on the local TV station. The range of level should be available with seated exercises as well as those that are done standing. A simple incentive program to get the seniors to participate and the advertising for this program are also essential for success. • Provide subsidi7M snow removal to those who are in need during the winter months. • Provide gas cards for those who may need help financially. 19 Area /A Agency on IA Aging 1-13 PI 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan • Provide an educational pamphlet for doctors and caregivers to promote respectful communication with seniors in the presence of adult children. Seniors should be treated like adults and not children. (I have personally experienced the opposite with my parents, my mother-in-law, and my deceased aunt who are/were all mentally capable.) From: Aaron Simonton, Vice-President, Michigan Association of Senior Centers (MASC) To: Area Agency on Aging 1B Date: March 4, 2009 Historical Health Focuses and the Results Prior to 1900, there was little understanding of the germ theory of medicine and life was, in the words of Robert Butler, "very short and very brutal."1 Public health action to control infectious diseases in the 201h century was based on the 19 th century discovery of microorganisms as the cause of many serious diseases. Disease control resulted from improvements in sanitation and hygiene, the discovery of antibiotics and the introduction of universal childhood vaccination programs. Scientific and technological advance played a major role ill each of these areas and are the foundation of today's disease control and surveillance programs.2 As a result of the focus on infectious disease in the first fifty years of the 20 1h century, the stage was set for the beginning of the demographic revolution. By 1950, the phenomenal increase in the numbers and proportion of the elderly population due to these advances resulted in a refocus of the health care system towards acute care, forcing the federal government to respond in the 1960s with the enactment of the Older Americans Act, Medicare and Medicaid. This, coupled with the advancements and a rising standard of living over the past fifty years, created the momentum for today's longevity revolution. The aging baby boomers will soon add their numbers to the mix with the largest percentage turning 65 within the next ten years. Now that we have facilitated a longer living, healthier, older population which is ever increasing and will double in twenty years, it is evident that we must now shift from this focus on acute care to prevention, chronic illness care, and long term care options. We must keep as many of our older adults independent with the treatments and assistance they need, so we do not become a nation or state burdened with the largest dependent population in history. The Value of Senior Centers to the New Millennium If we are to respond in a meaningful way to the five goals stated in the Administration on Aging Strategic Action Plan for 2007-2012,3 one of the mechanisms for transformation, as a stated resolution in the 2005 White House Conference report "Encourage Redesign of Senior Centers for Broad Appeal and Community Participation", the following must be recognized: Senior Centers have always functioned as centers for healthy aging and serve as the focal point and entry point at the local level, for the access and delivery of community and home based services for awareness, education, outreach, socialization, information, assistance and supportive environment that empowers older adults, their families and caregivers to remain at home for as long as possible, aging in place. 20 AreA Agency on .fAX Agingl-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan Senior Centers offer the opportunities for older people to stay connected, informed and actively engaged in charting their own course in the self management of chronic conditions, long term care, health maintenance and as contributing members of the community through civic engagement and volunteer opportunities. Senior Centers and Nutrition Sites today are strategically positioned in local communities across the state of Michigan and are the preferred gathering place for older adults since the 1950s. Senior Centers have a mission to promote the wellbeing and safeguard the independence of older adults. They offer the platform at the local level to launch the federal, state and regional initiatives for older people in the 21 st Century and provide the opportunities for awareness, education, access and coordination of health and social services for a person-centered, holistic, cost efficient approach that supports quality lifestyles and healthy aging. Resolution for the New Millennium We strongly urge that the regional and state plans expand their identified "important functions" of senior centers beyond "socialization, services, information, advocacy and support" to include that senior centers are a focal point at the local level for the delivery of comprehensive, coordinated health promotion, disease prevention, health maintenance and programs and services for all of the dimensions of wellness. However, today most senior centers struggle just to keep doors open with minimum staffing levels and are not equipped to implement new research or methods needed to respond to the increasing numbers, proportion, and emerging issues of the longevity revolution. Support for research and development funding and methods to gauge outcomes with evidenced-based programs to quantify benefits is vital to the success of senior centers' efforts. This support will also facilitate the "return on investment" funders and government use to determine future planning and funding. In addition, research has subjectively proven that connection to the community using social and recreational programs is vital to the health of older adults. Senior centers are the hotbeds for this focus, but more quantitative research must be advanced and acknowledged as part of disease and dependency prevention. Therefore, the Michigan Association of Senior Centers strongly urge, along with a host of local and statewide grassroots support, the implementation of policy which includes not only the reinstatement of senior staffing funds, but also dedicated funding for their operation. Thank you for this opportunity to advocate for quality lifestyles and healthy aging for all older adults. 1. Butler, Robert N, M.D. The Longevity Revolution, Public Affairs Press. 2008 2. Leclorberg .3, Shope RE, Oaks SC Jr., eds. Microbial threats to health in the United States. Washington DC: National Academy Press, 1992. 3. U. S. Administration on Aging Strategic Action Plan FY2007-2012 4. Michigan Commission on Services to the Aging meeting minutes July 20, 2007 21 Area on /AN Aging 1-B FY 2010-12 Multi-Year Plan FY 20W Annual Implementation Plan BF e ASSN Nair 1423 field Avenue, Detroit, Michigan 48214 (313) 924-7860 Administration www.awbs.org Testimony on behalf of Adult Well-Being Services to the Public Input Forum March 2, 2009 Submitted by Karen Schrock, President & CEO Adult Well-Being Services To the staff and board members of the three Area Agencies on Aging that are sponsoring this hearing, thank you for the opportunity to testify on older adult needs, supports and services. We hope this is just the first of many collaborative efforts among Southeast Michigan's Area Agencies on Aging. As is often said, there is more that unites us than divides us. By planning and coordinating together, new programs and approaches can be developed to more effectively meet the growing needs of an increasingly aging population. At a time when economic forecasts are gloomy and state budgets are strained, it makes sense to combine our resources, particularly for advocacy. By joining together, we will be more successful advocates for needed system-wide changes to guarantee the rights of and improve access to care for those we serve. Adult Well Being Services (AWBS) speaks on behalf of more than 7,500 older adults, seniors with mental illness, adults with developmental disabilities, grandparents raising grandchildren, and their families throughout Southeast Michigan who utilize Area Agency on Aging-funded caregiver support, respite, health promotion and community based services. Our caregiver support program is thriving and growing. It is headed by a professional social worker who provides monthly support groups, individual counseling, referral, advocacy, and education. We provide respite services for grandparents caring for their grandchildren. And, we work collaboratively with other organizations to hold four annual caregiving conferences, We currently implement evidence based programs for chronic disease prevention and health promotion. One program is targeted at preventing diabetes and the other is a federally-funded HIWAIDS prevention and education program for older, heterosexual women of color. Other evidence-based services we provide include an Assertive Community Treatment program for adults with severe mental illness and the use of motivational interviewing among consumers with co-occurring substance abuse and mental health disorders. We also operate a successful transportation program throughout Wayne County to serve consumers and their families. Through these programs, AWBS sees first-hand the increased need for each of these services. At a time when our aging population is projected to double within the next ten years, clearly the time is now to address the need for more funding and policies to support older adults and their 1 Helping people live a5 Mciepentiently as possible since 1953 22 Area A Agency an /AN Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan e*13S4 #*'t Nair 1423 Field Avenue, Detroit, Mkhigan 48214 (313) 924-7860 Administration www.awbs.org families. Based on 56 years of experience of providing comprehensive services lo older adults and adults with developmental disabilities, we offer the following recommendations. Our first recommendation for increased funding is for caregiver support and respite. Caregiving is quickly becoming one of the most critical issues we face. Caregivers tell us they feel isolated and overwhelmed. They lack support, training, information and even a sympathetic ear. Many caregivers feel invisible in the hospital and abandoned at home. Sustaining our family caregivers and their ability to provide care at home or in the community is crucial to our health and long term care system. By providing help and respite to help family and informal caregivers with their mental and physical health issues including depression and exhaustion, we will end up paying far less for these services than for higher costs of institutionalization and nursing homes. Aging services funders are increasingly emphasizing the need to conduct caregiver assessment using tools such as T-Care to better identify services gaps and guide allocation of resources. However, caregiver assessment is not enough. To achieve real outcomes of success in meeting the growing population of caregivers needs, ensuring their health and reducing costs of hospitalization and - institutionalization, we must increase funding for direct caregiver support services - support groups, education and respite. Regarding health promotion, another consequence of an aging population is the increase in the number of older adults with chronic disease. Demand for chronic disease prevention and education programs is growing. We know from our own experience that these programs work. That is why last year we added five new sites where we provide these services. At a time when fiscal resources are strained, it simply makes sense to fully fund these programs which saves millions of dollars in health care costs. Therefore, our second recommendation is for more funding for health promotion programs. Our third recommendation is for more funding for community-based bonsportation programs. This is desperately needed. We have a community organizer on staff Who is working with a group of 100 seniors on the east side of Detroit. These seniors have identified transportation and the lack of access to fresh and healthy foods as their highest priorities for advocacy. Public transportation for older adults and adults with developmental disabilities who need to • get to their medical appointments, do their grocery shopping and enjoy opportunities for socialization, is unreliable and underfunded. Being able to age in place will require better aiternative transportation services to ensure that we can stay heatthy, active and live longer. Our fourth recommendation is for the Area Agencies on Aging to dedicate a fund to meet emergency needs of older adults and their families. Persons identified as being in poverty or even at 125% to 150% of federal poverty guidelines are at risk of having inadequate housing, food, health care and transportation, especially in areas with insufficient public transisortation. Helping people live cis- independently as possible since 1953 23 Area /A41SA ilegaericy on /‘ Aging 113 FY 2010-12 Multi-Year Plan FY 2010 Annual implementation Plan WEIS% kale' 1423 Field Avenue, Detroit, Michigan 48214 (313) 924-7860 Administration www.awbs.org For older adults, nearly 20% of Detroit adults over age 65 and 11.3% of Wayne County's older adults live in poverty_ During this economic recession. demand for emergency assistance is up 25% according to area food banks, homeless shelters and our own in-house statistics. The economic loreeast is for a prolonged downturn, with the worst yet to come. Clearly, a coordinated response to this economic crisis is warranted. We recommend that the three Southeast Michigan Area Agencies on Aging join forces and work together to advocate among policy makers, foundations and corporations for financial assistance to create an emergency needs fund. This fund would provide emergency assistance grants for our most vulnerable, frail and impoverished older adults who live in the seven counties represented by Detroit Area Agency on Aging, The Senior Alliance and Area Agency on Aging 1-B. Finally, we want to re-affirm our hope that today's collaboration between Detroit Area Agency on Aging. The Senior Alliance and Area Agency on Aging 1-B results in the formation of a coalition to achieve concrete policy and advocacy goals. We urge the leaders of the three Area Agencies on Aging to form a regional coalition that includes service providers, consumers and their families_ This coalition would advocate for increased funding and improved policies including: 1) changed eligibility rules for Medicaid to enable more caregivers to access publicly funded services and support programs: 2) incentives to caregivers such as tax reimbursements and tax deductions to enable families to afford more community based services that they need; 3) state and federal laws aimed at preventing eider abuse; and. 4) an overdue senior millage to obtain more reliable, long-term sources of funding for older adult services and programs. More than ever, with the downturn in the economy, and rapidly rising food, fuel and health care costs, America's vulnerable seniors are facing difficult times. Federal, state and local budgets are unable to fund adequate food, transportation. and supportive services for seniors in greatest need. Together, we can and should develop and gain support for a regional senior millage to ensure that our region's growing population of older adults are able to preserve their health and independence.. AS the number of older adults rises in Michigan with the aging of baby boomers, we need to redouble our efforts to target funds and policies to serve both the current older population and future older generations. We look forward to working with you to find ways to Invest more to prepare for our aging region. Thank you. Helping people live independently as possible since 1953 24 Area A Agency on /AX Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan DEAF & !FEARING IMPAIRED SERVICES, INC Febraaly 9, l:f09 Area Agency on Aging 1-B Attn: Amy Smyth 29100 Northwestern Hwy. Suite 400 Southfield, MI 48434 Re: Public Hearing Deaf & Hearing Impaired Services, Inc, would like to thank the Area Agency on Aging 1-13, Detroit Area Agency on Aging and The Senior Alliance fa: the opportunity to provide written testimony to the specific issue of needs for Deaf and hard of hearing 0;dT adults, of Michigan with a specific focus an Aging in Plate for this special poptilation. The Deaf have a separate language and culture with the need lin assis:ive devices and auxLiary aides. There is an increase in need for Sign Language interpreting services :n the medical setting. Home Health Care services for Deaf older adults aging in place age are crucial...yet most Home Health refuse to provide a sign language interpreter. Beth the Federal law of the i‘mericans With Disabilities Act as ivell as House 13111 4208 clearly mandate that ?obit.: services must provide sign language interpreters. It is not uncommon for Deaf patients being discharged from a local hospital being refused admittance to a local Rehabilitation facility beca USe they are Deaf and require all Interpreter. It continues to be a challenge in the medical setting for some physicians and hospitals to became aware of their responsibility under he Federal and now Slice laws to provide such interpreting set -vices. In such cases, advocacy is critical. This is especially important in the mental health medical setting_ Deaf & !fearing Impaired SerViCe8, Inc. continues to provide Interpreting servlces far Deaf older adults and the necessary advocacy for them to have equal access to Mformanon. Tlic most cffective means of communication for the Deaf in the case management settnig is a face-to-fate contact with theiilemreter present. Indeed, the preferred and most effective communication for the Deaf is through the use of American Sign Language. The language of the Deaf is a visual language and is clearly nut a written language. Additionally, the Deaf have their own separate arid unique culatre. Interpreters for the Deaf are trained bilingually and biculturally_ Therefore, to effectively and efficiently meet the communicating language of the Deaf, even more crucial in the medical setting, it is imperative that interpreting services be provided througit the use of a qualified/certified interpreter. It is ar our DH1S satellite sites in southeast Michigan that the Deaf come for individual client assistance b'. our interpretingi."sosial work staff. Medical, Legal, and Social Services are coordinated with Deaf & Dearing Impaired Services, Inc. and other cenununity based service providers. Often transportation has to hc arranged and TTY relay as well, 25 A41aAgeancy on /, Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan Public Hearing : FY 2010-2012 - Deaf & Hearing impaired Services, Inc. Hearing loss is the most isolating gall the disabiLties. indeed, hearing loss separates `man from man'. There are approximately 90,000 Deaf acid over 500,000 hard of hearing in Michigan. Over 51% of that number reside in southeast Michigan, Indeed, Michigan is 7 th in Deaf population of the 50 States and Lla th in Interpreters of the 50 States. It is extremely important that the Deaf and the Deaf-Blind have social and recreational opportunities whereby they may meet with those of like disabilities and with the same language and culture 50 that they do not isolate at home. Isolation creates another large set of problems for the Deaf and the Deaf-Blind, Group Programs arc essential for the Deaf older adult. It is through Group Programming that the Deaf learn about the aging process and how to care for their health. Literature is not sufficient for the Deaf to obtain information, The Deaf need Group Programs with an interpreter/Program Coordinator who will establish the Programs and provide the necessary interpreting for the 'Speaker'. The Group Programs that are an integral part of the 18 satel:ite sites of Deaf & Hearing impaired Services. Inc. are critical in preventing the Deaf from isolating in their homes. Interesting Programs, hot nutrition, informational sessions, speaker series, and the critical social work that is done at the DIES satellite sites bring the Deaf into the Group Setting. Health and Wellness Continued: Hearing Screenings to identify persons with hearing loss are critical for the hard of hearing. Hearing Screenings provide opportunity for the older adult identify his/her hearing loss, obtain hearing appliances so that they can access the medical setting through comnamication by phone, as well as Support Groups to meet with others like themselves and to share and receive information concerning hearing aid appliances, coping strategies, activities, as well as assistive listening and signaling equipment etc. It is critical to provide education on hearing aid scams., BuyerBeware. Free hearing tests need to be provided by our agency as we do not sell hearing aids, There is no conflict of interest Deaf & Hearing Impaired Services, Inc. supports the Medicaid Waiver Program for Michigan's older adults Statistics have revealed how critical the program is in preventing premature nursing home placement, Interpreting Services arc provided by Deaf & Hearing Impaired Services, Inc. in PSA 1-A, Region 1-B and PSA 1-C as part of the Medicaid Waiver program. The Interpreting Services are that most needed linkage for clear understanding for the Deaf patient and the Deaf family. a Aging 1-B, Detroit Area Agency on _Agine _and The S_en,mAl anee to9_ntiILLuzzaataajumnagjor_face-to-face services for the Deaf and hard of hearing_older adult pootilations..11 ccs that are provided by qualified/certified interpreters/program coordinators. It Is crucial that Deaf elders ",lee In race" in their 014Ph h _times Serviren find nrecLe available to them so that they are not labeled' and awed inAdult_Foster_Core_Homes inJ...ng Term Care Facilities, prematurely. PresentIV. there are limited sonaartive NPruirow >hal +h..'" J. rifht to remain in their own home. Because they are 'Dear and rogrnarmirnio in mori,--nm Language should nor be a reas-on to lvve them labeled 'ineornnotenr and mural, than, fr... thaw nu,. home. The Deaf older Adult Population needs ectuataceecs in rervirev. nail accittn,, dm( would provide opportunity for them to 'Are in Plate'. Deaf & Healing impaired 26 Area l Agency on LA Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan Public Hearina: FY 2010-2012 (Deaf & lIcarina Impaired Stn. ices, Inc.) The Deaf older adult population at large, due to its economic status have often gone without services due to the language barrier aped disabling condition that exists. Indeed, the Deaf older adult is roost often economically and socially deprived. The Deaf older adult population is a 'targeted population for need of sers ices, It is important to note that the Dear older adult has a tremendous tendency, dire to the hearing loss, to isolate. it is imperntive for their healthy mental brictiorling to have socialization opportunities that stimulate language usage. By providing the socialization opportunities and the 111/ cost indiv idual intcrprctinWcase coordination/interpreting services for the Deaf- service providers are able to decrease dependency on entitlement programs, provide a barrier to poverty, a deterrent to mental deterioration vihich - in turn- reduces dependence on society but encourages independence and dignity. A focused goal of this multi yenr contract proposal is to establish Deaf Senior Housing in southeast Michigan. Presently there are t a such senior retirement commanities in the Nation. A survey was conducted of the Deaf population us well as a focus group- From the evaluated data it was learned that building the Deaf senior housing along the 175 corridor in Oakland County was the preferred site. As part of the Deaf Senior Housing Commission, Deal& Hearing Impaired Serf ices, Inc. is committed to establishing the much needed Deaf senior retirettinni community working continually with other participants on the Commission for Deaf senior housing. Deaf senior housing will provide opportunity for ongoing socialization for the Deaf in their native language of American Sign Language and as a result be a deterrent from the isolation that often is experienced by this silent population. It is from the experience of DUBS with the Deaf and hard of hearing populations that we encourage The Area Agercy oil Aging 1-B to inzlinie services ;c this silent targeted population when decisions arc made about funding for critical services for the disahled older aditir. Sincerely, Linda M, Booth, President Deaf & Hearing impaired Services, Inc 25882 Orchard Lake Rd., Suite 100 Farmington hutS, MI 48336 248-473-188$ 27 A on reitAgeAginga ncY 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan C. Evaluation of Unmet Needs The Area Agency on Aging 1-B (AAA 1-B) uses a variety of methods to identify unmet needs among older persons residing in the planning and service area. Methods include: programmatic feedback from contractors and vendors; the commission of focus groups with various age and income cohorts; the conduct of Community Forums on the Needs of Older Adults; analysis of relevant secondary data and needs studies; reports from the AAA 1-B Information and Assistance program; 2000 Census data; and recommendations from Ad Hoc Issue Study Committees of the AAA 1-B Advisory Council. Furthermore, in March, 2008, the AAA 1-B commissioned three focus groups to prove concerns, interest in Home and Community Based Services, and the value placed in Information & Assistance services. Results of these focus groups were shared with the AAAs statewide at a recent OSA Directors meeting. Comments provided at two February 2009 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 or those 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. A third Community Forum was held in Canton, Michigan, and included all three Southeast Michigan Area Agencies on Aging: Detroit Area Agency on Aging, the Senior Alliance, and Area Agency on Aging 1-B. Comments by participants re-iterated in many ways those comments of the previous forums, but also included emphasis on the need for greater collaboration among Southeast Michigan Area Agencies on Aging, and throughout the aging network. According to US Census and Southeast Michigan Council of Government projections, by 2010 the Region 1-B age 60 and older population will reach 565,162 individuals, and equal 29.86% of Michigan's older adult population. In addition, Region 1-B is home to an increasingly vulnerable population. Region 1-B has more low-income elders than any other region in the state: 51,599 with an income below 150% of the federal poverty level. Twenty-eight Region 1-B communities saw their age 80+ population increase by more than 100%, 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. 28 tNr‘ea Agency o i n fahlk AgiAg 1-13 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan FUNDING PRIORITY 1. Access Services • Information & Assistance • Care Management • Resource Advocacy • 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 Respite • Grandparents Raising Grandchildren 4. Special Population Services • Hearing Services • Vision Services 5. Community Services • Congregate Meals • Elder Abuse Prevention • Legal Services • Long Term Care Ombudsman Plannina. Advocacy. Policy and Resource Development Priority: • Community-based health and long term care services • Nursing home diversion • Strengthening senior centers' ability to offer wellness and prevention programs • Public/alternative transportation and mobility services • Decent and affordable housing alternatives • Employment and income maintenance services • Comprehensive need assessment and data collection Prodram Development Priority: • Evidence based programs 29 AANrea A Agency on /Aging 113 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan a Accreditation • Health promotion and prevention services and education • Affordable health insurance for the uninsured • Dental services • Housing for culturally Deaf • Specialized supportive housing for frail and mentally ill older adults • Money management/bill paying assistance • 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 mortgage or property tax foreclosure 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 and lack of transportation that is needed to help older people access available programs. 1. There is a continued need for the AAA 1-B's current funding priorities, with evidence that the demand for these services exceeds the supply that can be provided with existing resources. 2. The services provided to older persons in the areas of health, housing, transportation, and income benefits have a need for expansion and modification by other systems in order to make them more sensitive and responsive to the needs of older persons. 3. Greater assistance is needed for family caregivers to assist in sustaining their caregiving responsibilities, and linking them with needed resources. 4. 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. 5. There are a number of unique but serious problems that affect small subsets of the of the older adult population, which appear to be growing and which warrant further attention, study, and program development. D. 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 30 Area A A Agency on WN, Aging 1-13 Pe 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan order to accomplish these outcomes. The AAA 1-B recognizes the county planning efforts in the forms of "blueprints for aging' and "senior needs assessments" as imperative to accomplishing the above 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 61 of 83 Michigan counties. However, only two Region 1-B counties, Monroe and St. Clair, have senior rnillages (which raise over $3 million each), and several municipalities have local millages that either are dedicated to older adult services (Bloomfield Hills, Madison Heights, Milford, Oakland Township, Rochester, and Rochester Hills) or are partially dedicated in combination with other uses, such as recreation (Saline). In the other four non-rnillage 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 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. In addition, the AAA 1-B will work to implement recommendations of its revenue enhancement study, UntaDoed.Sources.of.Revenue_to.Supoort Services to Older Adults, the interim report of the AAA 1-B Ad Hoc Study Committee on Revenue Sources for Aging Services. The recommendations identify opportunities to raise funding for senior wellness/prevention programs, as well as in-home services through strategies that have been proven effective in other states, including specialty license plates and an income tax refund check-off. 31 Area Ageney on fAX Aging 143 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan IV. SERVICE DELIVERY PLAN A. Targeting SERVICE DELIVERY PLAN FOR TARGETING Fiscal Years: 2010-2012 1 BASELINE DATA African Native Asian/ , Hispanic Low- Low- Source: Year-end report for FY '08 American American Pacific income income Indicate the number served by group /Native Islander Minority and the percentage of that group's 60+ Alaskan population that the number represents. Number Served 449 17 121 21 144 900 Supportive Services ' Percentage 11.81% .45% 3.18% .55% 3.79% 2 ..:°A__ Number Served 506 34 251 54 105 1993 Congregate Nutrition : 4 Percentage 3.14% .21% 1.56% ,33% .65% 12,39%,_ Home Delivered Number Served 954 11 35 36 144 1561 . Meals Percentage 8,5% .09% .31% .32% 1.28% I 13.91% During FY 2010-2012 Region 1-B contractors and the AAA 1-B staff will successfully increase serving levels to a broad spectrum of racially diverse, culturally ethnic, and low-income older adults and persons with disabilities. 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 reach out to various racial/ethnic and low-income older adults. Actions: 1. Monitor contractor targeting plans each quarter and during the 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 annual contractor User Group meetings. Allow time at each meeting to review the progress in achieving regional targeting objectives as described in this plan. 3. Provide programmatic technical assistance and support to contractors experiencing difficulty in achieving 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. 32 Area A Ageiley on ia Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan 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 aging network officials to identify key community focal points to promote aging network services no later than September 30, 2010. 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, 2010. 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, 2010. 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 this objective 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, 2010. 2. Promote the availability of language services and website resources to aging network providers no later than September 30, 2010. This shall include congregate housing providers who often work with immigrant and refugee limited-English speaking populations. 3. Conduct a baseline study of the AM 1-B Direct Service Purchase vendors to determine the availability and use of bilingual home care workers at Region 1-B home care agencies no later than September 30, 2011. Objective #4: Identify cultural diversity and competence training opportunities for the 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 the annual programmatic assessment. 33 Conduct four trainings for care management staff on new technology, care management practice guidelines, person centered thinking and self directed care. Goal Explore alternative assessment tools and protocols to better meet the needs of persons seeking professional assistance with in home care. September 30, 2010 Build on and reinforce person centered principles in alt aspects of care management. Participate in the Nursing Home Diversion Grant, Phase 2, the Veterans Directed Home and Community Based Services Program Completion Date September 30, 2010 September 30, 2010 September 30, 2010 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan B. Access Services Care Management Date: 2010 Ending Date: 2010 Total of Federal Dollars: $97,771 Total of State Dollars: $1,310,206 Geographic Area to be Served: Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw Expected Outcome Care managers will keep their knowledge and skill levels current related to the use of technology, enhance their competence, and implement person centeredness as they support participants in serf directed care. Revised protocols for meeting the participant at the point of service need, using comprehensive assessment tools only when indicated. Program participants will be empowered and supported as they self direct their care. Expand the Independent Living Consultation (Phase 1) to Washtenaw and St. Clair counties; Develop a working relationship with the Ann Arbor and Detroit Veterans Health systems; Participate in workgroups to develop policies and procedures for implementation. Veterans will have more control over and responsibility for the care they receive in the community. Number of Client Pre-screenings 2009: 313* Number of Initial Client Assessments 2009: 264 Total Number of Clients (carry over plus new) 2009: 1197** Staff to Client Ratio (Active and maintenance per full-time care manager) 2009: 50 As of March 1, 2009 **This number includes 19 Nursing Home Diversion Participants Match: Source of Funds: County (Livingston, Macomb, Monroe, Oakland, St Clair, Washtenaw) United Way, Eldercare, Program Income, Family Caring Network Cash Value: $107,955 In-kind: $256,039 Other Resources: Source of Funds: Nursing Home Diversion grant, Information & Referral, Caregivers, Medicaid Waived-1111B, State In-Home Respite Tobacco (DSP/LTC) Cash Value: $14,609,238 I ( $2,346,151) In-kind: $300,000 Planned 2010: 450 Planned 2010: 325 Planned 2010: 1300 Planned 2010: 50 34 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan El Case Coordination and Support Starting Date: 2010 Ending Date: 2012 Total of Federal Dollars: $0.00 Total of State Dollars: $0.00 Geographic Area to be Served: Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw Goal Conduct four trainings for care management staff on new technology, practice guidelines, person centered thinking and self directed care. Explore alternative assessment tools and September 30, 2010 protocols to better meet the needs of persons seeking professional assistance with in-home care. Build on and reinforce person centered principles September 30, 2010 in all aspects of care management. Expected Outcome Care managers will keep their knowledge and skill levels current related to the use of technology, enhance their competence and implement person centeredness as they support participants in self directed care. Revised protocols for meeting the participant at the point of service need, using comprehensive assessment tools only when indicated. Program participants will be empowered and supported as they self direct their care. Completion Date September 30, 2010 LN Information and Assistance Starting Date: October 1, 2009 Ending Date: September 30, 2010 Total of Federal Dollars: $193,320 Total of State Dollars: $0.00 Geographic Area to be Served: Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw The Area Agency on Aging 1-B's Resource Center will continue to serve as the primary source for older adults, adults with disabilities, family caregivers, service providers and other parties to obtain information on and access to a full range of long term care and other home and community based service options across the six county service area of the AAA 1-B. In addition to linking callers to services, the Resource Center staff will screen and complete intakes for several agency funded programs including the MI Choice Home and Community Based Waiver Program, the home delivered meal program and Community Care Management. The Resource Center is also committed to maintaining a comprehensive, up-to-date listing of services across the six county region served by the AAA 1-B, including adding new resources when available in areas of high need such as transportation, chronic disease and low income housing. In FY 2008, the Resource Center received over 50,000 calls from community callers looking for information and assistance. Year to date, in 2009, the call volume is higher than the same time last year. With the economic downturn 35 Expected Outcome Improved access by older adults to mobility related services including ways to maintain current mobility and linking to other options. September 30, 2010 I Provide 24/7 access to information for working caregivers, long I distance caregivers and others. Completion Date September 30, 2010 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan Michigan is currently facing, combined with the growing senior population it is anticipated the call volume for 2010 through to 2012 will increase each year of the upcoming three year funding cycle. Goal Resource Center staff to provide telephone counseling to promote safe mobility decision- making and education on available mobility resources. Provide online access to the AAA 1-B Information and Assistance database. Outreach Starting Date: October 1, 2009 Ending Date: September 30, 2010 Total of Federal Dollars: $579,953 Total of State Dollars: $0.00 Geographic Area to be Served: Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw With the older adult population living longer, many with chronic disease, the need for continued education and outreach to family caregivers, older adults and adults with disabilities is a priority for outreach at the AAA 1-B. Through a comprehensive marketing plan, including a high focus on obtaining earned media coverage on the AAA 1-B programs, holding of three caregiver expos (Oakland/Macomb, St. Clair and Monroe counties) enhancements of the AAA 1-B website, development and distribution of two quarterly publications (ACCESS and Michigan Generations), participation at over 50 local senior events and other activities, the AAA 1-B will continue to reach out and increase the awareness of the agency and the various home and community based services available to help older adults and adults with disabilities to remain living in their chosen place of residence. With a sustained focus on increasing awareness of the services available through the AAA 1-B, it is anticipated to continue to experience an increase in call volume through the Information and Assistance Resource Center. This is the primary method used to measure the effectiveness of community outreach, in addition to attendance at caregiver fairs and growth in the ACCESS and Michigan Generations distribution. The other program at the AAA 1-B focused on education and outreach is the Medicare Medicaid Assistance Program (MMAP)_ In 2008, the MMAP program reached 25,852 Medicare beneficiaries residing in Region 1-B and saved beneficiaries $2,275,725. Initial outcomes for FY 2009 indicate a higher outreach number for the MMAP program, 36 Area Agency on r NAging 1-13 Completion Date Goal To brand the AAA 1-B as a trusted resource for older adults, adults with disabilities and family caregivers. September 30, 2012 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan primarily due to changes in Medicare Part D plans and the elimination of employee funded retiree health coverage for several companies including GM and Livingston County. With the changing face of retiree health coverage, it is anticipated that the need for local, unbiased Medicare assistance will continue to grow between 2010 and 2012. Over the next three years, the MMAP program will strive to meet the contract requirements established by MMAP, Inc. Expected Outcome To enhance the credibility and awareness of the agency and increase the total number of calls for information and assistance. C. Direct Service Waiver Request Mark the boxes that you are requesting Direct Service Waivers for: In-Home Services: Chore Home Care Assistance Home Injury Control Homemaking Home Health Aide Medication Management Personal Care Personal Emergency Response System (PERS) Respite Care Friendly reassurance Community Services: El Adult Day Service E Dementia Adult Day Care El Disease Prevention/Health Promotion El Health Screening El Assistance to Hearing Impaired and Deaf 37 Area Agency on Aging 1-B Goal Completion Date Expected Outcome FY 2010-12 Multi-Year Plan FY 2010 Annual implementation Plan Home Repair Legal Assistance Long Term Care Ombudsman Senior Center Operations Senior Center Staffing Vision Services Prevention of Elder Abuse, Neglect, and Exploitation Counseling Services Specialized Respite Care Caregiver Supplemental Services Kinship Support Services Caregiver Education, Support and Training Starting Date: October 1, 2009 Ending Date: September 30, 2010 Total Federal Dollars to be Used: $0.00 Total State Dollars to be Used: $0.00 Geographical area to be served: Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw The AAA 1-B is committed to reaching out to caregivers of older adults and adults with disabilities to increase their awareness and utilization of available resources and services to reduce their caregiving burden and help improve the quality of life of the care recipient. With the increased number of careg N.fers using the internet to access information, the AAA 1-B will place a strong emphasis on continually improving and changing the AAA 1-B website to meet the needs of caregivers over the next three years, including a review and potential implementation of social networking to reach this audience. Additionally, the AAA 1-B will continue to host the Solutions for Family Caregiver Expo, St. Clair County Caregiver Fair and both financially support and provide assistance to the Monroe County Caregiver Fair held by the Monroe County Aging Consortium. Under the new training program at the AAA 1-B, a series of community trainings for caregivers of older adults and adults with disabilities will be developed and implemented. September 30, 2010 Continue to develop in-house expertise on caregiver stress to provide ongoing, high quality information and training to caregivers aimed at helping them better manage stress related to caregiving. Caregivers will increase their knowledge of and ability to manage stress related to caregiving, thus reducing their potential risk of abusing, neglecting, or exploiting the persons for whom they provide care. 38 Area Agency on FAIXAging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual implementation Plan Nutrition Services: Congregate Meals Home Delivered Meals fl Nutrition Counseling El Nutrition Education 39 Activities Objective Completion Date Desired Outcome • Work wAh the Association of Chinese Americans, Kosher Meals on Wheels and the Russian community to assess unmet needs and analyze cost requirements for expansion of ethnic meal options (in Oakland and Washtenaw counties). • Work with Michigan Office of Services to the Aging to revise nutrition standards as needed. • Utilize economic stimulus funds to increase culturally diverse meal options. • Explore new opportunities for meal delivery partners. • Research national best practices. • Recruit leaders who wish to become trained. • Conduct the leader training in St. Clair County. • Analyze demand for additional training. September 30, 2010 September 30, 2010 September 30, 2010 Area A Ageney on AN Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan V. PROGRAM DEVELOPMENT A. Objectives State Goal '1: Work to improve the health and nutrition of older adults Identify at least one opportunity for collaboration between culturally diverse meal providers to better meet the nutritional demands and tastes of ethnic populations. Explore alternative meal delivery methods. Provide at least one leader training for the evidence-based chronic disease self management program (PATH) for aging professionals, advocates and lay leaders. Person centered, culturally diverse congregate meal sites and home delivered meal options are more widely available. Older adults have improved access to person centered home delivered meals in rural areas. Aging professional, advocates and lay leaders will facilitate workshops for older adults and caregivers living with a chronic condition or caring for someone with a chronic condition. 40 Desired Outcome Increased awareness of the dental health unmet needs of older adults and the impact oral health has on general health conditions. Increased culturally diverse meal options and increased access to meals for congregate participants identified at nutrition risk. Provided food security for congregate participants who live alone or those who lack transportation and are unable to prepare a meal at home during emergency situations. Older adults will have access to evidence-based health promotion programs. Area IA‘Ageney on VONAging 1`13 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan State Goal 1: Work to improve the health and nutrition of older adults Completion Date September 30, 2010 Objective Collaborate with the Michigan Geriatric Dental Coalition to better meet the oral health needs of older adults. Utilize economic stimulus funds allocated to the AAA1-B under ARRA to increase the number and options of congregate and home delivered meals (HDM) with a nutrition education component to support desired outcomes. Identify evidence-based health promotion programs in Region 1-B, and explore opportunities to target underserved populations. Activities Research national legislation regarding oral health in older adults. Advocate having oral health care as a covered Medicare benefit. Work with local providers (or Medicare Advantage) to promote the value of good oral health. Coordinate activities for congregate dining programs including Adult Day Health Service Centers, to offer an optional menu to serve culturally diverse meals and offer a second meal for at risk participants. Work with the Association of Chinese Americans, Kosher Meals on Wheels, and contracted nutrition programs located within the Russian community to assess unmet needs and expand ethnic meal options in Oakland and Washtenaw counties. Provide shelf-stable meals for emergency use on weekends or when the congregate site is closed; target low-income participants at nutrition risk. • Survey current programs and locations. • Work with housing service coordinators to establish programs in subsidized congregate housing. January 30, 2010 September 30, 2010 41 Desired Outcome Organizations that serve persons with developmental disabilities and/or mental illness will gain a better understanding of aging, increase their knowledge of and access to available aging resources, and develop the skills needed to continue providing services across the lifespan. Communities will become more elder friendly by taking better advantage of the resources, skills, and talents of dder adult residents. Objective Identify opportunities for and foster collaboration between aging service providers and providers that serve persons with developmental disabilities and/or mental illness. Facilitate greater involvement of older adults in the creation of elder friendly communities. 1 Completion Date September 30, 2010 September 30, 2010 September 30, 2010 Secure additional resources to support the preservation and expansion of public transportation services for older persons, in collaboration with public transit authorities and local transit service providers. Older adults will be able to get to places they need to go. Area MAgeney on MAgi g 1 3 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan State Goal 2: Ensure that older adults have a choice in where they live through increased access to information and services Activities Convene a work group of aging service providers, providers that serve persons with developmental disabilities and/or mental illness, and other stakeholders to share information and explore opportunities for increased collaboration, cross training, and joint advocacy. Collaborate with community strategic planning and current aging projects underway in Region 1-B to engage older adults in the implementation of recommended community and systems change. • Participate in the Regional Elder Mobility Alliance (RE MA) and the state level Senior Mobility Workgroup to further regional and local transit planning and advocacy efforts. • Advocate in collaboration with public transit authorities for increased resources to support the preservation and expansion of public transit service for older adults through New Freedom, JARC, or other federal or state funding sources. • Collaborate with local transit service providers to secure resources needed to expand public transit services. 42 Desired Outcome The Deaf community, advocates, and housing officials will reach a consensus on a suitable location for creation of a Deaf Senior Housing development and secure access to the property. Objective Secure a suitable site for constructing a specialized housing development for Deaf and hard of hearing older adults. Identify affordable housing options to middle income older adults and persons with disabilities. Older adults and persons with disabilities will make informed decisions regarding their housing options. Expand the Nursing Home Diversion (NHD) program which utilizes LTC self sufficiency counseling to at least 25 veterans and educate/assist consumers and caregivers to identify and navigate through LTC resources and preventive services. Consumers of LTC and their caregivers will expand their knowledge of available home and community based options, and LTC strategies. They shall utilize a combination of federal/state resources and their own personal resources to prevent or delay spending down Medicaid eligibility. —Completion Date September 30, 2010 September 30, 2010 September 30, 2010T Area Agency on FA AgiiiI-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan State Goal 2: Ensure that older adults have a choice in where they live through increased access to information and services Activities Identify potential sites. Access and analyze the strength and weaknesses of proposed sites in relation to proximity and accessibility of desired community amenities. Produce pro formes on financial viability of proposed sites. Secure an option to develop the selected site. • Explore opportunities on mortgage and refinancing options for adaption. • Research HUD or MSHDA housing/renovation resources. • Research home-share options for older adults and persons with disabilities. • Continue efforts to engage in outreach activities to inform the community with special emphasis and development on expansion of web-based activities. • Work with the Veterans Administration in Macomb and Washtenaw Counties to identify and enroll veterans into the Nursing Home Diversion program. • Conduct intake assessments with veterans and designated attendees. • Conduct coaching/counseling sessions based on personal needs. 43 Completion Date Activities Law enforcement will be better prepared to charge suspects in elder abuse cases. Law enforcement and aging professionals will be more knowledgeable of network resources and referral options. Caregivers will increase their knowledge of and ability to manage stress related to care giving thus reducing their potential risk of abusing, neglecting, or exploiting the persons for whom they provide care. September 30, 2010 September 30, 2010 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan State Goal 3: Protect older adults from abuse and exploitation Desired Outcome Objective Increase awareness of elder abuse to law enforcement and aging professionals through specialized elder abuse trainings. Continue to provide ongoing, high quality information and training to caregivers aimed at helping them better manage stress related to caregiving. Work as the liaison between Elder Law of Michigan and police departments within Region 1-B to help implement elder abuse training specifically designed for law enforcement. Act as a partner for the Office of Violence Against Women (OVW) Enhanced Services to Older Victims proposal and send staff/volunteers to complete 2-day training to address elder abuse, neglect, exploitation, including domestic/dating violence, sexual assault, and stalking of victims age 50 years of age and older. Provide outreach services, promote OVW project and encourage direct service providers to participate in training and community collaborative efforts. Identify appropriate staff and send him/her to a comprehensive and credentialed train-the- trainer training on caregiver stress. Train AAA 1-B CSS staff and interested aging service providers on the evidence-based model for effectively supporting caregivers, Tailored Caregiver Assessment and Referral (1-Care) process. Research grant opportunities to support caregivers. Develop and promote trainings through Aging Academia, 44 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan State Goal 4: Improve the effectiveness, efficiency, and quality of services provided through the Michigan aging network and its pa liners Completion Date September 30, 2010 Objective Provide at least 12 training sessions for at least 250 aging professionals, advocates and lay leaders on topics related to their training needs. Produce a dashboard report of at least ten measures of the economic and social impact of the aging population in southeast Michigan. Enhance AAA 1-B website to increase access to information and referral services. Collaborate with OSA, MASC, AAA of Michigan and the Department of Tourism to develop a campaign to promote the role of senior centers offering group travel throughout Michigan. Desired Outcome 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. Elected officials, aging stakeholders, and the general public will better understand and value the growing contributions that older adults make to their communities. AAA 1-B website users will have easy access to a Resource Specialist and a comprehensive list of home and community based resources available to them. Senior centers/MASC would be recognized for coordinating a campaign to increase senior spending within Michigan; older adults will have increased access to trips throughout Michigan, and help to boost Michigan's economy. Activities Survey training needs of providers, advocates and lay leaders. Conduct training sessions that will address identified needs. Provide ongoing technical assistance to staff and network providers. Identify at least 10 measures of older adult economic and social impact Produce and disseminate dashboard report. Update the AAA 1-B website to include services within the Refer database. Develop a simple survey tool or the AAA 1-B website to identify the population utilizing the website. Develop a partnership with MI Department of Tourism to identify popular/new travel destinations. Deveiop a public relations campaign promoting travel throughout Michigan. Evaluate the impact of the campaign with a follow up survey to senior centers. September 30, 2010 September 30, 2010 September 30, 2010 45 Area Agency et: FÄNNAgitg 1-13 Activities Objective Completion Date Desired Outcome Collaborate with DAAA, TSA and VAAA to expand services to the rapidly growing senior population. Finalize the AAA 1-B 3-5 year strategic plan and incorporate its objectives into the FY 2011 Annual Implementation Plan. Develop regional strategies to better serve the needs of older adults, persons with disabilities and families and to increase operational/administrative efficiencies. A viable 3-5 year strategic plan that prioritizes and directs the activities of the AAA 1-B will be written and adopted. September 30, 2010 October 31, 2009 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan State Goal 4: Improve the effectiveness, efficiency, and quality of services provided through the Michigan aging network and its partners • Identify financial support to: • Fund research into new product/service opportunities. o Achieve financial/operational efficiencies. o Enhance education/outreach including branding strategies. • Convene a Strategic Planning Committee. • Hire a consultant to work with the committee and staff. • Conduct 3 to 4 Board of Directors retreats, • Gather input from stakeholders using surveys, interviews and focus groups. • Review and adopt mission. • Adopt vision and values/vaiue statements. • Formalize goals and objectives. B. Program Objectives Narrative The AAA 1-B will continue to reach out and increase the awareness of various services available to help older adults and adults with disabilities to remain living in their chosen place of residence. The AAA 1-B is participating in the Nursing Home Diversion Grant, Phase 2. This grant funded project is designed to assist individuals with using their own assets and resources to access home and community based services to prevent Medicaid spend down and premature institutionalization. The AAA 1-B will also be working with the Veterans Hospital in both Ann Arbor and Detroit to provide home and community based self-directed care for referred veterans. It is expected that we will work with 20 to 25 veterans during FY 2010. Veterans will have more control over and responsibility for the care they receive in the community. The work of Nursing Home Diversion Phase 1, wdl continue with Independent Living Consultation services being provided in Macomb and Washtenaw Counties in conjunction with partners including MCDSCS and HUD Service Coordinators. 46 Area Agency on FAIN, Aging I-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan With the older adult population living longer and many living with one or more chronic conditions, the need for continued education and outreach to family caregivers, older adults and adults with disabilities is a priority for outreach at the AAA 1-B, The AAA 1-B will continue to promote the evidence-based chronic disease self management program (PATH) by educating aging professionals, older adults, persons with disabilities and caregivers about the benefits of the program as well as opportunites to participate in PATH trainings. A leader training will be conducted in St. Clair County so aging professionals, advocates and lay leaders will be able to facilitate PATH workshops for individuals living with a chronic condition or those who care for someone with a chronic condition. The AAA 1-B recognizes that mobility is crucial to maintaining quality of life and interaction in a society. Mobility options allow older adults to remain engaged in the community and has been cited as a crucial link to health, independence, and good quality of life. The AAA 1-B will continue to develop the Mobility Options Counseling grant that was received through United Way in 2009. Continued development of service will allow older adults, adults with disabilities, and their family members to have improved access to mobility related services that assist with continued safe mobility, future mobility planning, and maintaining mobilty when driving is no longer a safe option. From this process we will be able to capture and record unmet mobility needs data and report this information to local officials. 47 Area AA i geney oni) FY 2010-12 Multi-Year Plan FY 2010 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 will receive advocacy attention emphasizing support for research, demonstration projects, and development of innovative partnerships. The 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 AM 1-B Consumer Advisory Boards, from input from our collaborative partners, and in response to legislative or regulatory activity at the federal, state, or local levels. A specific emphasis will be placed on advocating for systems change, policies, and resources that will foster the rebalancing of Michigan's Medicaid long term care services system with a greater emphasis on development and access to community-based options. 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. The AAA 1-B strives to provide leadership on advocacy issues within Region 1-B; directly influence decision makers through the provision of information and analysis of older adult needs; and facilitate the direct involvement of older adults in advocacy on their own behalf. The AAA 1-B 2009 Advocacy Blueprint describes the following activities that the AAA 1-B, through the efforts of senior advocates, Board and Council volunteer leadership, staff, and other interested parties, will undertake to fulfill the mission to advocate for the needs of older adults: SENIOR ADVOCATES Senior Advocacy Network (SAN) The SAN is a network of individuals and organizations that are committed to following public policy issues which affect older adults, and speaking out on behalf of the needs of older persons. Members of the SAN receive informational mailings on various issues from the AAA 1-B; call, write, and speak with elected officials and other key decision makers; attend public information sessions; and provide leadership in urging others to be active senior advocates. Senior Advocates of Washtenaw (SAW) SAW is a county-level advocacy group that originated as a recommendation of the Washtenaw Blueprint for Aging, and now is supported by the AAA 1-B. SAW is a non-partisan coalition led by older adults and including persons of all ages, empowering older adults to advocate for beneficial change through education and public policy issues. Through the monthly meetings, 48 Area A Agency on AN Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan SAW has organized a Senior Summit, drawing over 100 seniors from the county, along with local, state and federal elected officials. In addition, SAW has promoted key advocacy through letter writing campaigns and visits to the Capitol for issues such as "money follows the person" and transportation. Michigan Senior Advocates Council (MSAC) The AAA 1-B appoints representatives to the MSAC. These representatives also sit on the AAA 1-B Advisory Council. MSAC members meet monthly in Lansing when the legislature is in session. They review introduced bills of importance to seniors, formulate positions on these bills, provide testimony before legislative committees, and regularly meet with their elected representatives to advocate on a wide range of issues. AAA 1-B Advisory Council and Board of Directors The AAA 1-B Advisory Council and Board of Directors are charged with the responsibility to aggressively advocate on behalf of older adults in their region. They accomplish this by arriving at positions relative to bills introduced at the state and federal levels, commenting on proposed policies and regulations, and by providing testimony at various hearings, forums, and meetings. AAA 1-B Staff As part of the AAA 1-B, staff are charged with advocating on behalf of older adults consistent with the agency's mission, and advocacy permeates the agency. Staff at the AAA 1-B coordinate advocacy efforts, serve as "front line" advocates (i.e. care managers), and educate others about the needs and unmet needs of older adults in the region (e.g. family care givers and the aging network). ADVOCACY TOOLS The Advocate In order to educate the AM 1-B advocates about current issues of concern, the agency produces The Advocate newsletter monthly. The Advocate is distributed electronically and as a paper copy. Through The Advocate, senior advocates can track pending and passed legislation on the local, state and federal levels, learn about upcoming advocacy events, and get tips for advocating more effectively. Legislative E-Newsletter The Legislative E-Newsletter provides elected officials with relevant and timely information regarding older adults in their district. The publication is a mix of testimonies from the MA 1-B clients, information about services that will be useful to their constituents, useful demographic data for policy decisions, and updates regarding new programs for seniors. 49 Area A Agency on /AN Aging 1-E FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan Legislative Analyses In addition to the two newsletters, the AAA 1-B provides analysis of legislation that is pertinent to older adults. The legislative analyses are provided to the AAA 1-B Advisory Council and Board of Directors to facilitate their decision making of whether or not to advocate for or against a particular bill. Upon approval of the Board, the appropriate persons (staff, volunteers, senior advocates) use the analysis to educate elected officials regarding the pros or cons of the bills and the potential effect on older adults. ADVOCACY ACTIVITIES Legislative Visits Regular, face-to-face contact with elected officials and their staff is a key component of the AAA 1-B 2009 Advocacy Blueprint. The AAA 1-B CEO plans monthly visits with the legislators from Region 1-B, with the goal of meeting with each of the state's legislators at least once during the year In addition, the AAA 1-B organizes a new legislator orientation in order to bring up to speed the persons entering the Michigan legislature on the aging network and the role of the AAA 1-B. The agency also participates in the Area Agency on Aging Association (4AM) annual Valentine's Day Legislative Luncheon at the Capitol, at which time, all the AAAs meet with legislators from their region to share the 4AM legislative agenda for the year. Older Michiganians Day/Rally The combination of the local county Older Michiganians Day (OMD) rallies and the statewide Older Michiganians Day offer opportunities for advocates to gather and hear about local issues of importance as well as to advocate on behalf of the statewide OMD legislative platform. The rallies are held in the weeks leading up to OMD, and typically features legislators, local leaders and older adults who can speak to the statewide platform and its impact on the local community. Advocacy Website Oftentimes advocacy action is needed quickly. Therefore, in 2010, the AAA 1-B will be expanding the advocacy portion of the AAA 1-B website in order to keep advocates informed on the most recent developments, as well as to expedite advocacy action when needed. 50 Ata A Agency on A Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan VII. COMMUNITY FOCAL POINTS 1. MA 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 the 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 varies 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 attracting participants. Recognition of the variance of senior center effectiveness is reflected in the work of the AAA 1-B/Michigan Association of Senior Center Enhancement and Promotion Task Force, which has produced a series of recommendations to elevate recognition of senior centers as viable community focal points. The process for designating community focal points begins with the identification of senior centers, county-level aging organizations and religious, racial or ethnic groups that serve as focal points in each Region 1-B municipality. Public officials are provided an opportunity to review and comment on proposed Community Focal Points at two public hearings on the AAA 1-B FY 2010-2012 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. 51 COMMUNITY SERVICES OFFERED Arab and Chaldean A, E, G H, I J, L, N, R, 0, Elders R, T, U, V Other: Behavioral health services, unemployment assistance Chaldean Elders G, J, K, V Other: Refugee assistance Area A Agency on iAN Aging' 143 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT SERVICES KEY A. B. C. ID. E. F. G. H. J. K. L. M. Chore Services Computer Classes Congregate Meals Driving Classes Education/Lifeiong Learning Food Commodity Distribution Friendly Reassurance Health Screenings/Fairs Home Delivered Meals Intergenerational Activities Legal Assistance Medicare/Medicaid Assistance Mobile Library N. Outreach (Home Visits) 0. Physical Fitness/Exercise P. Support Groups Q. Tax Filing Assistance R. Transportation S. Travel Programs T. Vision Services U. Hearing Impaired Services V. Volunteer Opportunities W. Other SOCIAL COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT Arab-American and Chaldean Council 28551 Southfield Road, Suite 204 Lathrup Village, Michigan 48076 (248) 559-1990 www.mvacc.org Contact: Dr. Radwari Khoury or Haifa Fahkouri Chaldean American Ladies of Charity 32000 Northwestern Hwy., Suite 150 Farmington Hills, Michigan 48334 (248) 583-8300 http://www.calconline.org/ Contact: Veronica Kassab Chaldean Federation of America 30777 Northwestern Highway Suite 300 Farmington Hills, Michigan 48034 (248) 851-3023 Contact: Joseph Kassab Association of Chinese Americans Detroit Chinatown Drop-In/Outreach Center 420 Pete rboro Detroit, Michigan 48201 (313) 831-1790 www.acadetroit.orq Contact: Shenlin Chen Chaldean Elders Other: Holiday dinners and Catholic mass, Bingo Chinese Elders B, C. E, H, J, L, N, O. P, Q, R, S. V 52 COMMUNITY SERVICES OFFERED Chinese Elders B, C, E. G, H. J, K, L, N, 0, P, Q, R. S, B, W B, C, D, E. H, J, 0, P, 0, R, S. V Other: Cultural, Jewish holiday and entertainment programs Jewish Elders Jewish Elders B, C, E, F. G, H, J, 0, P, 0, R, S. V Korean Elders Other: Social activities Native American Elders C, E, F, G, H, I, J, K, L, N, 0,0, R, T, U, V Other: Social activities Area A Agency on /AN Aging 143 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT Association of Chinese Americans 32585 Concord Drive Madison Heights, MI 48071 (248) 585-9343 Contact: Shenlin Chen Finnish Center Association 35200 W. 8 Mile Road Farmington Hills, Michigan 48335 (248) 478-6939 www.finnishcenter.org Contact: Lois Makee Jewish Community Center 15110W. Ten Mile Road Oak Park, Michigan 48237 (248) 967-4030 www.iccdetoro Contact: Mark Lit Jewish Community Center 6600 West Maple Road West Bloomfield. Michigan 48322 (248) 661-1000 www.jccdetorg Contact: Mark Lit Taekeuk Village 3712 Williams Wayne, Michigan 48184 (734) 729-7920 Contact: Eun Jong Southeastern Michigan Indians Association, Inc. 26641 Lawrence Street Center Line, Michigan 48015 (586) 756-1350 Contact: Sue Franklin International Institute of Metropolitan Detroit 111 E. Kirby Detroit, Michigan 48202 (313) 871-8600 www. iirnd.orq Contact: Wojciech Zolnowski Finnish Elders E. H, S. V Other: Social activities Polish and Eastern E, J European Elders (Ukrainian, Romanian, Yugoslavian, Albanian) 53 Jewish Elders E, J, 0, S, V Other: Adult day services, social activities Area A Agency on /AX Aginf 1-13 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT COMMUNITY SERVICES OFFERED Italian Elders Social activities Italian American Cultural and Community Center 43843 Romeo Plank Road Clinton Township, Michigan 48038 586-228-3030 www.iacsonline.net/index.htm Contact: Martin Garagiola Brown Center: Jewish Vocational Service 29699 Southfield Road Southfield, Michigan 48076 248-233-4000 http://www.ivsdetoro/ Contact: Peter Ostrow Santosh Multicultural Resource Center 4205 Woodcreek Drive Ypsilanti, Michigan 48197 (734) 572-3632 Contact: Chandana Sarkar South Asian Elders E Jewish Community Center of Washtenaw Jewish Elders C, E, J, 0 County Other: Social activities 2935 Birch Hollow Drive Ann Arbor, Michigan 48108 734-971-0990 www.iccannarbor.org Contact: Leslie Bash 54 Area Agenuj Agi41 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan LIVINGSTON COUNTY COMMUNITY FOCAL POINTS: APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY FOCAL POINT COMMUNITIES COMMUNITY SERVICES OFFERED Brighton Senior Center Brighton 1,349 C, H, I, J, K, L. 850 Spencer Road Brighton Twp. 1,831 0,0. ft S, V Brighton, Michigan 48116 Genoa Two. 2,127 (810) 299-3817 Green Oak 1,921 htto://co.livinnston.mi.us/seniornu trition/brighton.htm Contact: Marcy Hosking Fowlerville Senior Center Cohoctah Twp. 356 B, C, H, N, 0, P, 203 N. Collins Conway Twp. 302 5, U Fowlerville, Michigan 48836 Fowlerville 462 Other: Social (517) 223-3929 Handy Two. 908 activities, Bread Contact: Helen Kropik losco Twp. 244 delivery http://www.co.livinoston.mi ,us/Se niorNutrition/fowlerville.htm Howell Senior Center Deerfield Twp. 409 A, B, C. E. H, I, 925W. Grand River Ave. Genoa Twp. 2,127 J, K, M, 0, P, 0, Howell, Michigan 48843 Howell City 1,439 S, T, V (517) 546-0693 Howell Twp. 816 htto://howellrecreation.oroisenior Marion Twp. 718 s.html Oceola Twp. 729 Contact: Cassie Matlock B, C, F, G, I, J, 0, Q, S, U. V Hamburg Senior Center 10407 Merrill Hamburg Twp., Michigan 48139 (810) 231-4266 www.hamburo.mi.us/senior Contact: Jamie James Hartland Senior Center 9525 E. Highland Rd. Howell, Michigan 48843 (810) 626-2135 www.hartlandseniors.orq Contact: Alice Andrews Hamburg Twp. Hartland Twp. 1,162 Oceola Twp. 729 Tyrone Twp. 1,018 1,964 B, C, D, E, F, G. H, I, J, K, L, N, 0, P, 0, R, 5, T Putnam Township Senior Center Pinckney 177 B. C, F, G, H, I, 131 S. Howell Putnam Twp. 804 J, L, M, N, 0, S Howell, Michigan 48169 Unadilla Twp. 450 Other: Resource (734) 878-1810 Advocacy, www.coilvinoston.mi_us/seniornu Information and trition/cineknev.htm Referral, Loan Contact: Cindy Kaye Closet 55 County-Wide 18,610 Other: Information and Assistance, Care Management, Advocacy A, F, L, N, Q Other: Guardianship/C onservatorship, Home Rehabilitation, Loan Closet, Undesignated Temporary Financial Aid, Weatherization County-Wide 18,610 r e a A Agency on I& Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY FOCAL POINT COMMUNITIES COMMUNITY SERVICES OFFERED Unadilla Township 450 C, F, G, H, I, J, L. 0 , S Unadilla Senior Center 126 Webb Street P.O. Box 120 Gregory, Michigan 48137 Contact: Bonnie Mahler Area Agency on Aging 1-B 3941 Research Park Drive Suite B Ann Arbor, Michigan 48108 (734) 213-6704 wvvw.aaa1B.corn Contact: Kathy Sarb Oakland Livingston Human Service Agency 2300 E. Grand River Suite 107 Howell, Michigan 48843 (517) 546-8500 vvww.olhsa.org Contact: Erica Karfonta 56 Richmond Community Center 36164 Festival Richmond, Michigan 48062 (586) 752-9601 Contact: Stacie Vankirk Richmond 846 C, D, E, I, 0, S Other: Social groups Richmond Township Senior Center Richmond 75701 Memphis Ridge Road P.O. Box 306 Richmond, Michigan 48062 586-727-6700 Contact: Cathy Wylin 846 C, I, 0, P, R, S Other: Information and referral, social activities A, 0, R. S. V. W Center Line 2,248 Chesterfield 3,361 Twp. 973 New Baltimore H, J, 0, R, S, V Clinton Twp. 17,453 C, D, E. G, H, J. K, L. 0, P. R, S, T, V Other: Social outlets, Arts and Crafts, Spa services Area A Agency on /AX Aging 1-B FY 2010-12 MuIli-Year Plan FY 2010 Annual Implementation Plan MACOMB COUNTY COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT Armada Twp. Sr. Center 75400 N. Ave., P.O. Box 306 Armada, Michigan 48005 (586) 784-8050 Contact: Cathy Wylin APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY COMMUNITY SERVICES OFFERED Armada Twp. 672 C. E. I. 0, P, R, S Other: Information and Referral, social activities Center Line Parks & Recreation Dept. 25355 Lawrence Blvd. Center Line, Michigan 48015 (586) 757-1610 www.centerline.dov/information/recre ation/seniorsipage.htm Contact: Ron Austin Chesterfield Township Senior Center 47275 Sugarbush Chesterfield Twp., Michigan 48047 (586) 949-0400 Ext. 1138 www.chesterfieldtwo.oru/department senior. info.asp Contact: Carol Rose Clinton Twp, Senior Activity Center 40730 Romeo Plank Road Clinton Twp., Michigan 48038 (586) 286-9333 www.clintontownship- mi.doviseniors Contact: Matthew Makowski 57 C, 0, R, S Other: Social activities Harrison Twp. 3,603 Macomb County 139,027 Other: Information and Assistance, Care Management, Advocacy Area A Ageney on /AX Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY FOCAL POINT COMMUNITY COMMUNITY SERVICES OFFERED Eastpointe Senior Center Eastpointe 6,672 A, B, H, J, 0, P, Q, R, S 16600 Stephens Dr. Eastpointe, Michigan 48021 (586) 445-5084 www.citvofeastpointe.netiparks.htm Contact: Mary Grant Fraser Senior Center Fraser 2,948 B, G, H, 0, R, S 34935 Hidden Pine Drive Other: Social Fraser, Michigan 48026 activities, (586) 296-8483 Reflexology and Contact: Kathy Kaconowski Massage Guest Community Center Roseville 9,146 16221 Frazho Road Roseville, MI 48066 (586) 445-5597 Contact: Ms. Goethals Tucker Senior Center 26980 Ballard Harrison Twp., Michigan 48045 (586) 466-1498 www.harrison- township.orond32.htm Contact: Eileen Holly Area Agency on Aging 1-B 39090 Garfield, Suite 102 Clinton Township, Michigan 48038 (586) 226-0309 www.aaa1b.com Contact: Barbara Lavery Macomb County Community Services Macomb County 139,027 A, F, I, R Agency Other: 21885 Dunham Road Weatherization, Clinton Two., Michigan 48036 Financial assistance (586) 469-6999 www.rnacombcountymi.00virn ccsa Contact: Frank Taylor 58 APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY 139,027 SERVICES OFFERED A. E, F. G, H, J, K, L, N, P, Other: Information and referral, speakers bureau, loan closet COMMUNITY Macomb County 5,216 Other: Social activities/clubs Macomb Twp. Macomb County 139,027 E, H Lenox Township 883 H, 0 554 E, I, 0, P, R, S. T Other: Information and Referral, social activities Ray Twp. Ray Twp. Romeo Washington Bruce Township 554 653 2,593 1,006 A, C, D. E, H, I, J, K, L, 0, P, 0, ft S, T, U, V Area naA Agency on Aging1-13 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT Macomb County Department of Senior Citizen Services 21885 Dunham Road Clinton Twp., Michigan 48036 (586) 469-6313 www.macombcountvmi.cov/seniorser vices Contact: Angela Willis Macomb County Health Department 43525 Elizabeth Road Mt. Clemens, Michigan 48043 (586) 469-5235 wwvv.macombcountvrni.nov/publichea Ith Contact: Thomas Kalkofen Lenox Township Senior Center 63975 Gratiot Ave. Lenox, Michigan 48050 586-727-2085 www.lenoxtwo.ord/services/seniorcen ter/tabid/4454/default,aspx Contact: Teri Girten Macomb Township Senior Center 19925 23 Mile Road Macomb, Michigan 48042 (586) 992-0710 ext. 2 www_macomb-mi.dov Contact: Salvatore DiCaro Ray Township 64255 Wolcott Road P.O. Box 306 Ray, Michigan 48096 586-749-3358 Contact: Cathy Wylin Romeo-Washington-Bruce-Parks & Recreation Senior Activity Center 361 Morton Romeo. Michigan 48065 (586) 752-9601 www.rwbarksrec.orq/senior,htm Contact: Sandy Keown 59 APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY COMMUNITY SERVICES OFFERED 9,146 F, R Other: Social, Distribution of 911 emergency phones Roseville A, B, C, D, E, G. H, J, L, 0, P, 0, R, S, T Other: Social activities, library St. Clair Shores 16,477 C, E, F, H, 0, P, R, S, T Other: Social activities Warren 30,560 C, 0 Other: social activities Warren 30,560 Shelby Twp. 9,519 B, C, E, H, I, J, K, 0, Utica 807 P, R, 8, T, U, V Other: Social activities, crafts, quilting, watercolor classes Sterling Heights 19,954 E, L, 0, P, R, S, T Other: Social activities, cards Area A Agency on ha Aging 11 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT Roseville Parks and Recreation 18961 Common Road Roseville, Michigan 48066 (586) 777-7177 Contact: Leona Niedoliwka St. Clair Shores Senior Activities Center 20000 Stephens St. Clair Shores, Michigan 48080 (586) 498-2414 wvvw.stclairshores.net/parksrecisenior iricht.htm Contact: Sue Fickau Shelby Township Senior Center 51670 Van Dyke Shelby Twp., Michigan 48316 (586) 739-7540 Contact: Lori DePauw Sterling Heights Senior Citizen Center 40200 Utica Rd P.O. Box 8009 Sterling Heights, Michigan 48313 (586) 446-2750 Contact: Cindy Guzi Warren Community Center 5460 Arden Warren, Michigan 48092 (586) 268-8400 Contact: Becky Rose www.cityofwarren.orq Owen Jax Parks & Recreation Center 8207 East Nine Mile Road Warren, Michigan 48089 (586) 757-7480 Contact: Becky Rose 60 30.560 St. Anne's Senior Center 6100 Arden Warren, Michigan 48092 (585) 939-3110 www.stannewarren.orq/index.html Contact: Sister Mary Jane Kleindorrer Washington Senior Activity Center 57880 Van Dyke Washington, Michigan 48094 586-786-0131 Contact: Sandy Keown 0, S, V Other: Social activities A, B, C, H, K, N, 0, Q. R Other: Loan closet, telephone reassurance Warren Washington Twp. 2,593 Romeo 653 A, B, C, H, K. N, 0, QR Other: Loan closet, telephone reassurance Romeo Senior Activity Center 361 Morton Romeo, Michigan 48065 (586) 752-9601 Contact: Sandy Keown Area A Agency on /Aa Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY FOCAL POINT COMMUNITY COMMUNITY SERVICES OFFERED Stilwell Manor Warren 30,560 C, H, 0. S 26600 Burg Road Other: Social Warren, Michigan 48093 activities (586) 758-1300 Contact: Betty Salamango 51 4,063 Monroe C, E, H, J, 0 1,072 K, V Other: Social activities Ash Twp. Bedford Twp. Erie Twp. Ida Twp, Luna Pier Whiteford Twp. 4,244 723 623 182 706 C, 0, Q Other: Loan closet, social activities Berlin Twp. Carleton Exeter Twp. Frenchtown Twp. 855 342 478 2,838 C, H, K, 0, P, S Other: Adult day services, social activities, fund raising 859 143 442 Dundee Twp. Petersburg Summerfield Two. C, H, I. K. 0, S 723 720 182 Erie Twp. LaSalle Twp. Luna Pier C, K, 0 Other: Social activities Area Agency on fAX Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual impiementalion Plan MONROE COUNTY COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT COMMUNITIES APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY SERVICES OFFERED Arthur Leslow Community Center 120 Eastchester Monroe, MI 48161 (734) 241-4313 http://monroe.lib.mi.usicommunitV nfo organizations arthur lesow ce nter.htm Contact: Tanya Dickerson Ash Seniors 700 Carleton SouthRockwood Road Carleton, Michigan 48117 734-654-2006 Contact: Rita Sanders Bedford Senior Citizen Center 1653 Samaria Road Temperence, Michigan 48182 (734) 856-3330 Contact: Pamela Rybka Frenchtown Senior Citizen Center 2786 Vivian Road Monroe, Michigan 48162 (734) 243-6210 Contact: Barbara Mazur Dundee Senior Citizen Center 284 Monroe Street Dundee, Michigan 48131 (734) 529-2401 Contact: Bob Clark Water Tower Park Center 11345 Harold Drive Luna Pier, Michigan 48157 (734) 848-8700 Contact: Wendy Colter 62 A, B, C, D, E. F, G, H, I, J, K, L, M, N. 0, P. 0, R, 5, T, U, V Other: Durable medical equipment, nutrient supplements, information and assistance to cancer patients, their families, caregivers and care providers 384 198 274 720 4,063 2,319 706 La Salle Twp, Monroe Monroe Two. Raisinville London Twp. Milan Milan Two. C, H, K, 0, S Other: Prescription Expense Assistance 21,829 County-wide Other: Information and Assistance, Care Management, Advocacy County-wide 21,829 21,829 E, H, P County-wide Area A Agency on iA\ Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT APPROXIMATE # OF 60 PLUS WITHIN COMMUNITIES COMMUNITY SERVICES OFFERED The Monroe Center 15275 South Dixie Highway Monroe, Michigan 48161 (734) 241-0404 www.monroctr.orq Contact: Aaron Simonton Sullivan Senior Center 13613 Tuttlehill Road Milan, Michigan 48161 (734) 439-1733 Contact: Frankie Foidl Area Agency on Aging 1-B 14930 Lanaisance Suite 119 Monroe, Michigan 48161 (734) 241-2012 www.aaa1b.com Contact: Gerilyn Powers Monroe County Commission on Aging 29 Washington Street Monroe, Michigan 48161 (734) 240-7363 Contact: Terri Hamad Monroe County Health Department 2353 S. Custer Road Monroe, Michigan 48161 (734) 240-7800 www.co.monroe.mi.us Contact: Rebecca Head or Carol Austerberry 63 21,829 County-wide Monroe County Opportunity Program 1140 S. Telegraph Monroe, Michigan 48161 (734) 241-2775 Contact: Stephanie Kasprzak A, F, N, R Other: Home rehabilitation, housekeeping/personal care, respite, financial aid, weatherization 198 C, H, L, 0 Area A Agency on /A% Aging 143 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT APPROXIMATE # OF 60 PLUS WITHIN COMMUNITIES COMMUNITY SERVICES OFFERED Milan Senior and Community Milan Center 45 Neckel Court Milan, Michigan 48160 734-439-1539 www.cLmilan.us/communitv center .shtm Contact: Jennifer Michalak 64 709 C, H, V Adthson Two. A, B, C, U, E, G. H, I, J, K. L, N, 0, P, a, R, S, V, U, V 3,484 2,419 C, H, 1,0, R, V Other: Information and referral Clawson Area A Ageney on iAN Aging 1-E FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan OAKLAND COUNTY COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT APPROXIMATE # OF 60 PLUS WITHIN SERVICES COMMUNITY COMMUNITY OFFERED Addison Township Senior Center 1440 Rochester Road Leonard, Michigan 48367 (248) 628-3388 Contact: Sharon Geare Auburn Hills Department of Senior Services 1827 N. Squirrel Road Auburn Fills, Michigan 48326 (248) 370-9353 www.auburn hills.orq Contact: Karen Adcock Auburn Hills 2,206 A, B, C, E, F, H, I J, K, L, M, N, 0, P. CI, ft S. T. U, V Berkley Recreation Dept Berkley 2,422 A, B, E, G, H, J, K, 2400 Robina L, N, 0, O. R, 5, T, Berkley, Michigan 48072 U, V (248) 658-3476 Contact: Tom Colwell Birmingham Area Senior Coordinating Birmingham Council (BASCC) 2121 Midvale Birmingham, Michigan 48009 (248) 203-5270 Contact: Theresa Monsour Bloomfield Senior Services Bloomfield Hills 1,250 B, H, I. 0, 0, P, R, 7273 Wing Lake Road Bloomfield Twp. 10,228 5, V Bloomfield Hills, Michigan 48301 West Bloomfield Twp. 11,609 Other: Loan closet, (248) 341-6450 Orchard Lake 384 telephone Contact: Christine Tvaroha reassurance Clawson City Senior Citizen Center 509 Fisher Court Clawson, Michigan 48017 (248) 583-6700 vvvivv.cttvofclawson.com/senioradultproora rns.htm Contact: Kathy Leenhouts 65 APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY COMMUNITY Commerce Twp, SERVICES OFFERED B, C. H, 0, S, V 3,626 2,530 15,036 Farmington Farmington Hills B, C, D, E, G, I, J, K, L, M, N, 0, P, 0, R, S, U, V 2,615 A, B, C, D, E. F, G, H, I, J, K, L, N, 0, P, Q, R, S, T, U, V Ferndale 535 1,219 2,757 2,051 C. R, V Other: Loan closet C, F, H, I, R, S, T, V C, H, K, M, N, Q, R, S, V Other: Groveland Twp. Brandon Township Hazel Park Highland Twp, Areik Agency on /AN Aging 1-13 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT Commerce-Richardson Senior Center 1485 Oakley Park Drive Commerce Twp., Michigan 48390 (248) 926-0063 Contact: Emily England Costick Activity Center 28600 Eleven Mile Rd_ Suite 111 Farmington Hills, Michigan 48336 (248) 473-1830 www.ci.farminoton-hills.mi.us Contact: Mary DiManno Gerry Kulick Community Center 1202 Livemois Ferndale, Michigan 48220 (248) 544-6767 www.ferndale-mi.com/services/senior activities/seniorservices.htm Contact: Julie Hall Edna Burton Senior Center 345 Ball Street, P.O. Box 929 Ortonville, Michigan 48462 (248) 627-6447 wvvw.brandontownship.us/v2/seniors/index . htm Contact: Annette Beach Hazel Park Senior Center 620 W. Woodward Heights Blvd. Hazel Park, Michigan 48030 (248) 547-5535 www.hazelpark.orgisenior.htm Contact: Barbara Scott Highland Senior Center 209 N. John Street, P.O. Box 249 Highland, Michigan 48357 (248) 887-1707 www.hidhlandtwo.com Contact: Beverly Smith 66 Holly Rose Two. Huntington Woods Independence Two. White Lake 1,356 666 AeAge on artry /AN Aging 1•B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY COMMUNITY 962 3,770 3,163 1,051 Madison Heights 5.586 South Lyon Center for Active Adults Lyon Two. 1000 N. Lafayette South Lyon, Michigan 48176 (248) 573-8175 wvvwsouthlvon.k12.mi.us/center for achy e adults.html Contact: Connie Wickersham COMMUNITY FOCAL POINT Hollyhock Adult Activities Senior Center 3323 Grange Hall Road Bldg. 700 Holly, Michigan 48442 (248) 634-7571 Contact: Judy Blakemore Huntington Woods Parks & Recreation 26325 Scotia Road Huntington Woods, Michigan 48070 (248) 541-3030 www.ci.huntington-woods.rni.us Contact: Victoria Rickard Independence Township Senior Center 6000 Clarkston Road Clarkston, Michigan 48348 (248) 625-8231 www.twp.independence.mi.us/services/adu It50/overview.htm Contact: Margaret Barton Dublin Community Senior Center 685 Union Lake Road White Lake, Michigan 48386 248-698-2394 Contact: Kathy Gordinear Madison Heights Senior Center 29448 John R Madison Heights, Michigan 48071 (248) 545-3464 Contact: Lee Fedel SERVICES OFFERED C, 0, S Other: Case management H, N, R Other: Telephone reassurance C. D, F, H, I, J, K, L, N, 0, P, Q, R, S, T, U, V Other: Social activities, alternative medicine, gardening A, B, C, D, E, F, H, I J, L, 0, P. R, S, T, U, V B. H, 0, P, 0, R, 5, V Other: Loan closet, Information and Referral A, B, C, H, 0, R, S, V Other: Information and Referral, loan closet 67 Milford Twp. 1,939 C, H, K, 0,0, R. 5, V A, H, 0, P, Q, R, S 534 Other: Loan closet, Information and Referral, social activities Northville 4,558 C, H, 0, Q, V Oak Park 3,019 A, 8, C, H. K, L, N. 0, P, Q, S Other: Cell phone donation program Orion Twp. Oak Park 4,558 A, B, C, H, I, K. 0. Q, R, 5, T, U, V Area n • /II &AgAe ginyg 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT APPROXIMATE # OF 60 PLUS WITHIN SERVICES COMMUNITY COMMUNITY OFFERED Milford Senior Center 1050 Atlantic Street Milford, Michigan 48381 (248) 685-9008 www.villageofmilford.oro/l/villane/senior c enterasp7artID+5564 Contact: Nancy lzzard Northville Senior Adult Services 303 W. Main Street Northville, Michigan 48167 (248) 349-4140 www.ci.northville.mi.us/Services/SeniorSer vicesiSeniorServicesOverview.htm Contact: Sue Koivula Novi Senior Center Novi 5,107 A, B, C, D, E, F, G, 25075 Meadowbrook H, I, J, K, L, M, N, 0, Novi, Michigan 48375 P. Q. R, 5, T, U, V (248) 347-0414 Contact Rachel Zagaroliat Jewish Community Center 15110W. Ten Mile Road Oak Park, Michigan 48237 (248) 967-4030 www.iccdet.orq Contact: Mark Lit Oak Park Senior Center 14300 Oak Park Blvd. Oak Park, Michigan 48237 (248) 691-7577 www.oakbark- mi.com/Recreation/Senior Activities. htm Contact: Lynn Davey Orion Senior Center 21 East Church Street Lake Orion, Michigan 48362 (248) 693-2066 www.orion.lib.mi.us/township/seniorcenter/ senior.htrn1 Contact: Lisa Sokol 68 APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY COMMUNITY Pleasant Ridge 407 Oxford Twp. 10,593 Pontiac 7,548 7.548 Pontiac 7,548 Pontiac 1,430 9,865 1,440 Rochester Rochester Hills Oakland Twp. Are a Agency Oil Aginel-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan 7,548 La Amistad Senior Center/Ruth Peterson Pontiac 990 Joslyn Road Pontiac, Michigan 48340 (248) 858-2307 Contact: Pablo Moran COMMUNITY FOCAL POINT Oxford Veterans Memorial Civic Center 28 North Washington Oxford, Michigan 48051 (248) 628-9056 www.oxfordtownship.ordlcitizens.html Contact: Evald Jorgensen Pleasant Ridge Community Center 4 Ridge Road Pleasant Ridge, Michigan 48069 (248) 542-7322 Contact: Scott P;etrczak Bowen Senior Center 52 Bagley Street Pontiac, Michigan 48341 (248) 758-3240 Contact: Alma Moss Lighthouse of Oakland County 46152 Woodward Pontiac, Michigan 48342 (248) 920-6000 www.liohthouseoakiand.com Contact: John Ziraldo Ruth Peterson Senior Center 990 Joslyn Rd. Pontiac, Michigan 48340 (248) 857-5631 Contact: T.B.D. Older Persons Commission 650 Letica Drive Rochester. Michigan 48307 (248) 656-1403 www.opcseniorcenter.orq Contact: Marye Miller SERVICES OFFERED A, N, R, S Other: Social activities Other: Social activities B, E, 0 Other: Social activities C, H, Other: Social activities A, E, F, G, Q, R Other: Budget counseling, prescription assistance C, H, 0, P, T Other: Social clubs/events, loan closet 13, C, D, E, F, G, H, I, J, K, L, N, 0, P. CI, R, S, T, V Other: Social activities, fundraisers 69 APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY COMMUNITY SERVICES OFFERED Royal Oak 10,788 B, K, 0,0, V A, 6, C, D, E, F, G, H, I, K, L, N. 0, P, 0, R, S, T, U, V 10,788 Royal Oak Royal Oak Two. 1,135 H, 0, R, V A, B, C. D, E, F, H, I, K, L, N, 0, P, Q. R, S. V Southfield 14,894 C, F, G, H, I, K, N, P, Q, S. U. V Other: Loan closet 10,317 Waterford Twp. B, D, E, G, H, J, K, L. N, 0, P, 0, S, T, H, V Other: Social activities, health and beauty, secretary of state onsite 1,793 South Lyon A, B, C, D, E, F. H, I, J, K. L, M. 0, P, C), R, S, U, V Other: Loan closet Troy 11,500 Area A Agency on AFAX Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT Jack and Patti Salter Community Center 1545 E. Lincoln Ave. Royal Oak, Michigan 48067 248-246-3900 www.ci.royal-oak.mi.us/senioriindex Contact: Kim Mannaioni Royal Oak Senior Center 3500 Marais Royal Oak, Michigan 48073 (248) 246-3900 wvvw.ci.roval-oak.mi.us/senioriindex Contact: Paige Gemarski Pearl Wright Senior Center 21075 Wyoming Ferndale, Michigan 48220 (248) 642-6752 Contact: Paula Washington Southfield Senior Adult Center 23450 Civic Center Drive Southfield, Michigan 48034 (248) 796-4650 vvwwcityofsouthfield.comiresidents/seniors Contact: Nicole Massina South Lyon Center for Active Adults 1000 N. Lafayette South Lyon, Michigan 48178 (248) 573-8175 WWW.SLC S. US Contact: Connie Wickersham Troy Community Senior Center 3179 Livernois Troy, Michigan 48083 (248) 524-3484 www.ci.trov.mi.us/ParksRec/SeniorCitizens Contact: Carla Vaughn Waterford Senior Center 3621 Pontiac Lake Road Waterford, Michigan 48328 248-682-9450 www.waterforcl.k12.mi.usiseniorcenter Contact: Maureen Margraf 70 APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY COMMUNITY 11.609 SERVICES OFFERED D, H. 0,0. R. S West Bloomfield Twp. 993 B, D, E. H, J, 0, 0, R, 5, V Wixom Other: Information and Assistance, Care Management, Advocacy Oakland County 177,634 A, F, G, L, N, R Other: Housing Counseling, Personal Care/Housekeeping, Respite Care, Undesignated Temporary Financial Aid, Weatherization Oakland County 177,634 Area A Agency on /Aa Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT West Bloomfield Parks & Recreation 4640 Walnut Lake Road W. Bloomfield, Michigan 48323 (248) 451-1900 www.westbloomfieldparks.org/home/welco me.shtml Contact: Daniel J. Navarre Wixom Senior Citizen's Center 49045 Pontiac Trail Wixom, Michigan 48393 (248) 624-2850 www.ci,vpxorn.mi.us/localdoviseniors/senio rs hm.htm Contact: Tracy McMahan Area Agency on Aging 1-B 29100 Northwestern Hwy., Ste, 400 Southfield, Michigan 48034 (248) 357-2255 www.aaalB.com Contact: Tina Abbate Marzolf Oakland Livingston Human Service Agency 196 Cesar E. Chavez Ave.,P.O. Box 430598 Pontiac, Michigan 48343 (248) 209-2600 www.oihsa.orq Contact: Ronald Borngesser 71 Algonac Casco Twp. China Twp. Clay Twp. Columbus Twp. Cottreilville Two. East China Ira Twp. Marine City St. Clair St. Clair Twp. Berlin Twp. Capac Emmett Two. Mussey Two. Riley Twp. Burtchville Twp. Clyde Twp. Fort Gratiot Twp. Grant Twp. Kimball Twp. Marysville Port Huron Port Huron Twp. Wales Twp. County-wide AArea Nklgency on l-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan ST. CLAIR COUNTY COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT APPROXIMATE # OF 60 PLUS WITHIN COMMUNITIES COMMUNITY SERVICES OFFERED 810 521 409 1,875 520 555 940 913 823 1,056 984 Brockway Twp. Greenwood Twp. Kenockee Lynn Two. Yale 255 188 307 151 407 673 747 1,974 185 1,188 2015, 5,606 1,437 389 26,445 Cherry Beach Senior Center 7232 S. River Road Marine City, Michigan 48039 (810) 765-3523 (800) 779-4488 Contact: Debbie Heraty Capac Senior Center 315 Meierst Capac, Michigan 48014 (810) 395-7889 (800) 361-8877 Contact: Jan Hathcock Mitchell Senior Center 3 First Street Yale, Michigan 48097 (810) 387-3720 (800) 717-4422 Contact: Jan Hathcock Port Huron Senior Center 600 Grand River Avenue Port Huron, Michigan 48060 (810) 984-5061 (800) 297-0099 Contact: Scott Crawford Area Agency on Aging 1-B 501 Gratiot, Suite 2 Marysville, Michigan 48040 (810) 388-0096 wvvw.aaa 1B .com Contact: Barbara Lavery A, B, C, D, E, G, H. I, J, K, L, N, 0, P, 0, R. S. T, U, V A, G. H, N, 0, R, S Other: Loan closet, prescription drug assistance A, G. H, N, CI, R. S Other: Loan closet, prescription drug assistance Other; Information and Assistance, Care Management, Advocacy 342 A, G, H, 0, N. 0, R, S 205 Other: Information 299 and referral, 440 prescription drug 356 assistance 72 APPROXIMATE # OF 60 PLUS WITHIN COMMUNITIES COMMUNITY SERVICES OFFERED 26,445 A, C, G, H, I. L, N, 0, Q. R, S, V Other: Loan closet, information and referral County-wide Area A Agency on /AN Aging 143 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT Council on Aging, Inc.. serving St. Clair County 600 Grand River Avenue Port Huron, Michigan 48060 {810) 987-8811 {800) 297-0099 www.thecouncilonaoimorg Contact: Laura Newsome 73 APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY 11,839 SERVICES OFFERED C, G, H, N, 0, Other: Social activities COMMUNITIES Ann Arbor 737 438 690 C, D, E, G, H, J. K, M, 0, Q, R. S, U, V Other: Social activities Augusta Twp. Milan York Twp. B, C, D, E, G, IH, J,M,O, P, Q, 5, V Other: Senior Housing Awareness, Publish a TV show, Social Activities Other; Information and referral B. C, D, E, G, H, L, 0, P, 0, 5, V 11,839 Ann Arbor 11,839 Ann Arbor 11,839 Ann Arbor Area A Agency on AA, Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan WASHTENAW COUNTY COMMUNITY FOCAL POINTS: COMMUNITY FOCAL POINT Ann Arbor Community Center 625 North Main Ann Arbor, Michigan 48104 (734) 662-3128 www.annarbor communitvcenter.org Contact: Yolanda Whiten Ann Arbor Senior Center 1320 Baldwin Ann Arbor, Michigan 48104 (734) 769-5911 www.ci.ann- arbormi.us/communityservicesiparks/ seniorcentedsenior main.html Contact: Pamela Simmons Jewish Community Center 2935 Birch Hollow Drive Ann Arbor, Michigan 48108 (734) 971-0990 Contact: Phyllis Herzig Turner Senior Resource Center 2401 Plymouth Road, Suite C Ann Arbor, MI 48105 (734) 998-9353 www.med.urnich.edufoenatricsitsrc Contact: Carolyn White Milan Senior & Community Activity Center 45 Neckel Court Milan, Michigan 48160 (734) 439-1549 http://milan.mi.us/community c enter.shtrni Contact: Jennifer Michalak B, C, D, E, H. I, J, K, 0, P, Q, ft S, T, V Saline Area Senior Center 7605 North Maple Road Saline, Michigan 48176 (734) 429-9274 www.ci.saline.mi.usifeatures/seniorce nter Contact: Rine Chemin Bridgewater Two. Freedom Twp. Lodi Twp. Pittsfield Twp. Saline Saline Twp. York Twp, 235 207 729 2.380 1,151 197 690 74 Chelsea Sylvan Twp. Lima Twp. Lyndon Twp. C, D, E, F, G. H. J. L, 0, P, 0,5, V 1,214 1,417 524 301 618 B, C, D, G, I, L, 0,0, U, V Dexter o2,380 B, C, D, E, G, El, 0, P, Q, S, V Pittsfield Tvvp. Manchester Twp. Sharon Twp. C. I 638 217 734 A, E, G, H, J. K, L, M. 010, S, V Other: Diabetic shoes Whitmore Lake C, E, G, H, J, M, 0, Q, V Other: Social activities 1999, Area A Agency on /AN Aging 11 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan COMMUNITY FOCAL POINT COMMUNITIES APPROXIMATE # OF 60 PLUS WITHIN COMMUNITY SERVICES OFFERED Chelsea Senior Citizen Activity Ctr. 500 Washington Street Chelsea, Michigan 48118 (734) 475-9242 www.chelseaseniors.orc/contact.html Contact: Tina A. Patterson Dexter Senior Center 7714 Ann Arbor Street Dexter, Michigan 48130 (734) 426-7737 www.hven.orq/info/dexterseniorsi Contact: Kim Martini Manchester Senior Citizens 912 City Road Manchester, Michigan 48158 http://vil-manchester,ora Contact: Marian Ahrens Pittsfield Senior Center 701 W. Ellsworth Ann Arbor, Michigan 48108 (734) 822-2117 www.pittsfieldtwp.ord/ Contact: Carol Presley Northfield Township Senior Center 9101 Main Street, P.O. Box 431 Whitmore Lake, Michigan 48189 (734) 449-2295 www.two.northfield.mi.us/servi ces/sr center/sr center home Contact: Susan Laity Ypsilanti Senior Citizen Center Ypsilanti 1015 Congress Ypsilanti, Michigan 48193 (734) 483-5014 www.ypsiseniorcenter.com/ab out. hphp Contact: Monica Prince 75 4,964 Ypsilanti Twp. Superior Twp. 1.160 Ypsilanti Township Recreation Center 2025 East Clark Road Ypsilanti, Michigan 48198 (734) 544-3801 Contact: Deborah Aue B, C, D, E, F, G , H, J. L, M, 0, P. 0, R. S. T, U, V Other: Social activities Area Agency on /AN Aging l'13 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPROXIMATE # OF 60 PLUS SERVICES COMMUNITY FOCAL POINT COMMUNITIES WITHIN COMMUNITY OFFERED Area Agency on Aging 1-B County-wide 35,478 3550 W. Liberty, Suite 2 Other: Ann Arbor, MI 48103 information (734) 213-6704 and www.aaa1B.com Assistance, Contact: Kathy Sarb Care Management, Advocacy Catholic Social Services County-Wide 35,478 L, P, 0. V of Washtenaw/Blueprint for Aging Other: 4925 Packard Road Respite, Ann Arbor, MI 48108 information (734) 971-9781 and referral wvvw.csswashtenaw.org www,blueprintforaging,org Contact: Larry Voight 76 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementatior Plan VIII. APPENDICES APPENDIX A BOARD OF DIRECTORS MEMBERSHIP FISCAL YEARS: 2010 — 2012 I r DEMOGRAPHICS Native American/ Asian/Pacific Persons with African American Hi i O rigin Hispani c Or Female TOTAL Island Alaskan Disabilities Total 0 2 0 0 2 10 20 Membership Age 60 or Over 0 1 0 0 2 4 9 L I, .. NAME of BOARD MEMBER GEOGRAPHIC AFFILIATION CHECK THOSE THAT ARE AREA APPROPRIATE Elected Appointed Community _ Official Rep. Maggie Jones , Livingston County Commissioner X X _ Toni Moceri Macomb County Commissioner _ X X Floreine tvlentel Monroe County Commissioner X X _ Helaine Zack Oakland County Commissioner X X , Pam Wall St. Clair County Commissioner X X Barbara Levin Bergman Washtenaw County Commissioner X X _ Andrew Hetzel _ _ Regional Public Relations X Amin Irving Regional Corporations/Foundations X - Peter Lichtenberg . Regional Gerontology/Geriatrics X 77 OiSli rea Agency on Agiag 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan Board of Directors Membership Continued \ NAME of BOARD MEMBER GEOGRAPHIC AFFILIATION CHECK THOSE THAT ARE AREA APPROPRIATE ' Elected Appointed Community Official Rep. _ Robert McMahon Regional Regional Planning X Mark Rottermond —Regional Finance X Mary Schieve Regional Legal X . Ron Szumski Regional Health Care . X Lisa Wojno Regional Legislative Relations . Walter Ernst Livingston Older Adult Rep X , Jerry Dervlaire —Macomb Older Adult Rep X , Nancie Disher Monroe Older Adult Rep X Jan Dolan , Oakland Older Adult Rep X Vurn Bartley, Jr. _St. Clair , Older Adult Rep X Tom Miree Washtenaw Older Adult Rep X 78 Area FAXAgency on YAM Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPENDIX B ADVISORY COUNCIL MEMBERSHIP FISCAL YEARS 2010— 2012 DEMOGRAPHICS Asian/Pacific African American Native American/ Hispanic Origin Persons with Female TOTAL island AVaskan Disabflities Total 0 1 1 1 4 8 18 Membership Age 60 or Over 0 0 0 1 4 2 8 NAME of ADVISORY COUNCIL MEMBER GEOGRAPHIC AREA AFFILIATION Kellie Boyd Private Sector Representative 'Oakland & Macomb Disability Network Lorraine Hayes Private Sector Representative Michigan Association of Service Coordinators _ Torn Rau Private Sector Representative Nexcare Health Systems, LLC Shannon Wygant Private Sector Representative _ Home Instead Senior Care (DSP Vendor) Vacant Private Sector Representative Terrence Beurer Public Sector Representative Department of Human Services (Monroe) Sue Burns Public Sector Representative MPRor Laura Champagne Public Sector Representative Citizens for Better Care (Title III Social Services Provider) Euphemia (Sue) Franklin _Public Sector Representative South Eastern Michigan Indians, Inc. _ Bloomfield Township Senior Services Christine Tvaroha Public Sector Representative , . (Title III Nutrition Provider) Vacant Public Sector Representative Bob Fox LivIngston County Older Adult Representative _ Mark Swanson Livingston County Older Adult Representative 79 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan Advisory Council Membership Continued NAME of ADVISORY COUNCIL MEMBER GEOGRAPHIC AREA AFFILIATION Dan Sier Macomb County Older Adult Representative SaraMarie Watson Macomb County Older Adult Representative _ James Seegert Monroe County Older Adult Representative Dennis Griffin Oakland County Older Adult Representative Robert Hull Oakland County Older Adult Representative Robert Sanchez Oakland County Older Adult Representative Virginia Boyce Washtenaw County Older Adult Representative _ Vacant Older Adult Representative Vacant Older Adult Representative Vacant Older Adult Representative 80 Area IFAgeney on FIRekAging 1•B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPENDIX C CURRENT PROVIDERS DEMOGRAPHICS FISCAL YEAR 2010 . _ DEMOGRAPHICS Cluster 1 Providers Native Asian/Pacific African Arab/Chaldean American/ Hispanic Persons with Island American Origin Disabilities Female Total Alaskan : , , Number of 1 5 2 1 0 1 25 180 Contractors' . . Number of Employees of 10 250 8 5 50 15 1462 1800 COntractors2 . _ The above table should reflect contractors/staff that are funded by the AAA only. The information gathered from this document will be used in the cultural competency work that is being conducted by OSA. Please contact your field representative for more information on the cultural competency work. 'These numbers reflect either the demographics of the owner, such as a "female owned business" or, if a non-profit, 501C3, should be listed under the demographics that most describe the board of directors. 2 Please ask your contractors to pick a specific day and report the breakdown of demographic categories. (i.e. on April 1 st , 2010 the breakdown was..." ). The date should be consistent for all contractors. 81 Area on ha Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPENDIX D PROPOSAL SELECTION CRITERIA FISCAL YEARS: 2010-2012 Date criteria approved by AAA Board: 2127/09 Outline new or changed criteria that will be used to select providers: The AAA 1-B has moved to an online application process for FY2010-12. However, the proposal selection process has not changed for FY2010-12. 82 AeAgeancy on iAX Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPENDIX E PLANNED ENTREPRENEURIAL ACTIVITIES FISCAL YEARS: 2010-2012 Activity Amount Expected to Funding Purpose Raise : Fundraising $50,000 Support Holiday Meals on Wheels and Unmet Needs for the AAA 1-B Clients Caregiver Events $75,000 Support the hosting of caregiver (Sponsor and Exhibit Fees) education events AAA 1-B Training $5,000 Provide revenue to reduce . (Participant Fees) training costs assumed by the agency Information & Assistance $1,500 Support administrative costs of Donations information and assistance ClickonAging.com Advertising $1,500 Support the hosting and further development of the partnership website (ClickonAging.com ) , 83 ArAegeancy on Aging1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan APPENDIX F REGIONAL SERVICE DEFINITIONS FISCAL YEARS: 2010 — 2012 Service Name: Community Living Supports Service Category: In-home Service Definition: Promotion of an individual's reasonable participation within their local community by facilitating independence through provision of community living supports. Community Living Supports include: A. Assisting, reminding, cueing, observing, guiding and/or training in the following activities: 1) meal preparation, 2) laundry, 3)routine, seasonal and heavy household care maintenance, 4) activities of daily living such as bathing, eating, dressing, personal hygiene, and 5) shopping for food and other necessities of daily living. B. Assistance, support and/or guidance with such activities as: 1) money management, 2) non-medical care (not requiring RN or MD intervention), 3) social participation, relationship maintenance, and building community connections to reduce personal isolation, 4) transportation from the participant's residence to community activities, among community activities, and from the community activities back to the participant's residence, 5) participation in regular community activities incidental to meeting the individual's community living preferences, 6) attendance at medical appointments, and 7) acquiring or procuring goods and services necessary for home and community living, in response to needs that cannot otherwise be met. C. Reminding, cueing, observing and/or monitoring of medication administration. D. Provision of respite as required by the participant. Note: Social/emotional support of participant may be offered in conjunction with assistance provided. Unit of Service: Fifteen (15) minutes performing Community Living Supports activities. Minimum Standards for Agency Providers: 1. Each program shall maintain linkages and develop referral protocols with each Independent Living Consultation (ILC), CCS, CM, MI Choice Waiver and LTCC program operating in the project area. 84 AreAgaency on /AN. Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan 2. All workers performing Community Living Supports services shall be competency tested for each task to be performed. Completion of a certified nursing assistant (C NA) training course by each worker is strongly recommended. 3. Community Living Supports workers shall have previous relevant experience or training and skills in housekeeping, household management, good health practices, observation, reporting, and recording client information. Additionally, skill, knowledge, and/or experience with food preparation, safe food handling procedures, and identifying and reporting abuse and neglect are highly desirable. 4. Semi-annual in-service training is required for all Community Living Supports workers. Required topics include safety, sanitation, emergency procedures, body mechanics, universal precautions, and household management. 5. Community Living Supports workers may perform higher-level, non-invasive tasks such as maintenance of catheters and feeding tubes, minor dressing changes, and wound care when individually trained by the supervising RN for each participant who requires such care. The supervising RN must assure each worker's confidence and competence in the performance of each task required. Minimum Standards for Individuals Employed by Participants: 1. Individuals employed by program participants to provide community living supports shall be at least 18 years of age and have the ability to communicate effectively, both orally and in writing, to follow instructions, and be in good standing with the law as validated by a criminal background check conducted by the area agency on aging that is shared with the participant. If providing transportation incidental to this service, the individual must possess a valid Michigan driver's license. 2. Individuals employed by program participants shall be trained in first aid, cardiopulmonary resuscitation, and in universal precautions and blood-born pathogens. Training in cardiopulmonary resuscitation can be waived if providing services for a participant who has a "Do Not Resuscitate" (DNR) order. 3. Individuals providing Community Living Supports shall have previous relevant experience or training and skills in housekeeping, household management, good health practices, observation, reporting, and recording information. Additionally, skills, knowledge and/or experience with food preparation, safe food handling procedures, and reporting and identifying abuse and neglect are highly desirable, 4. Individuals providing Community Living Supports shall be deemed capable or performing the required tasks by the respective program participant. 85 Area A Agency on /AX Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan IX. ASSURANCES AND CERTIFICATIONS FY 2010 — 2012 Multi-Year Plan ASSURANCES & CERTIFICATIONS For Fiscal Year 2010 The undersigned agency, designated by the Michigan Commission on Services to the Aging (CSA) to act as the Area Agency on Aging (AM) within a given planning and service area (RSA). agrees to the following: 1. That the FY 2010-2012 Multi-Year Plan (MYP) includes an Annual Implementation Plan (AIR) covering the period October 1,2009 through September 30, 2010. 2. To administer its AIR in accordance with the Older Americans Act (OAA), the Older Michiganians Act (OMA), federal and state rules, and policies of the 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 OSA. 4. That any proposed revisions to the AIR initiated by the AM will be made in accordance with procedures established by OSA. 5. That funds received from OSA will only be used to administer and fund programs outlined in the AIR approved by the CSA. 6. That the AAA will undertake the duties and perform the project responsibilities described in the AIR in a manner that provides service to older persons in a consistent manner over the entire length of the AIR and to all parts of the PSA. 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 AIR. 8. That all services provided under the AIP are in agreement with approved service definitions and are in compliance with applicable minimum standards for program operations as approved by the CSA and issued by USA, including Care Management. 9. That the AAA will comply with all conditions and terms contained in the Statement of Grant Award issued by USA. 10. That the AAA may appeal actions taken by the CSA with regard to the AIP, or related matters, in accordance with procedures issued by OSA 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 86 Aelk Agency my on /AX Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual implementation Plan 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 A1P to all local units of government seeking approval as instructed in the Plan Instructions. 14. Thal the W Governing Board and Advisory Council have reviewed and endorsed the AIP. The undersigned hereby submit the FY 2010 AIR that describes the initiatives and activities which will be undertaken on behalf of older persons within the PSA. 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. 87 Agency on JAX Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan FY 2010 —2012 MULTI-YEAR PLAN ASSURANCE OF COMPLIANCE with TITLE VI of the CIVIL RIGHTS ACT of 1964 For Fiscal Year 2010 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 1976 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 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. 88 AANtAgaenty on AA 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan 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. Form HHS-690 (05/97) 89 AeAgeancy on Ala Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan FY 2010 — 2012 MULTI-YEAR PLAN ASSURANCE OF COMPLIANCE with the ELLIOT LARSEN CIVIL RIGHTS ACT For Fiscal Year 2010 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 at seq, and any breach thereof may be regarded as a material breach of the grant, contract, or purchase order. 90 tuvti Agency on Aging la ery Of, - 41 '1,1111 • All, r•;• ..lfn • FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan MVP SIGNATURE PAGE OF THE FY 2010-2012 MULTI-YEAR PLAN AND FY 2010 ANNUAL IMPLEMENTATION PLAN FOR Area Agency on Aging 1-B This Multi-Year Plan (MVP) covers fiscal years 2010, 2011, and 2012 and includes the FY 2010 Annual Implementation Plan (AIP) beginning October 1, 2009 and ending September 30, 2010. This IVIYP becomes valid upon approval by the Michigan Commission on Services to the Aging (GSA) It may be conditionally approved subject to all General and/or Special Conditions established by the GSA. This MYP Signature Page may substitute for required signatures on documents within the MVP if those documents are specifically referenced on this signature page. The Signatories below acknowledge that they have reviewed the entire MY including all budgets, assurances, and appendices and that they commit the Area Agency on Aging 1-B to all provisions and requirements of thurnp. Signature Section: Area Agency on Aging 1-B Name of Area Agency on Aging (//2,6; Signature Chairperson, Board of Directors Date Jan Dolan Typed Name 6V-2 VO .2 .1 . Tina Abbate Marzolf Typed Name MULTI-YEAR DOCUMENTS REFERENCED BY THE SIGNATURE PAGE (Remove all that do not apply) Budget Documents: • FY 2010 Area Plan Grant Budget • FY 2010 Direct Service Budget(s) • Waiver for Direct Service Provision for: &a (List services) Assurances: • MYP Assurances and Certifications document • MYP Assurance of Compliance with Title VI of the Civil Rights Act of 1964 • MYP Assurance of Compliance with the Elliot Larsen Civil Rights Act Appendices: • Regional Service Definitions Date Signature — Area Agency on Aging-Direetbr Date 91 Area A Agency on /AN Aging 11 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan GLOSSARY OF ACRONYMS 4AM Area Agencies on Aging Association of Michigan AAA Area Agency on Aging AARP American Association of Retired Persons AD Alzheimer's Disease ADC Adult Day Care ADRC Aging and Disability Resource Center ADS Adult Day Service ADL Activities of Daily Living AFC Adult Foster Care AG Attorney General AIM Aging in Michigan (OSA Publication) AIP Annual Implementation Plan AIS Aging Information System ALF Assisted Living Facility AoA Administration on Aging APS Adult Protective Services ASA American Society on Aging BEAM Bringing the Eden Alternative to the Midwest CIL Center for Independent Living CAP Community Action Program CBC Citizens for Better Care CM Care Management CMIS Client Management Information System CMS Center for Medicare & Medicaid Services (formerly HCFA) CNS Corporation for National Service COA Commission on Aging/Council on Aging CPHA Community Public Health Agency CR Caregiver Respite (state) CSA Commission on Services to the Aging DCH Department of Community Health DCIS/CIS Department of Consumer and industry Services DHHSiFIHS U.S. Department of Health and Human Services OHS MI Dept. of Human Services (formerly the Family Independence Agency) DMB Department of Management and Budget 92 • • 0 Area A Agency an /AN Aging 1-13 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan DoE Department of Education DoL Department of Labor DoT Department of Transportation DV Domestic Violence ELM ElderLaw of Michigan FGP Foster Grandparent Program FTC Federal Trade Commission FY Fiscal Year GAO General Accounting Office HB House Bill (state) HCBS/ED Home & Community Based Services for the Elderly and Disabled Waiver (HCBS/ED) program commonly known as MIChoice HDM Home Delivered Meals HMO Health Maintenance Organization HR House Bill (federal) HSA Health Systems Agency l&A Information and Assistance l&R Information and Referral IADL Independent Activities of Daily Living 1M Information Memorandum loG Institute of Gerontology (Wayne State University) LEP Limited English Proficiency LSP Legal Services Program LTC Long-Term Care MADSA Michigan Adult Day Services Association MATE Merit Award Trust Fund (formerly known as "Tobacco Settlement") MCO Managed Care Organization MHSCC Michigan Hispanic Senior Citizens Coalition MIACoA Michigan Indian Advisory Council on Aging 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) 93 Arit7eney on A Aging 1-B FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan MSHDA Michigan State Housing Development Authority MSG Michigan Society of Gerontology MQCCC Michigan Quality Community Care Council 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 NCSC National Council of Senior Citizens NF Nursing Facility NFA Notification of Financial Assistance NFCSP National Family Caregiver Support Program NIA National Institute on Aging NISC National institute of Senior Citizens NSSC National Senior Service Corps NHD Nursing Home Diversion OAA Older Americans Act OAVP Older American Volunteer Program °HOS Office of Human Development Services OMB Office of Management and Budget (federal) USA Office of Services to the Aging (Michigan) OWL Older Women's League PA Public Act PI Program Instruction PRR Program Revision Request PSA Planning and Service Area PY Program Year RFP Request For Proposal RSVP Retired & Senior Volunteer Program SAC State Advisory Council SB Senate Bill (state) SCP Senior Companion Program SCSEP Senior Community Service Employment Program SEAQRT Senior Exploitation and Abuse Quick Response Team SGA Statement of Grant Award 94 C A crea A Agency on iN Aging 11 FY 2010-12 Multi-Year Plan FY 2010 Annual Implementation Plan 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 $SI Supplemental Security Income SUA State Unit on Aging TA Technical Assistance TCM Targeted Case Management USDA United Slates Department of Agriculture VA Veterans' Administration WHCoA White House Conference on Aging 95 Resolution #09153 July 30, 2009 Moved by Potter supported by Nash the resolutions (with fiscal notes attached) on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Burns, Coulter, Douglas, Gershenson, Gingell, Gosselin. Greimel, Hatchett, Jackson, Jacobsen, Long, McGillivray, Middleton, Nash, Potter, Potts, Runestad, Schwartz, Scott. Taub, Woodward. Zack, Bullard. (23) 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). !HEREBY APPROVE THE FOREGOING RESOLOTIN 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 30, 2009. 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 30th day of July, 2009. gat Ruth Johnson, County Clerk 4