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HomeMy WebLinkAboutMINUTES - 05142013 - C.36RECOMMENDATION(S): APPROVE and AUTHORIZE the submittal of the Contra Costa County Area Agency on Aging 2013-2014 Area Plan Update to the California Department of Aging for aging and adult services and AUTHORIZE the Chair, Board of Supervisors to sign the Letter of Transmittal. FISCAL IMPACT: Not applicable. To secure future funding, the State must receive and approve the Area Agency on Aging Area Plan Update. BACKGROUND: The Area Agency on Aging (AAA) is required by the State to develop and submit a comprehensive four-year area plan and subsequent updates to continue to receive State funding for aging and adult services. The State will determine funding levels based upon county submissions. CONSEQUENCE OF NEGATIVE ACTION: Without submission of the Area Agency on Aging Plan Update, future funding would be impacted. CHILDREN'S IMPACT STATEMENT: Not applicable. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 05/14/2013 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, District I Supervisor Candace Andersen, District II Supervisor Mary N. Piepho, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor Contact: Elaine Burres, 313-1717 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: May 14, 2013 David Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C.36 To:Board of Supervisors From:Kathy Gallagher, Employment & Human Services Director Date:May 14, 2013 Contra Costa County Subject:Area Agency on Aging 2013-2014 Area Plan Update ATTACHMENTS AAA Area Plan 13-14 Update 1 Contra Costa County Area Agency on Aging 2013-2014 Area Plan Update Submitted by John Cottrell Area Agency on Aging Director PSA #07 2 TABLE OF CONTENTS ________________________________________________ Transmittal Letter (Will submit upon receipt of Board signatures) ............................... 3 Area Plan Checklist ..................................................................................................... 4 PART ONE: DESCRIPTION OF RELEVANT CHANGES Narrative Description of Changes ............................................................................... 5 Section 21: FY 13-14 Area Agency on Aging Organizational Chart ............................ 7 Section 7: Public Hearing ............................................................................................ 8 PART TWO: GOALS AND OBJECTIVES Updated Goals and Objectives .................................................................................... 9 PART THREE: SERVICE UNIT OBJECTIVES Title III/VII .................................................................................................................. 22 Ombudsman Outcomes ............................................................................................ 27 Title VIIB .................................................................................................................... 33 Title III E .................................................................................................................... 35 Health Insurance Counseling Advocacy Program ..................................................... 38 PART FOUR: SECTIONS 11-20 Section 11: Community Focal Points ......................................................................... 42 Section 12: Disaster Preparedness ........................................................................... 44 Section 14: Notice of Intent to Provide Direct Services .............................................. 46 Section 17: Advisory Council ..................................................................................... 47 Section 18: Legal Assistance ..................................................................................... 50 Section 20: Family Caregiver Support ....................................................................... 53 PART FIVE: APPENDICES Appendix I - Public Hearing Minutes .......................................................................... 55 Appendix II - I&A Survey ............................................................................................ 61 3 TRANSMITTAL LETTER Four-Year Area Plan 2012-2016 AAA Name: Contra Costa County Area Agency on Aging PSA 7 This Area Plan is hereby submitted to the California Department of Aging for approval. The Governing Board and the Advisory Council have each had the opportunity to participate in the planning process and to review and comment on the Area Plan. The Governing Board, Advisory Council, and Area Agency Director actively support the planning and development of community-based systems of care and will ensure compliance with the assurances set forth in this Area Plan. The undersigned recognize the responsibility within each community to establish systems in order to address the care needs of older individuals and their family caregivers in this planning and service area. 1. (Type Name) Federal D. Glover ____________________________ _______________ Signature: Governing Board Chair 1 Date 2. (Type Name) Dr. Robert Leasure _____________________________ ________________ Signature: Advisory Council Chair Date 3. (Type Name) John Cottrell _____________________________ ________________ Signature: Area Agency Director Date 1 Original signatures or official signature stamps are required. 4 2013-2014 AREA PLAN UPDATE (APU) CHECKLIST (Revised December 2012) AP guidance Section APU Components (To be attached to the APU) Check if Included Update ALL of the following ANNUALLY: N/A APU-(submit electronically only)  N/A Transmittal Letter-(must have original signatures or official signature stamp) 2, 3 or 4 Estimate of the number of lower income minority older individuals in the PSA for the coming year 7 Public Hearings that will be conducted  N/A Annual Budget 10 Service Unit Plan (SUP) Objectives  If there has been a CHANGE from the 2012-2016 Area Plan or if the section was not included in the 2012-2016 Area Plan, update the following: Mark Changed/Not Changed (C or N/C) C N/C 5 Minimum Percentage/Adequate Proportion  5 Needs Assessment1  9 AP Narrative Objectives:  9 • System-Building and Administration  9 • Title III B-Funded Programs  9 • Title III B-Transportation  9 • Title III B-Funded Program Development/Coordination (PD or C)  9 • Title III B/VIIA- Long-Term Care Ombudsman/Elder Abuse Prevention Program  9 • Title III C-1  9 • Title III C-2  9 • Title III D  20 • Title III E-Family Caregiver Support Program  9 • Title V-SCSEP Program  9 • HICAP Program  14 Notice of Intent-to Provide Direct Services  15 Request for Approval-to Provide Direct Services  16 Governing Board  17 Advisory Council  18 Legal Assistance  1 Prior to the development of the 2016-2020 Area Plan at least one Needs Assessment must be conducted. 5 PART ONE: Narrative Description of Changes The automatic, across-the-board spending cuts, known as sequestration, cast a pall over 2013. For months, staff and clients of Contra Costa County Area Agency on Aging (AAA) and the Aging Services Network anxiously braced for the impact of federal budget cuts to Older Americans Act (OAA) services. Now that the cuts are in effect, we are grappling with how to handle it. The level of the cuts varies by service. As an example, services such as congregate and home-delivered meals sustained significant cuts in comparison to smaller cuts to health promotion. Unfortunately, any level of cuts can be devastating because agencies that provide OAA services are already operating with minimal funding. Difficult decisions about reducing services and staffing levels will have to be made. The full impact of the cuts to OAA services in Contra Costa County is still unclear at the time this Area Plan Update was written. In general, the outlook is troublesome. The AAA staff is working with service providers to come up with strategies to minimize the effect of the cuts, particularly to at-risk seniors who depend on services such as home-delivered meals, rides to medical appointments, and other essential support services to remain independent and safe at home. Addressing the negative impact brought on by the sequestration will be a major focus for the AAA and the Aging Services Network in FY 2013-2014. Fortunately, there are some bright spots to focus on as well: Customer Satisfaction Survey The Information & Assistance (I&A) program received excellent feedback in a customer satisfaction survey. Ninety-three I&A callers participated in the survey, which was conducted over the phone by a volunteer during a two month period. Survey participants were randomly selected from I&A’s database of callers. Over 93% of surveyed callers reported being very satisfied or satisfied with the assistance they received from I&A. They rated the social workers’ ability to listen and understand the nature of their calls as excellent (69%) or good (25%). Of the callers that were surveyed, a large majority (69%) were referred to other services that met their needs. A small percentage (7%) reported that their needs were not met by the referrals. While the I&A phone tree system’s ease of use were rated by a majority as either easy (52%) or average (32%). A resounding majority (97%) of those surveyed said they would call I&A again if the need arises. (See complete survey results in Appendix II.) Professional Exchange Roundtable For the purpose of promoting learning about community resources to Contra Costa County Aging & Adult Services personnel, the Information and Assistance (I&A) program is presenting quarterly “Professional Exchange Roundtable” meetings. These meetings will also serve as a venue for Aging & Adult Services personnel to come together, meet, and network with colleagues for sharing of information and ideas to improve customer service. 6 Each meeting will focus on a different topic of interest. The first meeting took place on March 28, 2013 and the topic of discussion was free and low cost legal services. Guest presenters from Senior Legal Services, Bay Area Legal Aid, and Rubicon shared important information about the types of legal services they offer and the eligibility requirements for accessing them. About 17 personnel from Adult Protective Services, Medi-Cal, Information & Assistance, Health Insurance Counseling and Advocacy, Area Agency on Aging, and In-Home Supportive Services participated in the meeting. Health Insurance Counseling and Advocacy Program (HICAP) The Health Insurance Counseling and Advocacy Program (HICAP) continue to strengthen its operations. It currently has over 30 registered counselors, who now include individuals able to speak languages other than English. Outreach into the Chinese and Farsi-speaking communities has become possible. We have realized this by going to senior housing with predominantly mono-lingual Chinese speakers and have had our Chinese counselor both translate for our experienced staff members and conduct her own independent counseling. Our Farsi speaker has handled individuals via phone counseling. Because HICAP is on the front lines of identifying possible misuse, abuse, fraud and assists Medicare beneficiaries in filing appeals for claims denials, the program can identify practices that appear to be systemic, not just individual in nature. Advocacy efforts in the past year have included contacting the Centers for Medicare and Medicaid Services (CMS) about a health plan’s unfair billing practices. CMS agreed with us and put the plan on a corrective action plan and they had to refund the patients’ out of pocket costs. Another billing practice that is live at this moment involves an ambulance company. If a ride is determined to be “not medically necessary” Medicare will not cover it nor will any Medigap policy. HICAP is seeing increasing numbers of Medicare beneficiaries who are personally liable for their emergency transport via ambulance. HICAP is able to initiate an appeal and has had a high success rate in getting the ambulance company to change its inputting of information which results in a determination of being “medically necessary” and then getting Medicare to cover the ride. It is in the company’s financial interest NOT to have Medicare pay. The difference in cost is roughly $600 in Medicare payment or $1900 for an individual’s liability. As a result of this advocacy, the ambulance company has agreed to bill Medicare beneficiaries only the Medicare-approved amount for rides thereby saving beneficiaries thousands of dollars. For calendar year 2012 HICAP saved its clients a potential $2,100,203.74 if every client followed the information we provided. 7 John Cottrell Director Indirect Lori Larks Division Manager 40% Admin, 10% IIlB Direct 50% other EHSD Programs HICAP - Ruth Atkin Sr. Staff Assistant 100% HICAP Information & Assistance Nhang Luong Sr. Staff Assistant 32% Admin, 68% IIlB Doreen Gaedtke Sr. Staff Assistant 65% Admin, 35% IIIB Stella Wu Chu Nutritional Consultant Leona Hartmann Fiscal Officer Admin Assistant III Indirect HRA/Tax-Aide and Secretary LaVerne Gordon-Volunteer Jaime Ray, Secretary 100% Admin Scott Danielson Sr. Staff Assistant 52% Admin, 48% IIIB Direct Alice Levy Social Worker 89% IIlB Direct, 11% IIIE Michael Forman Social Worker 89% IIlB Direct, 11% IIIE Lynette Aylsworth Social Worker 89% IIlB Direct, 11% IIIE Leah McIntosh Staff Assistant 100% Hicap Pam Brown Consultant Diane Whaley Consultant Advisory Council on Aging Advisory Council Planning Committee SECTION 21 - ORGANIZATION CHART (Estimated Budget Percentages) 8 SECTION 7. PUBLIC HEARINGS PSA 7 At least one public hearing must be held each year of the four-year planning cycle. CCR Title 22, Article 3, Section 7302(a) (10) and Section 7308, OAA 2006 306(a) The following must be discussed at each Public Hearing conducted during the planning cycle: 1. Summarize the outreach efforts used in seeking input into the Area Plan from institutionalized, homebound, and/or disabled older individuals. - Notices in newspapers - Outreach to individuals and agencies in AAA’s Aging Network, which includes representatives from skilled nursing facilities and older adults who are homebound and/or disabled 2. Were proposed expenditures for Program Development (PD) and Coordination (C) discussed? X Yes. Go to question #3 Not applicable, PD and C funds are not used. Go to question #4 3. Summarize the comments received concerning proposed expenditures for PD and C: An attendee suggested for future planning that the AAA look at the needs of older adults who don’t have children. This population is likely to have less family support and might need more interventions in comparison to older adults with children. 4. Attendees were provided the opportunity to testify regarding setting of minimum percentages of Title III B program funds to meet the adequate proportion funding for Priority Services X Yes. Go to question #5 No, Explain: 5. Summarize the comments received concerning minimum percentages of Title III B funds to meet the adequate proportion funding for priority services. There were no comments regarding this issue. 6. List any other issues discussed or raised at the public hearing. An attendee expressed appreciation for Senior Legal Services for successfully resolving an issue on his behalf. A comment was made about the importance of having transportation options for seniors who don’t drive. Lastly, a comment was made to bring attention to a new mandate related to how psychotropic medications are handled in nursing homes. 7. Note any changes to the Area Plan which were a result of input by attendees. None; there was no opposition to any part of the Area Plan. 2 A translator is not required unless the AAA determines a significant number of attendees require translation services. 3 AAAs are encou Fiscal Year Date Location Number of Attendees Presented in languages other than English? 2 Yes or No Was hearing held at a Long-Term Care Facility? 3 Yes or No 2012-13 March 21, 2012 500 Ellinwood Way, Pleasant Hill, CA 94523 44 no no 2013-14 March 20, 2013 500 Ellinwood Way, Pleasant Hill, CA 94523 28 no no 2014-15 2015-16 9 PART TWO: Goals and Objectives (see changes in red) GOAL # 1 The AAA is committed to assisting older individuals (who may be in danger of losing their independence) so they can lead meaningful, dignified, and independent lives in their own homes and communities as long as possible. AAA will accomplish this through an accessible range of options including but not limited to, collaborative efforts, decision making among public, private, voluntary, fraternal organizations, and coalitions, for continuing the development and enhancement of a comprehensive and coordinated community and home based system of care. RATIONALE The AAA conducted needs assessments and through analyses of the results of completed surveys found the AAA was asked to provide program development, coordination, and technical assistance. OBJECTIVES Projected Start & End Dates Title III B Funded PD or C Status 1. Aging and Adult Services Staff Assistant, Sr. Staff Assistants, and Division Manager will actively participate in monthly Senior Coalition meetings to assist in the development and implementation of coalition activities by working with members of each coalition to develop and maintain community events, forums and other activities supportive of seniors in Contra Costa County. 7/1/13- 6/30/14 C Continued 2. Aging and Adult Services Staff assistant, and Sr. Staff Assistants will actively participate in the Senior Coalitions to identify and prioritize senior needs by providing technical assistance by working with Coalition members on needs identified, including fraud, health and intergenerational issues. 7/1/13- 6/30/14 C Continued 3. The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory Council Planning Committee Members will work collaboratively with CBO’s to develop and plan special programs/events/services with the use of One-Time Only funds in order to help address the needs of older adults with particular attention to Family Caregiver needs. 7/1/13- 6/30/14 PD Continued 4. The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory Council Planning Committee Members will work collaboratively with CBO’s to develop and plan special programs/events/services with the use of One-Time Only funds in order to help address the needs of older adults with particular attention to LGBT seniors. 7/1/13- 6/30/14 PD Continued 5. The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory Council Planning Committee Members will work collaboratively with CBO’s to develop and plan special programs/events/services with the use of One-Time Only funds in order to help address the needs of older adults with particular attention to seniors with limited-English abilities. 7/1/13- 6/30/14 PD Continued 10 6. The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory Council Planning Committee Members will work collaboratively with CBO’s to develop and plan special programs/events/services with the use of One-Time Only funds in order to help address the needs of older adults with particular attention to disease prevention and health promotion of seniors. 7/1/13- 6/30/14 PD Continued 7. The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory Council Planning Committee Members will work collaboratively with CBO’s to develop and plan special programs/events/services with the use of One-Time Only funds in order to help address pressing or emergent needs identified by AAA contracted providers. 7/1/13- 6/30/14 PD Continued 8. The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory Council Planning Committee Members will coordinate with CBO’s who provide Title III supportive services to fund needed items with the use of One-Time Only funds which will improve the quality of service to their older clients. 7/1/13- 6/30/14 C Continued 9. Aging and Adult Services Sr. Staff Assistants and AAA Division Manager will organize and hold an annual “Partners in Planning” gathering that brings together volunteers, community based organizations, and organizations in the county’s aging network to meet each other, exchange ideas, learn from each other’s successes and challenges, foster partnerships, and develop strategies to develop, expand, and enhance services for the elderly in CCC. The event was held on October 25, 2012 and the focus was on “Preventing Elder Financial Abuse.” The feedback on the event was very positive. It featured an expert panel presentation and viewing of the acclaimed documentary “Last Will & Embezzlement”. 7/1/13- 6/30/14 C Continued 10. Aging and Adult Services Staff Assistant, Sr. Staff Assistants and AAA Division Manager will bring service providers together for the purpose of non-duplication of effort, coordinating services, maximizing resources, and general sharing of information. On March 20, 2013, the AAA convened service providers for the purpose of training and sharing best practices on fiscal reporting and contract issues. 7/1/13- 6/30/14 C Continued 11. Senior Staff Assistant/ I&A Supervisor will plan quarterly “Professional Exchange Roundtable” meetings. The purpose of the meetings is to bring County personnel together to meet and exchange ideas, and to learn about community resources to better serve clients. 7/1/13- 6/30/14 C New 11 GOAL # 2 AAA will provide services to older individuals with the greatest economic and social needs, including low income diverse population groups through continued service expansion, development, and collaboration with community groups, service providers, and elected officials, in order to provide health, social, nutrition and legal services for older individuals who may be at risk of abuse or neglect. Ombudsman Program will recruit and train certified volunteers that will visit all Skilled Nursing Facilities, Assisted Living Facilities, Board and Care Homes in Contra Costa County. These visits can be done on a random scheduled basis and also as a request for complaint investigation and resolution. Ombudsman Director or her designee will maintain assignment, visiting and log sheets documenting visits and outcomes of complaint investigations. Ombudsman program will work with family councils providing consultation to facilities and residents. RATIONALE Mandated by the Older Americans Act and the AAA is committed to providing services to the population groups specified above. OBJECTIVES Projected Start & End Dates Title III B Funded PD or C Status 1. The AAA Director, AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and Planning Committee to the Advisory Council will actively work through membership on the Mental Health Department’s Consolidated Planning Advisory Workgoup and CPAW’s Aging and Older Adult Committee, to plan outreach strategies to reach underserved seniors, particularly with respect to: isolation; low-income; mental illness; language barriers; and LGBT. 7/1/13- 6/30/14 PD Continued 2. Aging and Adult Services Sr. Staff Assistants, Division Manager, and the AAA Director will cultivate relationships with County Board of Supervisors, state legislators, and their staff members to inform each elected official’s office of service issues facing seniors, to advocate for more resources for senior programs and to match funding opportunities to service needs. 7/1/13- 6/30/14 C Continued 3. AAA Division Manager, Senior Staff Assistants and the Advisory Council will work with various legal services providers and other interested stakeholders to coordinate elder abuse prevention activities for seniors vulnerable to or at risk of exploitation. AAA staff members will assist with hosting seminars, fairs, or other educational events related to elder abuse. 7/1/13- 6/30/14 C Continued 12 4. AAA Senior Staff Assistant will partner with Jewish Family and Children Services, local hospitals, and community organizations to coordinate an annual “Senior Appreciation Day – Health and Resource Fair” in recognition of Older Americans Month in May. At the event seniors will receive free health screenings for diabetes, high blood pressure, osteoporosis, dental problems, and other health issues. The event will also feature exercise demonstrations, nutrition information, and information about community resources presented in both Spanish and English. The event is scheduled for Saturday, May 18, 2013 at the Pittsburg Senior Center. 7/1/13- 6/30/14 C Continued 5. AAA Senior Staff Assistant will work with the Food Bank of Contra Costa and Solano County to coordinate the distribution of free USDA Farmers Market Coupons to qualified low-income seniors. The coupons will be available to seniors at 16 food distribution sites throughout Contra Costa County. 7/1/13- 6/30/14 C Continued 6. The AAA Senior Staff Assistant will continue to serve on the Fall Prevention Program Steering Committee and the Fall Prevention Coalition to help develop, coordinate, and sustain programs and activities that prevent falls such as fall risk assessments, fall prevention education, physical activity and exercise, home safety modifications, and medication management. 7/1/13- 6/30/14 C Continued 7. The AAA Division Manager and Sr. Staff Assistants will partner with County Older Adult Mental Health, Mental Health Community Concerns, the Ombudsman, and other local CBO’s to plan and coordinate a forum, “A Second Spring; Celebrating Aging” that will provide educational information/resource information to seniors and their families as well as promote visibility for older adult issues in the community, especially as concerns older adult mental health and health issues. 7/1/12- 6/30/13 PD/C Completed 13 8. Ombudsman Services will provide a Long Term Care Ombudsman Program for adults, utilizing Title IIIB and VII A funding of the Older Americans Act. Services will include the following: • Conduct activities relating to receiving, analyzing, researching, observing, interviewing or verifying a complaints and activities related to intervention in complaints on behalf of a client with a target resolution rate of 80%. • Provide mediation and conciliation services in the resolution of inquiries and complaints from older long term care residents and patients. Target rate of 1336 Consultations provided to individuals. • Investigate reports of physical abuse of all dependent adult and elder residents of long term facilities in accordance with the mandates established • Conduct activities related to the education of groups of older adults, their families, community organizations, and facility staff about senior’s rights, benefits, and entitlements. Target rate of 376 consultations to facilities. • Recruit, train, and certify Ombudsman volunteers. Assign volunteers and staff to the 31 nursing homes and staff caseworkers to intermediate care facilities for the developmentally disabled adults in Contra Costa County. Target of maintaining at least 45 trained and certified volunteers. • Establish family councils to include family members of older patients in skilled nursing facilities to advocate for and respond to the needs of the patients within the facilities. Target of having 22 resident council meetings. 7/1/13- 6/30/14 Continued 9. In order to expand and make information and referral services more accessible to the community, the AAA Senior Staff Assistant will work collaboratively with senior and community centers to establish Information & Assistance (I&A) Satellite Stations. Volunteers will be recruited and trained to assess the needs of seniors, and link them with vital community and public services that they may be eligible for. Types of services include but are not limited to transportation, housing, finances, employment, food, legal advocacy, Medicare counseling, and education. Follow-ups will be conducted to ensure that the needs of the seniors are met. Volunteers were successfully recruited and trained to provide information and referral services at the North Richmond and San Ramon Senior Centers. 7/1/13- 6/30/14 PD Continued 14 10. In order to provide better customer service, the AAA Senior Staff Assistance will recruit and train volunteers to support the work of Social Workers at the I&A Call Center. I&A Call Center volunteers will help return calls from clients who have routine questions about community resources. This will help to free up time for the Social Workers to assist vulnerable seniors, adults with disabilities, and caregivers with complex needs. Volunteers will also make follow-up calls to see if clients’ needs are addressed or if further assistance is required. Two volunteers were recruited, trained, and is assisting I&A staff. 7/1/13- 6/30/14 PD Completed 11. Senior Staff Assistant/I&A Supervisor will expand and improve the Information & Assistance (I&A) program’s website to provide seniors, adults with disabilities, and caregivers convenient and easy access to updated information and linkages to Aging Services Network programs. 7/1/13- 6/30/14 PD New 15 GOAL # 3 AAA will provide public information to agencies and community persons 60+ and their families regarding resource availability, educational opportunities, demographics, health care insurance counseling, and funding opportunities. RATIONALE Various survey responses, AAA Advisory Council, Board of Supervisors, Coalitions, stakeholders and other groups have identified the need for the AAA to communicate with and provide information to the general public at all levels. OBJECTIVES Projected Start & End Dates Title III B Funded PD or C Status 1. In order to ensure continuity of services delivered by community based organizations, Aging and Adult Services Sr. Staff Assistants will assist in the coordination of obtaining grants by working collaboratively to share information and provide technical assistance for writing grants in relationship to funding opportunities appropriate for any community based organization in CCC serving older adults. 7/1/13- 6/30/14 PD/C Continued 2. AAA Division Manager and Aging and Adult Services Sr. Staff Assistants will work with senior coalitions, community based organizations, the County’s aging network, offices of County Supervisors, and other groups to identify and address senior needs by providing technical assistance including, assistance with needs assessments, focus groups, quality assurance surveys, program developing, and fundraising. 7/1/13- 6/30/14 PD/C Continued 3. The AAA staff will initiate and coordinate efforts to once again provide an easy-to-navigate, Internet-based resource database for seniors, caregivers, people with disabilities, and service providers to locate community resources. The AAA’s original resource database was eliminated in 2008 because of budget cutbacks. 7/1/13- 6/30/14 C Continued 4. An Aging and Adult Sr. Staff Assistant will make the results of the Limited English Proficient (LEP) survey available to interested community organizations and members of the public. The purpose of the survey is two-fold: 1) to collect information on whether or not public and community agencies are meeting the language needs of LEP older adults, and 2) to examine more closely what reasonable steps are necessary to ensure that limited English speaking older adults have meaningful access to services. 7/1/13- 6/30/14 PD/C Continued 16 5. An Aging and Adult Sr. Staff Assistant will make the results of the Key Informant Survey available to interested community organizations and members of the public. The purpose of the survey is to ascertain what professionals and advocates perceive is the priority of needs/issues/concerns seniors face today and as a planning tool in the development of the PSA’s Area Plan as well as needed programs given budget limitations 7/1/13- 6/30/14 PD/C Continued 6. An Aging and Adult Sr. Staff Assistant will make the results of the Core Survey available to interested community organizations and members of the public. The purpose of the survey is to ascertain the needs of our senior population, directly, by surveying them, county wide and to use the results as a tool in the planning for the PSA’s Area Plan as well as possible program development given budget limitations. 7/1/13- 6/30/14 PD/C Continued 17 GOAL # 4 AAA will actively promote the health and well-being of the older population of Contra Costa County through various community outreach activities. RATIONALE As specified by the Older Americans Act, including Title III D. OBJECTIVES Projected Start & End Dates Title III B Funded PD or C Status 1. Aging and Adult Staff Assistant, Sr. Staff Assistants, Division Manager, and its direct program, HICAP, will work with senior coalitions, health organizations, medical providers, Medicare Senior Advantage programs and the like to directly contact seniors to provide information about managing chronic conditions, promoting healthy lifestyles and healthy aging and insurance coverage issues. HICAP participates in planning and attending health fairs and health screenings. 7/1/13- 6/30/14 C Continued 2. Aging and Adult Sr. Staff Assistants, Staff Assistant, and Division Manager will support distribution efforts for medication safety packets, Medi-sets, and other programs and tools for vulnerable seniors for medication management in emergencies. The AAA staff will partner with the Fall Prevention Program and community organizations to continue to coordinate the distribution of the booklet ‘Tracking your Medicine’ to Contra Costa seniors. Seniors consume more medicines than any other age group, but using medicines may put them at risk, especially when several medicines are used at one time. This booklet serves as an easy-to-use tool to help seniors track their medicines and avoid dangerous drug interactions. About 2,000 copies of ‘Tracking Your Medicine’ were distributed to seniors. 7/1/13- 6/30/14 C Completed 3. To increase awareness about the benefits of physical activity for older adults, Aging and Adult Services Sr. Staff Assistants and Division Manager will work with community agencies to develop and coordinate exercise programs, which will provide demonstrations, workshops, and exhibits on exercise and fitness. 7/1/13- 6/30/14 C Deleted 18 4. The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory Council Planning Committee Members will work collaboratively with CBO’s to develop and plan special programs/events/services in order to help address the needs of older adults with particular attention to promoting health and preventing disease, such as health screening, home safety, physical and mental health. 7/1/13- 6/30/14 PD Continued 5. The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory Council Planning Committee Members will work collaboratively with CBO’s to develop and plan special programs/events/services in order to help address the needs of older adults with particular attention to promoting health and preventing disease, such as health screening, home safety, physical and mental health. (Duplicate) 7/1/13- 6/30/14 PD/C Deleted 6. The Aging and Adult Services Staff Assistant and Sr. Staff Assistant will coordinate with other senior organizations to help develop presentations on prescription drug safety to be given by the Food and Drug Administration. 7/1/13- 6/30/14 C Continued 7. Aging and Adult Staff Assistant and Sr. Staff Assistant will utilize the HICAP program to inform the public about enhanced Medicare benefits under the Affordable Care Act, which include preventive benefits. 7/1/13- 6/30/14 C Continued 8. Aging and Adult Staff Assistant and Sr. Staff Assistant will inform the public about health insurance options outside of Medicare whenever appropriate. Examples include programs made possible through the Affordable Care Act. 7/1/13- 6/30/14 PD/C Continued 9. Unspent Title IIID funds were reallocated to the Fall Prevention Program (FPP) through 6/30/13. The funds helped extend services countywide. It also enabled FPP to purchase the rights to implement two evidence- based exercise programs. A Sr. Staff Assistant worked with the Executive Director of FPP to research and identified the two programs. 7/1/12- 6/30/13 PD/C New 10. Sr. Staff Assistant will publish a request for interest (“RFI”) for evidence-based health promotion programs. 7/1/13- 6/30/14 New 11. AAA Senior Staff Assistant will collaborate with the Fall Prevention Coalition and Pleasant Hill Senior Center to plan an event that promotes healthy living, bring awareness to fall prevention, and raise funds for the Fall Prevention Program. The event is scheduled for Sunday, September 8, 2013. 7/1/13- 6/30/14 C New 19 GOAL # 5 The AAA is committed to planning for and implementing community services for the Baby Boomer population; recognizing and addressing their unique needs related to housing, transportation, financial security, health and well being, employment and community involvement. While there is no current funding for this effort, the AAA will seek to accomplish this through advocacy, and creative collaboration with current and new community partners. RATIONALE To address the needs of the influx of Baby Boomers expected to retire in the near future. OBJECTIVES Projected Start & End Dates Title III B Funded PD or C Status 1. AAA Division Manager and Sr. Staff Assistants will provide technical assistance and training to community members on how to increase the number of older adults in policy making positions on local boards, city councils and planning commissions. 7/1/13- 6/30/14 C Continued 2. AAA Division Manager and Sr. Staff Assistants will provide technical assistance and training to local boards, city councils, and planning commissions to encourage them to be more responsive to Baby Boomer needs and issues. 7/1/13- 6/30/14 C Continued 4. Utilizing the Baby Boomer survey, completed early 2011, as well as the recent Core Survey, Key Informant and LEP surveys as well as and other current resources, Division Manager and Senior Staff Assistants will educate the provider & stakeholder communities with respect to the results of the surveys regarding the needs of seniors in the AAA’s catchment area. 7/1/13- 6/30/14 C Continued 5. AAA Division Manager and Senior Staff Assistant will work collaboratively with staff from Contra Costa County In-Home Supportive Services and Volunteer and Emergency Services to plan and develop a Volunteer Care Coordination Program. The program will utilize trained volunteers to assist seniors and their families with the process of planning and coordinating long-term care services. In particular, the program will target low and moderate income seniors who do not qualify for government assistance and do not have the means to afford private services. Volunteers were successfully recruited and trained to provide information and referral services at the North Richmond and San Ramon Senior Centers. 7/1/13- 6/30/14 PD Continued 20 GOAL # 6 The AAA will work to prevent isolation, poverty, homelessness, and premature institutionalization of Lesbian, Gay, Bisexual, and Transgender (LGBT) seniors due to recent studies showing them to be at a higher risk as a result of life-long experiences causing marginalization. RATIONALE Mandated by the California Department of Aging. OBJECTIVES Projected Start & End Dates Title III B Funded PD or C Status 1. AAA Division Manager and Aging and Adult Services Sr. Staff Assistant will collaborate with local agencies which serve LGBT seniors in order to maintain the most current demographic information on LGBT Seniors, particularly regarding those of low-income and minority status in order to adequately plan for services. 7/1/13- 6/30/14 C Continued 2. AAA Division Manager and Aging and Adult Services Sr. Staff Assistant will collaborate with local agencies which serve LGBT seniors in order to maintain the most current resource information on culturally competent services for LGBT Seniors in order for I & A to provide the appropriate referrals. 7/1/13- 6/30/14 C Continued 3. The AAA Division Manager and Aging and Adult Services Sr. Staff Assistants will craft a survey to provide to local providers to assess the needs of older LGBT residents. 7/1/13- 6/30/14 C Deleted 4. In collaboration with Rainbow Community Center, the AAA Division Manager and Sr. Staff Assistants will continue to deliver curriculum/in-service sensitivity training and “Train the Trainers” for staff of contracted service providers on how to work with LGBT clients with sensitivity to their unique needs and to know how to make appropriate referrals when clients report having issues relating to discrimination, for examples: with their doctors when needing care, with having been turned away when attempting to obtain housing, and/or having their marital and domestic partnerships rights dismissed by long-term care facility staff. 7/1/13- 6/30/14 C Completed 5. The AAA will be reviewing all its current contracts with it’s providers to ensure that all contracts have language that include and assure that the contractor will be ‘LGBT welcoming and friendly’. 7/1/13- 6/30/14 C Completed 21 GOAL # 7 The AAA will work in partnership with the California Department of Aging and its transportation Freedom Mobility Management Grant, other local agencies and grass root groups to combat isolation, to increase access and transportation options for older adults, and promote a collaborative effort to advocate for more countywide transportation resources. RATIONALE Mandated by the California Department of Aging. OBJECTIVES Projected Start & End Dates Title III B Funded PD or C Status 1. AAA Division Manager and Aging and Adult Services Sr. Staff Assistant will collaborate with local agencies which serve seniors as well as transit providers to plan and coordinate educational forums throughout the county on both public safety issues for older drivers as well as options for transportation. 7/1/13- 6/30/14 PD&C Continued 2. AAA Division Manager and Area Agency on Aging Sr. Staff Assistant will work throughout the county on both public safety issues for older drivers as well as options for transportation. AAA Sr. Staff Assistant will collaborate with local agencies in order to maintain the most current resource information on rides for seniors and transportation options within Contra Costa County and the Bay Area Region in order for I & A to provide the appropriate referrals. 7/1/13- 6/30/14 C Continued 3. The AAA Division Manager and Aging and Adult Services Sr. Staff Assistants will work with the Advisory Council Transportation workgroup and the Housing workgroup to develop new strategies and recommendations for land use planning/transit village to meet the needs of seniors. 7/1/13- 6/30/14 C Continued 22 PART THREE: Service Unit Plan Objectives TITLE III/VII SERVICE UNIT PLAN OBJECTIVES CCR Article 3, Section 7300(d) The Service Unit Plan (SUP) uses the National Aging Program Information System (NAPIS) Categories and units of service. They are defined in the NAPIS State Program Report. For services not defined in NAPIS, refer to the Service Categories and Data Dictionary. Report the units of service to be provided with ALL funding sources. Related funding is reported in the annual Area Plan Budget (CDA 122) for Titles III B, III C-1, III C-2, III D, VII (a) and VII (b). 1. Visiting Visiting Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 14,040 1 2013-2014 14,836 1 2014-2015 2015-2016 2. Homemaker Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers(if applicable) 2012-2013 2013-2014 2014-2015 2015-2016 3. Registry Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 2,400 1 2013-2014 7,637 1 2014-2015 2015-2016 23 4. Home-Delivered Meal Unit of Service = 1 meal Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 350,000 2 2013-2014 350,000 2 2014-2015 2015-2016 5. Adult Day Care/Adult Day Health Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 7,208 4 2013-2014 7,208 4 2014-2015 2015-2016 6. Case Management Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 2013-2014 2014-2015 2015-2016 7. Assisted Transportation Unit of Service = 1 one-way trip Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers(if applicable) 2012-2013 1,100 7 2013-2014 1,322 7 2014-2015 2015-2016 24 8. Congregate Meals Unit of Service = 1 meal Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 175,000 2 2013-2014 175,000 2 2014-2015 2015-2016 9. Nutrition Counseling Unit of Service = 1 session per participant Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 2013-2014 2014-2015 2015-2016 10. Transportation Unit of Service = 1 one-way trip Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 51,000 2,5 2013-2014 51,000 2,5 2014-2015 2015-2016 11. Legal Assistance Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 5,671 2 2013-2014 5,671 2 2014-2015 2015-2016 25 12. Nutrition Education Unit of Service = 1 session per participant Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2012-2013 4,000 2 2013-2014 4,000 2 2014-2015 2015-2016 13. Information and Assistance Unit of Service = 1 contact Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers(if applicable) 2012-2013 12,000 1,2,4 2013-2014 12,000 1,2,4 2014-2015 2015-2016 14. Community Education Unit of Service = 1 contact Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers(if applicable) 2012-2013 80 4 2013-2014 400 4 2014-2015 2015-2016 26 15. Title III D Health Promotion Unit of Service = 1 contact Service Activities: _Provide health risk assessments, routine health screening, physical fitness group exercise activity. • Title III D/Health Promotion: Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers(if applicable) 2012-2013 500 2 4 2013-2014 500 2 4 2014-2015 2015-2016 Title III D Medication Management Units of Service = 1 Contact Service Activities: Medication Screening and education to individuals • Title III D/Medication Management: Fiscal Year Proposed Units of Service Program Goal Number Objective Numbers (required) 2012-2013 500 2 4 2013-2014 N/A 2014-2015 N/A 2015-2016 N/A 27 PSA 7 TITLE III B and Title VII A: LONG-TERM CARE (LTC) OMBUDSMAN PROGRAM OUTCOMES 2012–2016 Four-Year Planning Cycle Outcome 1. The problems and concerns of long-term care residents are solved through complaint resolution and other services of the Ombudsman Program. [OAA Section 712(a) (3), (5)] Measures and Targets: A. Complaint Resolution Rate (AoA Report, Part I-E, Actions on Complaints) The average California complaint resolution rate for FY 2009-2010 was 73%. 1. FY 2010-2011 Baseline Resolution Rate: 78% Number of complaints resolved 922+ Number of partially resolved complaints 420 divided by the Total Number of Complaints Received 1721 = Baseline Resolution Rate 78% 2. FY 2012-2013 Target: Resolution Rate 80% 3. FY 2011-2012 AoA Resolution Rate 78% FY 2013-2014 Target: Resolution Rate 82% 4. FY 2012-2013 AoA Resolution Rate 80% FY 2014-2015 Target: Resolution Rate 84% 5. FY 2013-2014 AoA Resolution Rate 82% FY 2015-2016 Target: Resolution Rate 85% Program Goals and Objective Numbers: Goal 2 28 B. Work with Resident Councils (AoA Report, Part III-D, #8) FY 2010-2011 Baseline: number of meetings attended22 2. FY 2012-2013 Target: 25 3. FY 2011-2012 AoA Data: 24 FY 2013-2014 Target: 26 23 4. FY 2012-2013 AoA Data: 25 FY 2014-2015 Target: 27 5. FY 2013-2014 AoA Data: 26 FY 2015-2016 Target: 28 Program Goals and Objective Numbers: C. Work with Family Councils (AoA Report, Part III-D, #9) 1. FY 2010-2011 Baseline: number of meetings attended 14 2. FY 2012-2013 Target: number 18 3. FY 2011-2012 AoA Data: 16 FY 2013-2014 Target: 19 15 4. FY 2012-2013 AoA Data: 18 FY 2014-2015 Target: 20 5. FY 2013-2014 AoA Data: 19 FY 2015-2016 Target: 21 Program Goals and Objective Numbers: D. Consultation to Facilities (AoA Report, Part III-D, #4) 1. FY 2010-2011 Baseline: number of consultations 376 2. FY 2012-2013 Target: 420 3. FY 2011-2012 AoA Data:400 FY 2013-2014 Target: 440 500 4. FY 2012-2013 AoA Data: 420 FY 2014-2015 Target: 460 5. FY 2013-2014 AoA Data: 440 FY 2015-2016 Target: 480 Program Goals and Objective Numbers: 29 E. Information and Consultation to Individuals (AoA Report, Part III-D, #5) 1. FY 2010-2011 Baseline: number of consultations 1,336 2. FY 2012-2013 Target: 1,300 3. FY 2011-2012 AoA Data: 1,275 FY 2013-2014 Target:1,325 1,300 4. FY 2012-2013 AoA Data: 1,300 FY 2014-2015 Target1,350 5. FY 2013-2014 AoA Data: 1,325 FY 2015-2016 Target:1,375 Program Goals and Objective Numbers: F. Community Education (AoA Report, Part III-D, #10) 1. FY 2010-2011 Baseline: number of sessions: 9 2. FY 2012-2013 Target: 12 3. FY 2011-2012 AoA Data: 10 FY 2013-2014 Target:14 12 4. FY 2012-2013 AoA Data: 12 FY 2014-2015 Target: 16 5. FY 2013-2014 AoA Data: 14 FY 2015-2016 Target: 18 Program Goals and Objective Numbers: G. Systems Advocacy FY 2013-2014 Activity (enter information in the box below): Systemic Advocacy Effort(s): Work with Long Term Care Facilities to improve care for mental health residents through collaboration with Contra Costa Mental Health/Older Adult Program, to increase facility staff’s ability to work with mental health residents as well as residents from diverse populations. Ultimately the goal is to work towards safety in all facilities and included in that is decreasing resident to resident altercations. 30 Outcome 2. Residents have regular access to an Ombudsman. [(OAA Section 712(a) (3) (D), (5) (B) (ii)] Measures and Targets: A. Facility Coverage (other than in response to a complaint), (AoA Report, Part III-D, #6) 1. FY 2010-2011 Baseline: 84% Number of Nursing Facilities visited at least once a quarter not in response to a complaint 26 divided by the number of Nursing Facilities: 31. 2. FY 2012-2013 Target: 90% 3. FY 2011-2012 AoA Data: 87% FY 2013-2014 Target: 93% 94% 4. FY 2012-2013 AoA Data: 90% FY 2014-2015 Target: 95% 5. FY 2013-2014 AoA Data: 93 % FY 2015-2016 Target: 98% Program Goals and Objective Numbers: B. Facility Coverage (other than in response to a complaint) (AoA Report, Part III-D, #6) 1. FY 2010-2011 Baseline: 9% Number of RCFEs visited at least once a quarter not in response to a complaint 41 77 divided by the number of RCFEs 425 2. FY 2012-2013 Target: 14% 3. FY 2011-2012 AoA Data: 12 % FY 2013-2014 Target: 16% 18% 4. FY 2012-2013 AoA Data: 14 % FY 2014-2015 Target: 17 % 5. FY 2013-2014 AoA Data: 16 % FY 2015-2016 Target: 18% Program Goals and Objective Numbers: C. Number of Full-Time Equivalent (FTE) Staff (AoA Report Part III. B.2. - Staff and Volunteers) 1. FY 2010-2011 Baseline: FTEs 3.32 2. FY 2012-2013 Target: 3.675 FTEs 31 3. FY 2011-2012 AoA Data: 3.675 FTEs FY 2013-2014 Target:3.675 FTEs 4. FY 2012-2013 AoA Data:3.675 FTEs FY 2014-2015 Target: 3.675 FTEs 5. FY 2013-2014 AoA Data: 3.675 FTEs FY 2015-2016 Target: 3.675 FTEs Program Goals and Objective Numbers: D. Number of Certified LTC Ombudsman Volunteers (AoA Report Part III. B.2. – Staff and Volunteers) 1. FY 2010-2011 Baseline: Number of certified LTC Ombudsman volunteers as of June 30, 2010 45 2. FY 2012-2013 Projected Number of certified LTC Ombudsman volunteers as of June 30, 2013 48 3, FY 2011-2012 AoA Data: 43 38 certified volunteers FY 2013-2014 Projected Number of certified LTC Ombudsman volunteers as of June 30, 2014: 50 48 4. FY 2012-2013 AoA Data: 48 45 certified volunteers FY 2014-2015 Projected Number of certified LTC Ombudsman volunteers as of June 30, 2015: 52 5. FY 2013-2014 AoA Data: 50 certified volunteers FY 2015-2016 Projected Number of certified LTC Ombudsman volunteers as of June 30, 2016: 55 Program Goals and Objective Numbers: 32 Outcome 3. Ombudsman representatives accurately and consistently report data about their complaints and other program activities in a timely manner. [OAA Section 712(c)] Measures and Targets: A. At least once each fiscal year, the Office of the State Long-Term Care Ombudsman sponsors free training on each of four modules covering the reporting process for the National Ombudsman Reporting System (NORS). These trainings are provided by telephone conference and are available to all certified staff and volunteers. Local LTC Ombudsman Programs retain documentation of attendance in order to meet annual training requirements. 1. FY 2010-2011 Baseline number of Ombudsman Program staff and volunteers who attended NORS Training Parts I, II, III and IV: 3 2. FY 2012-2013 Target: number of Ombudsman Program staff and volunteers attending NORS Training Parts I, II, III and IV: 4 3. FY 2011-2012 number of Ombudsman Program staff and volunteers who attended NORS Training Parts I, II, III, and IV: 3 FY 2013-2014 Target: 4 6 4. FY 2012-2013 number of Ombudsman Program staff and volunteers who attended NORS Training Parts I, II, III, and IV: 4 FY 2014-2015 Target: 4 5. FY 2013-2014 number of Ombudsman Program staff and volunteers who attended NORS Training Parts I, II, III, and IV: 4 FY 2015-2016 Target: 4 Program Goals and Objective Numbers: 33 PSA 7 TITLE VIIB ELDER ABUSE PREVENTION SERVICE UNIT PLAN OBJECTIVES Fiscal Year Total # of Public Education Sessions Fiscal Year Total # of Training Sessions for Professionals 2012-13 10 2012-13 10 2013-14 10 2013-14 10 2014-15 2014-15 2015-16 2015-16 Fiscal Year Total # of Training Sessions for Caregivers served by Title III E Fiscal Year Total # of Hours Spent Developing a Coordinated System 2012-13 2 2012-13 0 2013-14 2 2013-14 0 2014-15 2014-15 2015-16 2015-16 34 Fiscal Year Total # of Copies of Educational Materials to be Distributed Description of Educational Materials 2012-2013 1510 Elder Court/Senior Self-Help Clinic; What Should I Know About Elder Abuse; Consumer Fraud 2013-2014 1200 I.D. Theft & Account Fraud; Elder Court/Senior Self- Help Clinic; What Should I Know About Elder Abuse; Consumer Fraud 2014-2015 2015-2016 Fiscal Year Total Number of Individuals Served 2012-2013 841 2013-2014 840 2014-2015 2015-2016 35 PSA 7 TITLE III E SERVICE UNIT PLAN OBJECTIVES CCR Article 3, Section 7300(d) 2012–2016 Four-Year Planning Period Direct and/or Contracted III EServices CATEGORIES 1 2 3 Family Caregiver Services Caring for Elderly Proposed Units of Service Required Goal #(s) Optional Objective #(s) Information Services # of activities and Total est. audience for above 2012-2013 # of activities: 18 Total est. audience for above: 500 1 2013-2014 # of activities: Total est. audience for above: 66 1,2 2014-2015 # of activities: Total est. audience for above: 2015-2016 # of activities: Total est. audience for above: Access Assistance Total contacts 2012-2013 1557 1 2013-2014 2428 1,2 2014-2015 2015-2016 Support Services Total hours 2012-2013 2142 1 2013-2014 1610 1,2 2014-2015 2015-2016 Respite Care Total hours 2012-2013 2893 1 2013-2014 3404 1,2 2014-2015 2015-2016 36 Supplemental Services Total occurrences 2012-2013 230 1 2013-2014 285 1,2 2014-2015 2015-2016 37 Direct and/or Contracted III E Services Grandparent Services Caring for Children Proposed Units of Service Required Goal #(s) Optional Objective #(s) Information Services # of activities and Total est. audience for above 2012-2013 # of activities: 4 Total est. audience for above: 100 2013-2014 # of activities: Total est. audience for above: 2014-2015 # of activities: Total est. audience for above: 2015-2016 # of activities: Total est. audience for above: Access Assistance Total contacts 2012-2013 100 1 2013-2014 100 1 2014-2015 2015-2016 Support Services Total hours 2012-2013 249 1 2013-2014 249 1 2014-2015 2015-2016 Respite Care Total hours 2012-2013 468 1 2013-2014 468 1 2014-2015 2015-2016 Supplemental Services Total occurrences 2012-2013 58 1 2013-2014 58 1 2014-2015 2015-2016 38 PSA 7 HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM (HICAP) SERVICE UNIT PLAN CCR Article 3, Section 7300(d) Section 1. Primary HICAP Units of Service Fiscal Year (FY) 1.1 Estimated Number of Unduplicated Clients Counseled Goal Numbers 2012-2013 1897 1,2,3,4 2013-2014 1340 1,2,3,4 2014-2015 2015-2016 Note: Clients Counseled equals the number of Intakes closed and finalized by the Program Manager. Fiscal Year (FY) 1.2 Estimated Number of Public and Media Events Goal Numbers 2012-2013 68 3,1,4 2013-2014 33 3,1,4 2014-2015 2015-2016 Note: Public and Media event are interactive education/outreach presentations, booths/exhibits at health/senior fairs, and enrollment events, excluding public service announcements and printed outreach. 39 Section 2: Federal Performance Benchmark Measures Note: This includes all counseling contacts via telephone, in-person at home, in-person at site, and electronic contacts (e-mail, fax, etc.) for duplicated client counts. Fiscal Year (FY) 2.2 Estimated Number of Persons Reached at Public and Media Events Goal Numbers 2012-2013 5500 3,4 2013-2014 5933 3,4 2014-2015 2015-2016 Note: This includes the estimated number of attendees (e.g., people actually attending the event, not just receiving a flyer) reached through presentations either in person or via webinars, TV shows or radio shows, and those reached through booths/exhibits at health/senior fairs, and those enrolled at enrollment events, excluding public service announcements (PSAs) and printed outreach materials. Fiscal Year (FY) 2.3 Estimated Number of contacts with Low Income Beneficiaries Goal Numbers 2012-2013 1600 2,3,4 2013-2014 616 2,3,4 2014-2015 2015-2016 Note: This includes all counseling contacts via telephone, in-person at home, in-person at site, and electronic contacts (e-mail, fax, etc.), duplicated client counts with Medicare beneficiaries due to disability, and not yet age 65. Fiscal Year (FY) 2.1 Estimated Number of Contacts for all Clients Counseled Goal Numbers 2012-2013 8214 1,3,4 2013-2014 4724 1,3,4 2014-2015 2015-2016 40 Fiscal Year (FY) 2.4 Estimated Number of contacts with Beneficiaries Due to Disability Goal Numbers 2012-2013 3400 2,3,4 2013-2014 1943 2,3,4 2014-2015 2015-2016 Note: This is the number of unduplicated low-income Medicare beneficiary contacts and/or contacts that discussed low-income subsidy (LIS). Low income means 150 percent of the Federal Poverty Level (FPL). Fiscal Year (FY) 2.5 Estimated Number of Enrollment Assistance Contacts Goal Numbers 2012-2013 5500 1,2,3,4 2013-2014 835 1,2,3,4 2014-2015 2015-2016 Note: This is the number of unduplicated enrollment contacts during which one or more qualifying enrollment topics were discussed. This includes all enrollment assistance, not just Part D. Fiscal Year (FY) 2.6 Estimated Part D and Enrollment Assistance Contacts Goal Numbers 2012-2013 3100 1,2,3,4 2013-2014 2080 1,2,3,4 2014-2015 2015-2016 Note: This is a subset of all enrollment assistance in 2.5. It includes the number of Part D enrollment contacts during which one or more qualifying Part D enrollment topics were discussed. 41 Fiscal Year (FY) 2.7 Counseling Hours Goal Numbers 2012-2013 20 3 2013-2014 2531 3 2014-2015 2015-2016 Note: This is the total number of counseling hours divided by 2000 (considered annual fulltime hours), then multiplied by the total number of Medicare beneficiaries per 10K in PSA. Section 3: HICAP Legal Services Units of Service (if applicable) 4 State Fiscal Year (SFY) 3.1 Estimated Number of Clients Represented Per SFY (Unit of Service) Goal Numbers 2012-2013 20 2,3 2013-2014 20 2,3 2014-2015 2015-2016 State Fiscal Year (SFY) 3.2 Estimated Number of Legal Representation Hours Per SFY (Unit of Service) Goal Numbers 2012-2013 100 2,3 2013-2014 100 2,3 2014-2015 2015-2016 State Fiscal Year (SFY) 3.3 Estimated Number of Program Consultation Hours per SFY (Unit of Service) Goal Numbers 2012-2013 5 2 2013-2014 5 2 2014-2015 2015-2016 4 Requires a contract for using HICAP funds to pay for HICAP Legal Services. 42 SECTION 11 - FOCAL POINTS PSA 7 COMMUNITY FOCAL POINTS LIST CCR Title 22, Article 3, Section 7302(a) (14), 45 CFR Section 1321.53(c), OAA 2006 306(a) Designated Community Focal Point Address EAST COUNTY Antioch Antioch Senior Center 415 West 2nd Street Antioch, CA 94509 Bay Point Ambrose Community Center 3105 Willow Pass Road Bay Point, CA 94565 Brentwood Brentwood Community Center 730 Third Street Brentwood, CA 94513 Pittsburg Pittsburg Senior Center 300 Presidio Lane Pittsburg, CA 94565 East County Senior Coalition Meets at: Rivertown Resource Center 301 West 10th Street Antioch, CA 94509 CENTRAL COUNTY Concord Concord Senior Center 2727 Parkside Circle Concord, CA 94519 Martinez Martinez Senior Center 818 Green Street Martinez, CA 94553 Pleasant Hill Senior Center Pleasant Hill Senior Center 233 Gregory Lane Pleasant Hill, CA 94523 San Ramon San Ramon Senior Center 9300 Alcosta Blvd San Ramon, CA 94583 Walnut Creek Jewish Community Center 2071 Tice Valley Blvd Walnut Creek, CA 94596 Rossmoor - Hillside Clubhouse 3400 Golden Rain Road 43 Walnut Creek, CA 94595 Walnut Creek Community Center 1375 Civic Drive Walnut Creek, CA 94596 Central County Senior Coalition Meets at: Office of Supervisor Andersen 3338 Mt. Diablo Blvd. Lafayette, CA 94549 WEST COUNTY Crockett Crockett Community Center 850 Pomona Avenue Crockett, CA 94525 El Cerrito El Cerrito Senior Center 6500 Stockton Street El Cerrito, CA 94530 Hercules Hercules Senior Center 111 Civic Drive Hercules, CA 94547 North Richmond Neighborhood House 515 Silver Avenue North Richmond, CA 94801 Richmond Richmond Senior Center 2525 Macdonald Avenue Richmond, CA 94801 Rodeo Rodeo Senior Center 189 Parker Avenue Rodeo, CA 94572 San Pablo San Pablo Senior Adult Center 1943 Church Lane San Pablo, CA 94806 West County Senior Coalition Meets at: County Supervisor John Goia’s Office 11780 San Pablo Ave., Suite D El Cerrito, CA 94530 44 SECTION 12 - DISASTER PREPAREDNESS PSA 7 Disaster Preparation Planning Conducted for the 2012-2016 Planning Cycle OAA Title III, Sec. 306(a)(17); 310, CCR Title 22, Sections 7529 (a)(4) and 7547, W&I Code Division 8.5, Sections 9625 and 9716, CDA Standard Agreement, Exhibit E, Article 1, 22-25, Program Memo 10-29(P) 1. Describe how the AAA coordinates its disaster preparedness plans and activities with local emergency response agencies, relief organizations, state and local governments, and other organizations responsible for emergency preparedness and response as required in OAA, Title III, Section 310: The AAA is located within the Adult and Aging Bureau of the Employment and Human Service Department. As such, the staff of the Area Agency is slated to be Care and Shelter Disaster workers in the event of a major disaster. A Senior Staff Assistant for the Area Agency also sits as an Advisor to the larger Department Disaster Preparedness Effort and also to the Countywide Office of Emergency Services that is headed up by the County Sherriff’s department. The Office of Emergency Services has sponsored numerous trainings and exercises involving all first responders (emergency fire, police, hospitals, shelters). Dan Widger is the Office of Emergency Services Emergency Planning Coordinator whose contact information is as follows: 50 Glacier Drive, Martinez, CA 94553, 925-646-4461. The Area Agency has been a participant at all of these trainings and exercises. In addition, the Area Agency has for several years provided emergency disaster kits that provide food and water for a minimum of three days and distributed those to seniors at senior centers, as well as having the local fire departments distribute these kits in underserved areas. 2. Identify each of the local Office of Emergency Services (OES) contact person(s) within the PSA that the AAA will coordinate with in the event of a disaster (add additional information as needed for each OES within the PSA): Name Title Telephone email Dan Widger Contra Costa County Office of Emergency Services: Emergency Planning Coordinator Office: (925) 646-4461 dwidg@so.cccounty.us 3. Identify the Disaster Response Coordinator within the AAA: Name Title Telephone email Scott Danielson Sr. Staff Assistant Office: 925-602-4171 sdanielson@ehsd.cccounty.us 4. List critical services the AAA will continue to provide after a disaster and describe how these services will be delivered: Critical Services How Delivered? a Staff shelters b Management at EOC c a County staff will help staff emergency shelters b Communication with EOC/Red Cross/First Responders 45 5. List any agencies with which the AAA has formal emergency preparation or response agreements. Described above. The AAA is part of the Employment and Human Service Department which is responsible for Care and Shelter in the event of a major Disaster. It has formal agreements with the American Red Cross, the Contra Costa County Office of Emergency Services, the Contra Costa County Health Department, and the Contra Costa Sherriff’s Department. 6. Describe how the AAA will: • Identify vulnerable populations. The AAA utilizes information obtained from the In Home Supportive Services program and the Aging network in Contra Costa County on vulnerable, at-risk individuals. The aging network consists of a collaboration of Ombudsman Services, AAA Contractors, and non-profit organizations whose purpose is to serve and advocate for seniors. • Follow-up with these vulnerable populations after a disaster event. Protocols are in place to identify at-risk populations and arrange for shelter care for those with special needs. AAA works with the Ombudsman program to ensure skilled nursing facilities, assisted living facilities, and residential care homes provide for their clients, residents, and patients during and after a disaster. 46 SECTION 14 - NOTICE OF INTENT TO PROVIDE DIRECT SERVICES PSA 7 CCR Article 3, Section 7320 (a) (b) and 42 USC Section 3027(a) (8) (C) If an AAA plans to directly provide any of the following services, it is required to provide a description of the methods that will be used to assure that target populations throughout the PSA will be served. Check if not providing any of the below listed direct services. Check applicable direct services Check each applicable Fiscal Year Title III B 12-13 13-14 14-15 15-16 x Information and Assistance X X X X Case Management Outreach X Program Development X X X X X Coordination X X X X Long-Term Care Ombudsman Title III D 12-13 13-14 14-15 15-16 X Health Promotion X X X X Medication Management X Title III E 5 12-13 13-14 14-15 15-16 X Information Services X X X X Access Assistance Support Services Respite Services Supplemental Services Title VII A 12-13 13-14 14-15 15-16 Long-Term Care Ombudsman Title VIIB 12-13 13-14 14-15 15-16 Prevention of Elder Abuse, Neglect And Exploitation 5 Refer to PM 11-11 for definitions of Title III E categories. 47 SECTION 17 - ADVISORY COUNCIL MEMBERSHIP 2012-2016 Four-Year Planning Cycle 45 CFR, Section 1321.57 CCR Article 3, Section 7302(a) (12) Total Council Membership (include vacancies) 40 Number of Council Members over age 60 23 % of PSA's 60+Population On Advisory Council Race/Ethnic Composition White / White & 60+ 24 / 17 12% 43% Hispanic / Hispanic & 60+ 2 / 1 1% 3% Black / Black & 60+ 2 / 2 1% 5% Asian/Pacific Islander / API & 60+ 3 / 3 1% 8% Native American/Alaskan Native / NA/AN & 60+ 0 / 0 0% 0% Name and Title of Officers: Office Term Expires: 1 Dr. Robert Leasure, President 9/2013 2 Gerald Richards, 1st Vice President 9/2013 3 John Rinaudo, 2nd Vice President; Co-Chair Health Work Group 9/2014 4 Richard Nahm Secretary 9/2014 5 Gail Garrett, Treasurer; Meals on Wheels of Contra Costa county Board Member/ Nurtrition Project Council representative 9/2014 48 Name and Title of other members: Office Term Expires: 1 Bruns, Mary, MAL #15, Co-Chair - Transportation Work Group 9/13 2 Card, Deborah MAL #5, (Former Health Services Employee, Registered Nurse) 9/14 3 Conn, Alice, City of Martinez Representative 9/14 4 Davis-Lucey, Suzanne, City of Concord Representative 9/13 5 Dunne-Rose, Mary, MAL #13 9/14 6 Fernandez, Rudy, City of Antioch Representative 9/14 7 Fineberg, Barbara, City of San Pablo Representative 9/14 8 Frederick, Susan, MAL #20 9/13 9 Garrett, Gail, Nutrition Project Council Representative, Treasurer 9/14 10 Groobin, Linda, MAL #8 9/13 11 Hefner, Lori, MAL #9 9/13 12 Hoffman, Ralph, MAL #10 9/14 13 Kee, Arthur, City of Brentwood Representative 9/13 14 Kim-Selby, Joanna, City of El Cerrito Representative, Co-Chair - Legislative Advocacy Work Group; CSL - Senior Senate 9/14 15 Krohn, Shirley, MAL #2, Co-Chair - Legislative Advocacy Work Group; CSL - Senior Assembly 9/14 16 Leasure, Robert, MAL #6, President, Chair, Executive Committee 9/13 17 Littlehale, Sue, City of Orinda Representative 9/13 18 McVay, Kay, MAL #3 9/13 19 Mijares, Arthur, City of Oakley Representative 9/14 21 Nahm, Richard, MAL #18, Secretary 9/14 22 Neemuchwalla, Nuru, MAL #12 9/14 23 Ormiston, Earle, Chair, MAL #7 9/14 24 Richards, Gerald, City of Hercules, Representative, 1st Vice President; CSL - Senior Senate 9/14 25 Rinaudo, John, City of Pittsburg Representative, 2nd Vice President, Co-Chair – Health Work Group 9/14 26 Ryan, Nell, City of Danville/Alamo Representative 9/14 24 SanVicente, Richard, MAL #1 9/14 25 Schroth, Edward, MAL #11, Co-Chair – Health Work Group 9/13 28 Ulrick, Laurie, MAL #19, Chair - Planning Committee 9/13 29 Wallace, Beverly , MAL #6, Chair – Membership Committee 9/14 49 30 Welty, Patricia, MAL #4 9/14 31 West, Stefanie, city of Lafayette Representative 9/13 Indicate which member(s) represent each of the “Other Representation” categories listed below. Yes No Low Income Representative Disabled Representative Supportive Services Provider Representative Health Care Provider Representative Family Caregiver Representative Local Elected Officials Individuals with Leadership Experience in Private and Voluntary Sectors Explain any "No" answer(s): __________________________ Briefly describe the local governing board’s process to appoint Advisory Council members: Each new vacancy occurring on the Council is declared by Board Order. The Clerk of the Board’s Office is then instructed to advertise each vacancy for a period of 20 days prior to the filling of each seat to encourage and permit interested members of the public to apply. Member at Large applicants are interviewed by the Council’s Membership Committee; and Local Committee Seats are selected by the cities (usually the City Councils). All new appointments to the Council are made by Board Order. New members are given an orientation and advised of their duty to file FORM 700 and to complete ethics training for public officials as required by the Fair Political Practices Commission. 50 SECTION 18 - LEGAL ASSISTANCE PSA 7 2012-2016 Four-Year Area Planning Cycle This section must be completed and submitted with the Four-Year Area Plan. Any changes to this Section must be documented on this form and remitted with Area Plan Updates.6 1. Specific to Legal Services, what is your AAA’s Mission Statement or Purpose Statement? Statement must include Title III B requirements: Contra Costa Senior Legal Services (CCSLS) provides free legal advice, representation and education to elderly residents of Contra Costa County, with an emphasis on seniors who are in the greatest social and economic need. Its most urgent objective is to resolve legal problems that are adversely affecting basic needs of the elderly such as food, shelter, health care, and freedom from physical, psychological or economic abuse. 2. Based on your local needs assessment, what percentage of Title III B funding is allocated to Legal Services? 11% of adequate proportion of unallocated Title III B funding is directed to Legal Services. CCSLS actually receives 13% of Title III B funding. 3. Specific to legal services, has there been a change in your local needs in the past four years? If so, please identify the change (include whether the change affected the level of funding and the difference in funding levels in the past four years) In the last four years of economic downturn and also with the passage of legislation mandating that financial institutions report alleged financial abuse, there has been an increase in the number of APS reports of financial abuse. However, in regards to our contract providers, they are currently funded adequately. The shortage in terms of funding exists more in the realm of funds for District Attorney and prosecution services in the County. We will continue to closely monitor this situation and should the need arise to adjust the level of funding for legal services, the Area Agency will be proactive in its response. 4. Specific to Legal Services, what is the targeted senior population and mechanism for reaching targeted groups in your PSA? Discussion: The targeted senior population is seniors with the greatest social and economic needs. The mechanisms for reaching those targeted groups are the outreach and educations to seniors at community senior centers, nutrition sites, senior housing complexes and clubs, organizations and gathering places for seniors of diverse ethnic heritages such as Hispanics/Latinos, Asians and African Americans. CCSLS distributes brochures about its program in Spanish and several Asian languages in addition to brochures in English. CCSLS also depends on other senior service providers who primarily work with seniors in the target groups to refer to CCSLS. Additionally, the Contra Costa Area Agency on Aging has brought an increased focus this year to its providers and the community on the legal rights of LGBTQ seniors both living at home and in assisted living facilities. 6 For Information related to Legal Services, contact Chisorom Okwuosa at 916 419-7500 or COkwuosa@aging.ca.gov 51 5. How many legal assistance service providers are in your PSA? Complete table below. Fiscal Year # of Legal Assistance Services Providers 2012-2013 1 2013-2014 3 2014-2015 2015-2016 6. Does your PSA have a hotline for legal services? Our County Adult Protective Services Program and the Ombudsman program have a hotline and each of those programs do received ‘hot’ calls regarding legal issues. Each of these programs refers clients to either our contracted provider or to “the Legal Center” that handles specifically financial abuse cases. Additionally in Contra Costa in this past year, the larger Employment and Human Service Department in Partnership with local CBO’s, Domestic Violence Programs and local Law Enforcement agencies opened up a new Family Justice Center in the Western Part of the County. This center is a ‘one stop’ for individuals including older adults who are alleged victims of violence and exploitation and who have access to social workers as well as legal counsel for matters of restraining order, etc. 7. What methods of outreach are providers using? Discuss: CCSLS presents educational workshops on substantive areas of the law, makes presentations regarding its services and how to access those services, and participates at senior and health fairs throughout the county. It distributes brochures, fliers and other materials regarding the law in several different languages. They also have a website at www.ccsls.org that can be accessed by clients or their families. 8. What geographic regions are covered by each provider? Complete table below. Fiscal Year Name of Provider Geographic Region covered 2012-2013 a. Contra Costa County Senior Legal Services b. c. a. Countywide b. c. 2013-2014 a. CCC Senior Legal Services b. Bay Area Legal c. Rubicon a. Countywide b. Countywide c. Countywide 2014-2015 a. b. c. a. b. c. 2015-2016 a. b. c. a. b. c. 9. Discuss how older adults access Legal Services in your PSA: Most frequently older adults access Legal Services by calling or by coming to CCSLS’ office in Richmond. They are given appointments that can be by phone or in person. Some clients will make 52 an appointment at one of the several senior centers that participate in their Consult-an-Attorney program. On occasion some seniors or family members will contact them by e-mail or by mail. 10. Identify the major types of legal issues that are handled by the TIII-B legal provider(s) in your PSA. Discuss (please include new trends of legal problems in your area): Because of the downturn in the economy CCSLS is seeing more clients whose homes have been foreclosed, are in foreclosure or the clients are interested in renegotiating their mortgages. Also because of the economy they are seeing an increase in financial abuse to seniors by family members and others. There is also an increase in the number of seniors who are unable to pay their debts. 11. In the past four years, has there been a change in the types of legal issues handled by the TIII-B legal provider(s) in your PSA? Discuss: Yes, that is reflected above in regards to the issues of debt overload and the need to address financial issues. In addition, ‘scams’ in the form of financial abuse by unknown perpetrators are on the rise. 12. What are the barriers to accessing legal assistance in your PSA? Include proposed strategies for overcoming such barriers. Discuss: Contra Costa County is made up of three regions, but CCSLS has office space only in West County, making it more difficult to serve clients in the other regions. CCSLS has developed strategies for overcoming this barrier including developing a Consult-an-Attorney program at senior centers throughout the county so that clients will not have to travel outside their region to have a face-to-face consultation with an attorney. They also use faxes to review client’s papers and documents so that they do not always have to come to Richmond for services. Another barrier is because of lack of resources CCSLS has a very small paid staff. The solution to this barrier is a panel of private and retired attorneys who provide services at the Consult-an-Attorney projects and at Wills Clinics throughout the County and in our office in Richmond. In addition, the newly formed “The Law Center” mentioned above specializes in senior exploitation/financial abuse and has pro bono services that they offer county wide. This organization is complementary to CCC Senior Legal Services. 13. What other organizations or groups does your legal service provider coordinate services with? Discuss: CCSLS coordinates its services with The Law Center, Contra Costa County Ombudsman, Bay Area Legal Aid, Senior Outreach Services, the Superior Court, and many Senior Centers. In addition they work very closely with many of the county services such as APS, Information and Assistance, and HICAP. In the past they have co-sponsored educational events with some of the above-mentioned agencies and have co-counseled with other agencies on cases. They have also provided in-service education to the staff and volunteers of some of these providers. 53 SECTION 20. FAMILY CAREGIVER SUPPORT PROGRAM PSA 7 Notice of Intent for Non-Provision of FCSP Multifaceted Systems of Support Services Older Americans Act Section 373(a) and (b) 2012–2016 Four-Year Planning Cycle Family Caregiver Services Category 2012-2013 2013-2014 2014-2015 2015-2016 Family Caregiver Information Services X yes No X Direct X Contract X Yes No X Direct X Contract Yes No Direct Contract Yes No Direct Contract Family Caregiver Access Assistance X Yes No Direct X Contract X Yes No Direct X Contract Yes No Direct Contract Yes No Direct Contract Family Caregiver Support Services X yes No Direct X Contract X Yes No Direct X Contract Yes No Direct Contract Yes No Direct Contract Family Caregiver Respite Care X yes No Direct X Contract X Yes No Direct X Contract Yes No Direct Contract Yes No Direct Contract Family Caregiver Supplemental Services X Yes No Direct X Contract X Yes No Direct X Contract Yes No Direct Contract Yes No Direct Contract Grandparent Services Category 2012-2013 2013-2014 2014-2015 2015-2016 Grandparent Information Services X yes No Direct X Contract X Yes No Direct X Contract Yes No Direct Contract Yes No Direct Contract Grandparent Access Assistance X Yes No Direct X Contract X Yes No Direct X Contract Yes No Direct Contract Yes No Direct Contract Grandparent Support Services X yes No Direct X Contract X Yes No Direct X Contract Yes No Direct Contract Yes No Direct Contract Grandparent Respite Care X yes No Direct X Contract X Yes No Direct X Contract Yes No Direct Contract Yes No Direct Contract Grandparent Supplemental Services X Yes No Direct X Contract X Yes No Direct X Contract Yes No Direct Contract Yes No Direct Contract 54 *Refer to PM 11-11 for definitions for the above Title III E categories. Justification: For each service category checked “no”, explain how it is being addressed within the PSA. The justification must include the following: • Provider name and address of agency • Description of the service • Where the service be provided (entire PSA, certain counties, etc.) • Information that influenced the decision not to provide the service (research, feedback from needs assessment, survey of senior population in PSA, etc.) • How the AAA ensures the service continues to be provided in the PSA without the use of Title IIIE funds 55 Contra Costa County Area Agency on Aging Advisory Council on Aging Summary of the Public Hearing Held on MMaarrcchh 2200,, 22001133 The Hearing was called to order promptly at 10:30 a.m. by Dr. Robert Leasure, President of the Contra Costa County Advisory Council on Aging (ACOA). Dr. Leasure and John Cottrell, Director of Contra Costa’s Aging and Adult Services Bureau (AAS) made introductions and welcomed all to participate in the Area Agency on Aging 2012-2016 Area Plan update. The Area Plan Update Summary covers the upcoming fiscal year beginning July 1st 2013 and ending next year on June 30, 2014. Dr. Leasure then introduced Lori Larks, Division Manager of Contra Costa County Area Agency on Aging (AAA) and Adult Protective Services. Purpose of the Public Hearing:  Creates the opportunity to inform the public on proposed FY 2013-2014 updates for the 2012- 2016 Contra Costa County (CCC) Area Agency on Aging (AAA) Four-Year Area Plan that provides service opportunities to the older adult community.  Allows members of the public to address comments to members of the Contra Costa County Area Agency on Aging and members of the Contra Costa County Advisory Council on Aging regarding this plan. See Handout: Contra Costa County Area Agency on Aging 2013-2014 Area Plan Update Summary. Welcome and AAS Updates – John Cottrell John Cottrell thanked all Advisory Council members present for their excellent service and volunteer commitments. He introduced members of the AAA staff who were present: Scott Danielson, Senior Staff Assistant - AAA. Nhang Luong, Supervisor, Information and Assistance, Ruth Atkin, Manager, Health Insurance and Counseling Program (HICAP), Doreen Gaedtke, Senior Staff Assistant – AAA and Jaime Ray, Secretary – AAA. Lori announced that the AAA is responsible for administering Older American’s Act (OAA) funds that are distributed to Contra Costa County. Nutrition Updates: Federal reductions are planned for nutrition programs serving seniors. California has not yet issued guidelines on how the federal cuts would be implemented. Staff will be working to identify a new focus to manage nutrition programs that deliver meals to those who need them including an emphasis on local fundraising. Health Care Reform: Contra Costa is working to complete negotiations that will result in it being designated as call center provider, part of the Covered California exchange centers network that will provide assistance to California consumers who must select health insurance provider under the current reform. County Budget Updates: A cost of living increase, if given to county employees, must be absorbed by current department budgets. There are no layoffs anticipated for the coming year. AAA Mission and Public Hearing Ground Rules – Dr. Robert Leasure 56 Dr. Leasure read the Area Agency on Aging Mission Statement followed by a reading of ground rules established for the Public Hearing. Area Agency on Aging – Mission Statement Our Mission is to provide leadership in addressing issues that relate to older Californians, to develop community-based systems of care that provide services which support independence within California’s interdependent society, and which protects the qualify of life of older adults and persons with functional impairments, and to promote citizen involvement in the planning and delivery of service. AAA Report – Lori Larks The AAA relies heavily upon the ACOA for advocacy and guidance as public officials appointed by the Contra Costa County Board of Supervisors or as representatives of local cities. Contra Costa County established its AAA and ACOA under the guidelines of the Older Americans Act to keep older Americans in their homes with dignity and for as long as possible to avoid institutionalization. All AAA programs (direct or contracted) are designed to meet these goals and to protect seniors. As funds are reduced staff will be working with its community partners to advocate on behalf of the Older Americans Act or the programs and services operate under the Act that keeps our seniors safe and healthy. Program Goals - Doreen Gaedtke Doreen led a review of all seven Area Plan goal statements contained in the 2012-2016 Area Plan Summary. To illustrate the objectives of individual goals, she provided highlights of activities provided or supported by the AAA, and those to be conducted in FY 2013-2014. Doreen emphasized the importance assisting seniors with being able to continue living independently in their homes and out of premature institutionalization. The AAA targets Contra Costa consumers with the greatest economic need. Public information is provided to the public through the AAA Information and Assistance program amidst a growing need among both providers and consumers. The AAA works within the local community to identify specific areas of need, then provides or supports programs that provide services to meet these needs. The West, East and Central Contra Costa Senior Coalitions develop events and presentations to raise awareness and improve quality of life for Contra Costa’s older adult community. The AAA supports anti-discrimination law that works to preserve or protect members of the Lesbian, Gay, Bisexual or Transgender (LGBT) elder population. Through its 2011 Partners in Planning presentation, the AAA delivered a message to increase sensitivity and to educate service providers who work directly with LGBT seniors in their facilities. The ACOA’s Transportation Work Group hosts a partnership between small and large transportation providers, plus the DMV and CHP as it works to keep seniors who choose to drive safer through continued community education and offers information on mobility options to those who can no longer drive a car of their own. Volunteer-based transportation providers fill gaps in service to offer frail elderly access to needed socialization and services. 57 Targeting Populations / Community Service Areas: Nhang Luong Although a senior need not be low-income to qualify for services provided by the AAA, the Agency attempts to target those with the greatest economic need defined as having a monthly income at or below federal poverty guidelines and those with the greatest social needs, older persons having at least two of the following characteristics: disabled, communication barrier, living alone or those who are 75 years of age or older. Provider agencies that successfully utilize the Request for Information (RFI) / Request for Proposal (RFP) procedure are those which outline a plan to serve a minimum number of seniors categorized as vulnerable by the AAA. The AAA provides individuals with translation services as needed. The Agency continues to partner with various community groups that serve at-risk, vulnerable and minority groups as well. The volunteer run AARP Tax Aide program is supported locally by the AAA and provides a free service to assist consumers to complete their income tax forms with a focus on serving those who are low-income and elderly. In preparation for the 2012-2016 Four-year Plan, the AAA conducted a Core Survey to determine areas of need among local providers and the consumers they serve. Consumers who could be categorized as limited English proficient were also surveyed with respect to their areas of greatest need. Service areas are divided into east, central and west areas of Contra Costa County. Senior coalitions are present in each service area and serve as regional focal points to assist AAA staff with planning, coordination and development responsibilities. The coalitions meet monthly. Health Insurance Counseling and Assistance Program (HICAP) – Ruth Atkin HICAP is largely funded by Health and Human Services and its Centers for Medicare/Medicaid Services. Line item funding provided through the State of California was protected during recent cuts. HICAP provides free, individualized personalized counseling, unbiased community education and outreach events for Medicare beneficiaries, their family members and people about to enter Medicare eligibility countywide. In other states around the nation the HICAP program may be referred to as the State Health Insurance Assistance Program (SHIP). Two main groups are eligible for Medicare services: younger disabled persons collecting SSDI for more than 2 years and those who have met age and quarters requirements. Patients with in-stage renal disease or Amyotrophic lateral sclerosis (ALS), (AKA: Lou Gehrig’s disease) are also eligible. Ruth outlined case examples to illustrate ways in which HICAP counselors, through their work with individuals, help to identify systemic issues faced by large numbers of Health Insurance consumers. In 2012 3,276 clients received HICAP counseling; 624 clients were at or below 150% of the federal poverty level. If all Contra Costa residents served by local HICAP counselors in 2012 had acted on information given to them they would have a combined savings of $2.1 million. Dedicated volunteer counselors complete approximately 30 hours of training with another 10 hours of observation before they are recommended for registration with the State Department of Aging. 58 Health promotion efforts include consumer activities such as the, ‘bag reviews’ (consumers bring their medications in for review by pharmacy staff). Information and Assistance – Nhang Luong Three social workers and two volunteers provide a helpline for seniors, persons who have a disability and care takers. Callers are matched with services or resources available in the local community; social workers follow-up with callers to ensure that an individual’s needs were met. The program receives from 600-1,000 calls monthly. Information and Assistance (I&A) is planning the roll-out of a new website later in 2013. Contracted Services, Review of Titles III B, III E and III C - Scott Danielson AAA authorized programs provided under the Older Americans Act include: Adult Day Care, Assisted Transportation, Family Caregiver, Friendly Visiting, In Home Services and Registry, Nutrition Programs (Title III C), Ombudsman, Health Promotion and Senior Coalitions. Contracted Services, Review of Titles III D – Doreen Gaedtke Disease Prevention and Health Promotion programs are provided under Title III D. Historically, the AAA provided this category of programs through in-house services such as the I&A and HICAP programs. Recently the State of California has stipulated that programs under Title III D must be evidence based and evaluated. AAA staff allocated funding to Meals on Wheels and Senior Outreach Services - Falls Prevention Program using Title III D dollars. Occupational therapists conduct home visits to evaluate a consumer’s home while assessing risk. Recommendations are then made for assistive devices as needed to prevent a fall. While funds for Fall Prevention were made available in 2013, Lori Larks stated that some Title III D funds would be open for RFI for FY 13-14. Other AAA Activities – Nhang Luong In addition to contracted services mentioned above, AAA staff continues to serve baby boomers, limited English speaking and LGBTQ populations through offering trainings that address special needs including housing, financial security, transportation, health and wellness, employment and community involvement. In 2012 the AAA’s Partners in Planning forum was a “train the trainer” event to address the topic of preventing elder financial abuse. AAA program development activities work to establish new and to integrate existing services. Staff is involved in coordination activities to bring together groups and organizations to promote and establish an interconnected community based system of care that avoids duplication improving efficiency. Administrative tasks include ongoing work to develop and administer the AAA Area Plan. Adequate Proportions – Scott Danielson Under the requirements of the Older American’s Act, AAA staff is required to expend an adequate proportion of amounts allocated under the Title III B to provide the following services: Access, Legal Services and In Home Services. The federal government requires the AAAs to use 1% of their budgets to provide these services. Contra Costa’s AAA staff proposes that our contractors require more than minimum levels to sustain their operations and provides funding at the following levels: Access 20%, Legal Services 8% and In Home Services 8%. Scott continued with a review of the FY 13-14 Estimated Service Plan. Public Question/Clarification Period Captain Nuru Neemuchwalla: “What sorts of services are provided by Contra Costa Legal Services program?” 59 Laine Lawrence, Executive Director of Contra Costa Senior Legal Services: “Services are anywhere from advice and counsel to actual litigation. We do everything from meeting with clients, brief representation, writing letters for clients, helping them with administrative law hearings, those kinds of things up to filing law suits and doing litigation. We do it in the areas of law, civil areas of law, everything like consumer issues housing issues, elder abuse issues, both financial elder abuse, restraining orders...does that answer your question? We have an office in Richmond but we serve the whole county.” Art Mijares: “What does I&A stand for?” Doreen Gaedtke: “Information and Assistance.” Suzanne Davis-Lucey – “I was seeing that we have counseling hours 407 on page 13 and I wondered are those specific counseling hours that are offered through social services or that are also like Contra Costa Crisis Counseling; where did those hours come from and who is served?” Scott Danielson: “The County does not provide it; the individual contractor would provide it. For instance, we have an agency called Family Caregiver Alliance. We have seven contractors but let’s say that someone calls in to I&A and says, “I or my husband or my wife or a relative is no longer able to care for themselves; I’ve assumed responsibilities for being a caregiver, I need information about what I need to do. I don’t know anything I need to know about what it takes to be a caregiver. I would call I&A. If I didn’t’ know about it, I would use other sources but Information and Assistance would give me a referral to an appropriate agency. Let’s just say that Family Caregiver Alliance. I’d call them up and what they basically do is an assessment of the caregiver’s needs and roles. They then tailor a plan to provide services to that person. It might be that that person needs counseling because they’re stressed and have some issues. They might need training on how to deal with issues so that’s kind of how it works.” Art Mijares: “Is there an operating Bethel Island Scout’s Hall meal site? So there’s 17 locations?” Scott Danielson: “That’s a good question. I don’t think so; I think it’s been closed. Yes, I think so.” Lori Larks: “Thank you, we will confirm and correct our report.” Public Comment Period: Rob Tufel: “I’m Rob Tufel from Jewish Family and Children’s Services of the East Bay and I specifically wanted to comment on Goal #6. I think, and this is for future planning, when you are looking at special populations to focus on, we’ve been looking at specifically at the population of older adults who don’t have children. There are estimates that 25% of people over 65 don’t have children and that number is actually higher in the LGBTQ community. And obviously adults who don’t have children have needs but clearly everybody in this audience would know why, why they would need interventions that people with children don’t have. So I just wanted to comment on, oh I’m sorry one more thing and we had offered an educational workshop in Berkeley last year. We’re having one actually in Walnut Creek tomorrow night, I have some flyers out there specifically targeting older adults without children. I just want to raise that as an issue and hope that that’s a population you will consider and look at in the future be cause I think they get overlooked. Thank you so much.” Rudy Fernandez: “I want to reinforce what Laine says regarding Legal Services because I am one of those Elaine helped with legal assistance. The collection agency demanded payment for a car that I did not buy and she wrote a beautiful letter and that agency is tough. It said, ‘Stop bothering me.’ “ Gail Garrett: “One thing we’re going to talk about, transportation for seniors in poverty stricken areas and I think there’s more to it than that. Because a lot of people are home and they don’t get out because of transportation. And it’s so sad even if it’s just to go to the senior center, to go grocery shopping, to the doctor or any social events. You would think it is just small stuff because I’ve given a lady a ride one day from the senior center to her home. She said, ‘could you give me a ride up there?’ I said I’ll be glad to. And she said I walked down here but I just don’t have the strength to make it home so oh thank you. That’s small stuff, she said, ‘it isn’t when you don’t have a car.’ And a lot of them who used to drive just don’t drive anymore. And most of them are so independent they have a problem asking anybody else.” 60 Susan Davis-Lucey: “Concord City Commissioner, Susan Davis-Lucey. I wanted to explain that there are a lot of nursing homes and there’s a mandate by May that any type of psychotropic medications for patients has to be reduced by 30% by May. So those of us who have family members or individuals we know who are in these care homes, or pardon me, in these nursing homes, definitely work with the doctors and the nurses because often time people are being prematurely taken off and that can cause a disturbing effect”. Dr. Robert Leasure: “You can’t withdraw certain types of psychotropic drugs suddenly. You must taper them down, over sometimes as much as three months, and you can get all kinds of complications if you don’t, particularly seizures, dementia, tremendous confusion, ambulatory problems, falling down, all kinds of things can happen if you pull back drugs too quickly, especially psychotropic drugs. That’s a medical opinion not a president speaking.” Adjournment: Having no further public comment to receive, Dr. Leasure declared that the Hearing was closed at 11:45am. 61 Information & Assistance (I&A) Customer Satisfaction Survey Results Percentage Count 1. How satisfied are you with the assistance you received from the Information & Assistance Helpline? Very Satisfied 67.4 60 Satisfied 25.8 23 Somewhat Satisfied 3.4 3 Dissatisfied 3.4 3 Answered Question 89 Skipped Question 4 2. How would you rate the worker's ability to listen and understand the nature of your call Excellent 69.4 59 Good 24.7 21 Fair 3.5 3 Poor 2.4 2 Answered Question 85 Skipped Question 8 3. If you were referred to other services, did it meet the needs you expressed to the worker? Yes 66.7 46 No 7.2 5 Answered Question 59 Skipped Question 24 4. How would you rate the ease of use of the phone tree options? Difficult 16.1 5 Average 32.3 10 Easy 51.6 16 Answered Question 31 Skipped Question 62 5. Would you call the Information & Assistance helpline again if you need to? Yes 96.6 86 No 3.4 3 Answered Question 89 Skipped Question 4 62 6. Any Additional Comments Very pleased with services Very pleased Very polite A benefit to the community Impressed with follow up call Will refer to others Will definitely call again Social worker was absolutely wonderful Highest level of satisfaction Very nice/helpful. Appreciate Spanish-speaking assistance Will keep toll-free number handy Most certainly would call again A bit confused about the referral (even though it was the appropriate referral). Will call again as need arises Called for preliminary information, will call again after discussion with siblings Tax issues - call referred to Michael Did not use phone tree Did not use phone tree Interaction with social worker was quite pleasant Would definitely call again Will refer others to call Very happy with services and would call again Would definitely call again Social worker was patient, good listener. Glad to know can call anytime Appreciate follow up call Very pleased with social worker Social worker did a great job Social worker was very good. Very appreciative Social worker was very sweet and helpful Social worker was wonderful, fantastic, compassionate, right-on-target, a blessing Social worker laughed with me. She really cares, she is a telephone person Very kind Referred to an agency that did not meet needs Very helpful Everything was fine Partnerships are important, will inform others of I&A's services Volunteer was very charming Very impressed with the quality of service Answered Question 37 Skipped Question 56