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Home My WebLink AboutTRI - County office on aging nowCount X, Office on, Agingy .A Consortium q, `("hrton, Eaton & Inghmn. Counties, and the C"tics o "Lansing East Lansing since 19 74. July 14, 2014 0) <-:, !,a�� co Lansing City Councilco I W" Floor City Hall � �{ Lansing, MI 48933 Dear Lansing City Council: Enclosed is a copy of Tri-County Office on Aging's (TCOA) Fiscal Year 2015 Annual Implementation Plan. This planning document is required under the Older Americans Act and Older Michiganians Act. The Michigan Office of Services to the Aging (OSA), Department of Community Health requires TCOA to ask major cities and county commissions to approve the plan. We are asking this plan be approved by July 31, 2014. A resolution endorsing the plan would be appreciated. If the Lansing City Council does not respond by the above date TCOA will consider passive approval of the plan. The City of Lansing, along with Clinton, Eaton and Ingham counties and the City of East Lansing, is a member of the Tri-County Aging Consortium. The Consortium members appoint representatives to serve on TCOA's Administrative Board, which has the responsibilities of agency operations, and must endorse and recommend approval of the Plan to OSA. Jody Washington, A'Lynne Robinson, Joan Jackson-Johnson and Chris Swope represent the City of Lansing on the Administrative Board. The Board endorsed the plan on June M, 2014, Three older adults, Regina Allen, Mary Estes and Penny Gardner, appointed by the City of Lansing also serve on the Advisory Council that reviewed and recommended approval to the Consortium Administrative Board. The plan and sample resolution are enclosed in this mailing. If you.have further questions, please feel free to contact me. I can be reached at 517-887-1382. Thank you for your attention to this issue. Sincerely, LeeAnna Olson Community Relations and Grants Specialist Enclosure Robinson 5303 S.C<dar Str(-cry, Suite 1,Lansing, aN1148911-3800—`.i.'elcphorie ( 17) 887-1440 or(800) 405-9141 Fax (517) 887-8071 — www.tcoo.org RESOLUTION Lansing City Council July 2014 WHEREAS, the Tri-County Aging Consortium, known as Tri-County Office on Aging, produced the Fiscal Year 2015 Annual Implementation Plan as required by the Older Americans Act and the Older Michiganians Act; and WHEREAS, Lansing City Council has reviewed the Tri-County Office on Aging's Fiscal Year 2015 Annual Implementation Plan; and now therefore, be it RESOLVED; that the Lansing City Council approves said document as presented. i osa Offku.?5rrr•Avvs to fhu AylnJ 2016 ANNUAL IMPLEMENTATION PLAN TIT-COUNTY OFFICE ON AGING G wd Areas Served Clinton,Eaton, Ingham oaunties 6303 S. Cedar Street, Suite 1 Lansing, Mi 48911-3800 617-887-1440 1-800-406-9141 617-887-8071 (Fax) Marion Owen, Executive Director www.tcoa,org Field Represerftative Steve Betterl.y,517.373.4089 bettarlys@michigan.gov Printed On:6/2412 0 1 4 ANNUAL MULTI YEAR IMPLEMENTATION PLANS osa 2014-20)2]16 t tWo a,t 01yr 404 W tier AWN ». Tri-County Office on Aging FY; 2015 Table of Contents County/Local Unit of Government Review Plan Highlights Public Hearings Scope of Services I Planned Service Array ;w Targeting Regional Service Definitions Access Services Direct Service Request Regional Service Request Program Development Objectives Advocacy Strategy Leveraged Partnerships i Community Focal Points Other Grants and Initiatives Appendices i is i i L III I Printed On,6124/2014 i NNUAL & MULTI YEAR IMPLEMENTATION PLANS �.O` d650ttlPdHI'�iP.� �' 20 1 i w K..0 1 6 Clt?tti iY$8@Xa't�Qa,kd titer agduq mwv=«uwarw«nw..w,"Ro�ww. KKMYFnANxM4tlruw.fey#yp yaiWA'+YMnmgsblbMM./wMaAtifAYYAmhmV�MMhyaMN.rtalbYpviwhYtgva.Ww Trl•County office on Aging i"Y, 2016 County/Local unit of Govt. Review 7and st send a letter requesting approval of the final AIP by no'later than June 30,'2014,with signature confirmation, to the chairperson of each County Board of Commissioners A requesting approval by August 1,2014. For a PSA comprised of a`single county ore county,approval of the AIP Is to be requested from each local unit of government A.If the AAA does not receive a response from the county or local unit of governmentyugust 4, 2014, the AIP is deemed passively approved.The AAA must notify their OSA field representative by August 5, 2014 whether their counties or local units of government fornally approved, passively approved, or disapproved the AIP. The AAA may-usegiectronic cprrtrriuriloatit ri,-lnclu�lirig e-rrrail and wobs1f b�ised dcicuments,as an option for acquiring local government review and approval of the Area Plan.To employ this option, the AAA must, —Send a letter through the US Mail,with delivery and signature confirmation,to the chief elected official of each appropriate local government advising them of the availability of the final draft AIP/MYP on the area agency's webslte. Instructions for how to view and print the document must be included. --Offer to provide a printed copy of the AIP/MYP via US Mail or an electronic copy,via e-mail, if requested. --Be available to discuss the AIP/MYP with local goVernm6fit officials, If requested, --Request e-mail notification from the local unit of government of their approval of the'AlP/MYP. or their related concerns. Describe the efforts made to distribute the AIP to and,gain support,from the appropriate county' and/or local units ofgovernment, AAA Response, The Tri-County Office on Aging Administrative Board (Tri-County Aging Consortium) is made up of representatives from five local units of government; Clinton, Paton and Ingham Counties, and the cities of Lansing and East Lansing, TCOA Advisory Council older adult members are appointed by their respective local units of government, Both the Advisory Council and Board review, recommend approval and approve all Multi-Year Plans (MYP) and Annual Implementation Plans (AIP). TCOA will send a latter and a copy of the fiscal year 2015 MIP to local units of government via certified mall and signature confimation requesting approval of the AIP no later then July 29, 2014. The letter will state that if approval is not received withing 10 business days of this due date then it will be considered Passively approved. Printed On:6/24/2014 ANNUAL & MULTI YEAR IMIPLEMENTATION PLANS 2014-2016 osa Tri-County Office on Aging FY: 2015 Plan Highlights The purpose of the Plan Highlights Is to provide a succinct description of the priorities being set by the Area Agency for the use of OAA and State funding during FY 2016, The Plan Highlights must include: --A brief history of the Area Agency and respective PSA that provides a.:contextfor the AIP; --A summary of services to be provided under the plat-which Includes identification of the five I service categories receiving the most funds and the five service categories with the greatest number of antlolpafad participants.- --Highlights of planned program development objectives. •A description of planned special projects and partnerships. .-A description of specific management initiatives the Area Agency plans to undertakd to achieve' Increased efficiency in service delivery. --A description of how the Area Agency's strategy for developing non-formula resources, Including : I' utilization of volunteers,will support implementation of the AIP, Please note there are separate text boxes for response to each bullet item. 1.A brief history of the area agency and respective PSA that provides a context for the AIP. Tri-County Aging Consortium (better known as Tri-County Office on Aging or TCOA)was founded in 1974 as the Area Agency on Aging serving Clinton, Eaton and Ingham Counties In mid-Michigan. TCOA is unique from other AAA's in that it is legally a consortium comprised of the three counties it serves as well as the cities of Lansing and Fast Lansing, Due to this format, TCOA's Administrative Board consists entirely of elected officials representing these five local units of government. Board members are appointed by their respective units of government and are charged with oversight of all aspects of the agency. Additionally, TCOA's Advisory Council is comprised of one-half local seniors who are residents of the five local units of j government. These senior representatives must be at least 60 years old and are appointed by their local unit of government. The remaining half of the Advisory Council members represent local service providers from throughout the tri-county area, TCOA is also in a unique situation compared to many other Area Agencies an Aging in the state of Michigan in regard to population demographics, Between the 2000 national census and the 2010 national census the three counties that make up TCOA's service area have seen a significant increase in the 60 and older population.. In 2000 the triµcounty population of adults age 60 and older was 69,807, In 2010 this population had grown to 79,408. This is an Increase of nearly 20,000 seniors, Additionally, the older adult Hispanic population in the service area nearly doubled during this time period. I Printed On;6/24/2014 i ANNUAL & MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Tri-County office on Aging FY: 2015 2.A summary of services to be provided under the plan which Includes Identification of the five service categories receiving the most funds and the five service categories with the greatest number of anticipated participants. Five Service Categories Receiving the Most Funds: 1, Home Delivered Meals (Meals on Wheels) 2. Congregate Meals (Senior Dining Sites) 3, Respite Care 4, Care Management 5, Homemaker Ffve;,S.9rvIaf Categories with the Greqta.,LNumber of Anticipated Participants: . 1. Outreach 2, Home Delivered Meals (Meals on Wheels) 3, Congregate Meals (Senior Dining Sites) 4. Information and Assistance 5, Legal Assistance 3. Highlights of planned program development objectives. *Work with a local service provider to research receiving Medicare reimbursement for evidence based diabetes self-management programs, Explore establishing a wellness program in the inner city Lansing area, Seek alternatives to current Meals on Wheels supply vendors to save money and improve the quality of ingredients purchased. Research establishing a frozen meal pantry for Meals on Wheels clients, Explore establishing an adult day services program in a rural area outside the city of Lansing, Work with local adult day services providers and the Alzheimer's Association to examine expanding adult day services programming options for individuals with middle and late stage Alzheimer's disease and dementia, *Continue with the Coordinated Community Response program after the expiration of the federal grant funding, *Continue to advocate for the passage of elder abuse prevention bills by the Michigan legislature, * Have local seniors represent the tri-county area on the Michigan Senior Advocates Council to advocate for older adults and persons with disabilities, 'Tri-County Office on Aging's Advisory Council advocacy committee will work with community organizations to Increase TCOA's communication and outreach network, * Continue to have Tri-County Office on Aging staff representation on the planning committee for Older Michiganians day, * Provide cultural competency training on diversity Issues and concerns to a minimum of twenty TCOA staff members, *Work to add Lesbian, Gay, Bisexual and Transgender inclusive language in TCOA created forms, documents and client materials, * Utilize the social media and the TCOA website to counter negative stereotypes associated with aging, * Explore partnering with community organizations to expand kinship care services in the tri-county area as a means to expand the program, Printed On:6124/2014 ANNUAL MU LTI YEAR IMPLEMENTATION PLANS 2014-2016 osa offk*of j�jykes w IN AOM Tri-County office on Aging FY: 2015 4. A description of planned special projects and partnerships. *Capital Area Collaborative for Care Transitions: Attend meetings with this cross-provider collaborative to reduce unnecessary hospital readmissions. Work with CMS, local hospitals and community providers on the Capital Area Community-Based Care Transitions Program to reduce hospital readmissions for high-risk Medicare beneficiaries by 20%. -Work to expand the Capital Area Community-Based Care Transitions Program to include payers other than CMS. * Ingham County Health Department-Continue to partner with the Ingham County Health Department on the Michigan Pathways to Better Health innovations gra%through the Centers for Medicare and Medicaid Services to use Community Health Workers to work with high-usage Medicare beneficiaries in Ingham ervices and decrease. the cost of m6e UtillZatIOD of primar cane'q County to improve enrollees' health,.incre y health care. ADRC Capital Area Partnership and the Long Term Care Collaborative-Work with the ADRC-Capital Area Partnership to implement the policies and procedures that have been created for the local ADRC and outreach to community members about the ADRC-Capital Area Partnership. * Medicare/Medicaid Assistance Program—Continue to partner with Capital Area Community Services to provide MMAP services In the tri-county area. Recruit and train new MMAP volunteers including using social media and outreach to obtain new volunteers to keep up with growing demand from the changing health care system, 5.A desdription of specific management initiatives the area agency plans to undertake to achieve i. increased efficiency in service delivery. TCOA Is continually searching out methods to improve efficiency and save money. Some ways the agency Is working on improving efficiency include: • Careful shopping of all agency purchases and holding off on non-essential purchases • Negotiating better contract with vendors • Researching alternative vendors TCOA also has recently completed a change In financial institutions that has resulted In a significant savings in service charges and has the benefit of improved services that have increased staff efficiency, The new banking institution has also proven to be a valuable community partner by donating services at agency eals for the Meals on.Wheels program and to serve on several activities, providing volunteers to deliver m event planning committees. 6.A description of how the area agency's strategy for developing non-formula resources, including utilization of volunteers,will support Implementation of the AIP, Each year over 1,900 Individuals volunteer with TCOA and contribute over 59,000 hours of service,These hours are the equivalent of over 28 full time employees, TCOA's Meals on Wheels program could not run without the generosity of these volunteers, The local Medicare/Medicald Assistance Program also is a beneficiary of many of these service hours and was able to assist over 1,900 tri-county residents last year because of this support, Finally,TCOA supplements its state and local funding with grant writing and fundraising activities throughout the year. These activities help to pay for additional client services and office supplies and equipment that the agency could not otherwise afford, Printed On:6/24/2014 ANNUAL & MULTI YEAR XMP LEME T:r TION PL . bat . OtItco os arvtcuza as the Aprron 4 2 in� 66 Trl-County Office on Aging FY; 2015 Public Hearings In order to gather Information regarding the needs of older adults In the PSA,the Area Agency must employ a strategy for gaining Input directly from older persons throughout the PSA.The strategy should involve multiple methods and may Include a series of Input sessions,use of social media, on-line surveys,etc. At least one public hearing on the FY 2016 AIP must beheld In the'PSA.The hearing must'be held in an accessible facility. Persons need not be present at the hearing in order to provide testimony; e-mail and written testimony must be accepted for at least a thirty (30) day period beginning when the summary of the AIP is made available. The publlc hearj."q notice should.be_.avallable atI-east ;•.. 4hlrfy (30)days lff6 l rAnce of°iiie"swheduled hearinig.This notice must Indicate the availability of a summary of the AIP at least fifteen(16)days prior to the hearing,and Information on how to obtain the summary. Persons who should be notified of the public hearing Include,elected officials,service providers, older adults, Native Americans both on and off reservation, and the general public. All components of the AIP should be available for the public hearings. Complete the chart below regarding your public hearings. inolude the date;time''riuinber'nf attendees and the location and accessibility of each public hearing.-Please scan any written testimony as a PDF and upload on this tab.A narrative description of the public Inpufstrategy and hearings Is also required, Please describe the strategy/approach employed to encourage public., . attendance and testimony'on the Area Plan, Desoribe all methods used to gain public Input and the resultant impact on the Area Plan. Date Location Time Is Barrier Free No of Attendees 06/12/2014 Tri-County Office on Aging, 63 01;00 pM Yes 26 Narrative; This section will be completed fallowing the public hearing on June 12, 2014 at 1 PM, Printed On:6/24/2014 ANNUAL & MULTIYEAR IMPLEMENTATION P'L►NS osa 2014-2016 offMcr of sa kv co thx AQ1410 nwvmsuswnwrvmww�wiwrox!�mmxi.aaanraena� xn+xro� mr+ammosax w�. nuww. Tri-County Office on Aging FY: 2016 Scope of Services Describe changes from the approved FY 2014-2016 MYP, If any,to the AAAs priorities for addressing identified unmet needs within the PSA for FY 2016. When a customer desires services not funded under the AiP/MYP or available where they live,describe the options the Area Aoency offers, 1. Describe changes from the approved FY 2014-2016 MYP, if any,to the AAAs priorities for addressing Identified unmet needs within the PSA for FY 2016. -._. Priorities have not changed sine the FY 2014-2016 MYP' 2,When a customer desires services not funded under the AiP/MYP or available Where they live, describe the options the area agency offers. Every request that is made to TCOA is addressed using a person-centered process. Staff members work with individuals to ascertain their needs and wants and work to find a way to fulfill there. Not every service needed or requested can be funded or provided by TCOA. In order to better assist individuals, TCOA has an active Information and Assistance program and Community Resource Directory that can help connect individuals with the programs and services requested. Additionally,TCOA staff work closely with staff members in other organizations and agencies to more efficiently utilize resources and cross-refer between programs. Finally,when a person Is looking for more in-depth assistance, TCOA employs an Options Counselor that is available to work with the individual, and the support persons of their choice, to create a person-centered plan. Printed On,6/24/2014 IriNNUAL & MULTI YEAR IMPLEMENTATION PLANS osa Drrta afi SONT00g.to tna AVMs 2 .4 . Tri•County Office on Aging FY: 2016 Planned Service Array Complete the PY 2016 Planned Services Array form for your PSA. Indicate the appropriate placement for each OSA adopted service category and proposed Regional Service Definition(s).. Unless noted otherwise,services are understood to be available PSA wide. Access In-Home Community Provided by Area Agency •Care Management •Home Delivered Meals •Congregate Meals •Case.Coordination and •Disease Prevention/Health Support Promotion Information and Assistance, -. Caregiver Educatiotf,Supfscirfi' •Outreach and Training Contracted by Area Agen •information and Assistance •Chore •Adult Day Services •Transportation •Home Care Assistance •Disease Prevention/Health •Home Injury Control Promotion •Homemaking •Homo Repair •Home Health Aide •Legal Assistance Medication Management •tong-term Care •Personal Care Ombudsman/Advocacy •Assisitive Devices& •Programs for Prevention of Technologies Elder Abuse,Neglect,and •Respite Care Exploitation •Counseling Services •Kinship Support Services Participant Private Pay •Transportation •Chore •Adult Day Services •Home Care Assistance •Nutrition Counseling •Home Injury Control •Nutrition Education •Homemaking •Health Screening •Home Health Aide •Assistance to the Hearing •Medication Management Impaired and Deaf •Personal Care •Home Repair •Assisitive Devices& •Legal Assistance Technologies •Vision.Services Respite Care funded by gther Source •Disaster Advocacy and • Friendly Reassurance •Disease PreventIon/Hea hth Outreach Program Promotion •Assistance to the Hearing Impaired and Dear •Home Repair •Legal Assistance •Senior Center Operations •Senior Center Staffing •Programs for Prevention of Elder Abuse,Neglect,and Exploitation not P5A-wide •Kinsh.ip Support Services Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014 W 2016 01two U1 S#ivices W ihm AWN ray..%u�a,uw.�w.nm«,xm�rmn+mn. m,�w,�nbnmw.�n„+ra,��..,w�.nanu.+,an,.ra-.uwa, Tri-County Office on Aging FY: 2016 Targeting iff Describe changes for FY 2016,If any,to the Area Adency`s targeting strategy for the MYP cycle, . I i including planned outreach efforts with underserved populations. if none;mark'NA' in the provided dialog box. If there are changes, indicate in the provided dialog box,how specific goals or targets will be addressed In FY 2016. 1. Describe the Area Agency's targeting strategy,for services to be provided under the Area Plan for the MYP cycle Including planned outreach effortsJor underserved populations. In the Region 6t:plant•=ing and service area-{Clinton; E,on:and Ingham Counti0s.�s .�L ral.populck ions.have been identified as being underserved. These populations include racial minorities, non-English speaking individuals, and caregivers caring for individuals with Alzheimer's disease or dementia. In order to better serve racial minorities and non-English speaking individuals, TCOA conducted a Request for Proposal process in early Fiscal Year 2013 to contribute toward the start-up costs for a new adult day services and wellness program for minority individuals and non-English speaking individuals, The program selected is located in central Lansing, is minority owned and employs staff members who speak multiple i languages. In Fiscal Year 2014, this program became an annual contractor with TCOA. During Fiscal Years 2015 and 2016, TCOA plans to work with this new program to expand its community presence and the services it provides. Additionally, TCOA has a longstanding history of partnering with.Cristo Rey Community Center to provide Spanish speaking Information o&Assistance services to the Local Hispanic Community, In order to better serve nonprofessional caregivers who are caring for loved ones with Alzheimer's Disease and dementia, TCOA would like to work with local adult day services programs to expand the ability to provide respite services for individuals with these diagnoses. Currently, there are no adult day services programs in the tri-county area that serve individuals with middle to late stage Alzheimer's Disease. During Fiscal Years 2015.2016, TCOA would like to work with current providers to help them access further resources and training on Alzheimer's Disease and dementia for their program staff, With the proper training and resources, these organizations may be able to expand their programs to serve these Individuals and provide respite to families with limited resources. 2. Identify the specific goals olr targets that have been developed for service contracts for the MYP cycle. The Request for Proposal Process for the 2014-2016 MYP was updated from previous planning cycles. Applicants were required to include information on how they will target providing services and programs to underserved populations. They also were required to answer whether they provide serves in multiple languages. Another addition was a section that gave applicants the opportunity to explain additional certifications and trainings their staff have received to improve their quality of service. These efforts have resulted in TCOA contracting with more organizations that have bilingual and minority staff members. i Printed On:6/24=14 i i i i ANNUAL MULTI YEAR IMPLEMENTATION PLANS la 0s , 2014-2016 t�riEca ar Sarvka to illd-lvpl�yg Tri•County Office on Aging FY: 2016 Regional Service Definitions If the Area Agency is proposing to fund a service category that is not Included in the Operating Standards for Service Programs or the approved FY 2014.2016 MYP, information about the proposed service category must be included under this tab. If a Regional service Definition has been 2roviousiv 81312tgyed, enter the sarvlce name grid iridcae' whether the service is Access, In-home, or Community, Please include the wards"previously a roved" in the dialog box provided for minimum standards, � ,,��r�.��l�.ve��ego,� 3�+�w�., �•. �i �� .r•. .-1 �+0 i. Ma , C Acc ss ( Title III Pa4B 'Ej --title 111 ParfD' 13 Title Ill PartE Comprehensive 0 In-Home IJ Title VII 0 State Alternative Care 0 State Access Community Support 0 Community Cl State In-home Cl State Respite Services-Per 16 Q Other minutes Service Definition Community Living Supports -Community Living Supports facilitate an individuals independence and promote reasonable participation In the community. Community Living Supports can be provided in the participant's residence or in community settings as necessary in order to meet support and services needed sufficient to meet nursing facility level of care needs, (Previously approved in the 2014-2016 Multi-Year Plan Minimum Standards Minimum Standards for Traditional Service Delivery 1. Each direct service provider must have written policies and procedures compatible with the"General Operating Standards for Waiver Agents and Contracted Direct Service Providers,"and minimally, Section A of the"General Operating Standards for M►Choice Waiver Service Providers," 2, Community Living Supports (CLS) include: a. Assisting, reminding, cueing, observing, guiding and/or training in the following.activities: (i) meal preparation; (11) laundry; (III) routine, seasonal, and heavy household care and maintenance; (iv) activities of daily living such as bathing, eating, dressing and personal hygiene and, (v) shopping for food and other necessities of daily living. b. Assistance, support, and/or guidance with such activities as: (1) money management; (ii) non-medical care (not requiring nursing of physician intervention); (Ili) social participation, relationship maintenance, and building community connections to reduce personal Isolation; (iv) transportation (excluding to and from medical appointments)from the participant's residence to community activities, among community activities, and from community activities back to the participant's residence; (v)participation in regular community activities incidental to meeting the individual's community living preferences; (vi) attendance at medical appointments and, (vii) acquiring or procuring goods and services necessary for home and community living, c, Reminding, cueing, observing and/or monitoring of medication administration. d. Staff assistance with preserving the health and safety of the individual in order that he/she may reside and be supported In the most integrated independent community setting. 3. When transportation Incidental to the provision of CLS is included, the Area Agency on Aging shall Printed Can:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 6f wo.0t soxvfcos to tho AWAQ Tri-County Office on Aging FY: 2016 not also authorize it as a separate service for the participant.The Medicaid state plan covers transportation to medical appointments through the Department of Human Services and the Area Agency on Aging shall not authorize the same as a component of CLS. 4. CLS does not include the costs associated with room and board, G.The Area Agency on Aging shall authorize CLS when necessary to prevent the Institutionalization of the participant served, 6. The Area Agency on Aging cannot provide CLS in circumstances where the service duplicates services available under the Medicaid state plan, through the MI Choice waiver, or elsewhere. When more than one service Is included in the participant's plan of care, the Area Agency on Aging must clearly distinguish services by unique hours and units,approved. 7. Individuals providing CLS must be at least 18 years orgge, have the ability to communicate instructions.. effectively.�.olh.orallyand In wrltlng,,jpqfglow .q 8. Members of a participant's family may provide CLS to the participant. However;4Area Agency on Aging shall not directly authorize CLS funds to pay for services furnished to a participant by that person' 8 spouse 9. Family members who provide CLS must meet the same standards as providers who are unrelated to the individual. 10. The Area Agency on Aging and/or provider agency must train each worker to properly perform each task required for each participant the worker serves before delivering the service to that participant. The supervisor must assure that each worker can competently and confidently perform every task assigned for each participant served. 11. When the CLS services provided to the participant include tasks specified In 2.aJ, 2,a,li, 2.a,lil, 2,a,v, 2.b.i, 2,b,ili,2.b.v, 2,b.vi, 2.b.vil, or 2.d above, the individual furnishing CLS must have previous relevant experience or training and skills in housekeeping, household management, good health practices, observation, reporting, and recording information. Additionally, skills, knowledge, and/or. experience with food preparation, safe food handling procedures, and reporting and identifying abuse and neglect are highly desirable. 12. When the CLS services provided to the participant Include tasks specified in 2.a.iv, 2.b.ii, 2,0 and 2.d above, the direct service providers furnishing CLS must also: a, Be supervised by a registered nurse(RN) licensed to practice nursing In the State of Michigan, At the state's discretion, other qualified Individuals may supervise CLS providers. The direct care worker's supervisor shall be available to the worker at all times the worker is furnishing CLS services. b, Develop in-service training plans and assure all workers providing CLS services are confident and competent In the following areas before delivering CLS services to program participants, as applicable to the needs of that participant: safety, body mechanics, and food preparation Including safe and sanitary food handling procedures, c, Provide an RN to Individually train and supervise CLS workers who perform high.-level, non-invasive tasks such as maintenance of catheters and feeding tubes, minor dressing changes, and wound c,are for each participant who requires such care, The supervising RN must assure each workers confidence and competence In the performance of each task required. d. Be trained in first aid and cardio-pulmonery resuscitation. e, It Is strongly recommended that each worker delivering CLS services complete a certified nursing assistance training course. 13, Each direct service provider who chooses to allow staff to assist participants with self-medication, as described in 2,c above, shall establish written procedures that govern the assistance given by staff to Printed On:6/24/2014 ANNUAL & MULTI 'SEAR IMPLEMENTATION PLANS osa - 2014-2016 00(co rat soyktA to tho Aging „m.""'",«'wa".",^�a„+w eww«+waww»sm ,�oa�wn*.•aawarmgmrcarm�emer»uxo�rmuamnx�w.ma,m� Tri-County Office on Aging FY; 2015 particip wit ntsh sell-medication, These procedures shall be roviewed by a consulting pharmacist, physician, or RN and shall include, at a minimum; a. The provider staff authorized to assist participants with taking their own prescription or over-the-counter medications and under what conditions such assistance may take place. This must include a review of the type of medication the participant takes and its Impact upon the participant. b. Verification of prescription medications and their dosages. The participant shall maintain all medications In their original, labeled containers. c. Instructions for entering medication information in participant files, d. A clear statement of the participant's and partipant's family's responsibility regarding medications taken by the participant and the provision for informing the participant and the participant's family for the provider's procedures and responsibilities regarding assisted self-administration of medications 14. When the CLs services provided to the participant include transportation described.in.2,b.iv and 3 above, the ftaildvring starrddrds'«�ppiy: a. Area Agency on Aging may not use funding to purchase or lease vehicles for providing transportation services to participants. b. The Secretary of State must appropriately license and inspect all drivers and vehicles used for transportation supported all or In part by CLS funds. The provider must cover all vehicles used with liability insurance, c. All paid drivers for transportation providers supported entirely or in part by CLS funds shall be physically capable and willing to assist persons requiring help to and from and to get in and out of vehicles. The provider shall offer such assistance unless expressly prohibited by either a labor contract or insurance policy, d, The provider shall train all paid drivers for transportation programs supported entirely to In part by CLS funds to cope with medical emergencies, unless expressly prohibited by a labor contract or insurance policy. e. Each provider shall operate in compliance with P.A. 1 of 1985 regarding seat belt usage, Minimum Standards for Self-determination Service Delivery 1. When authorizing Community Living Supports(CLS)for participants choosing the self-determination option, Area Agencies on Aging must comply with items 2.6 of the Minimum Standards for Traditional Service Delivery specifed above. 2. such chosen provider must minimally comply with Section C of the"General Operating Standards for MIChofce Waiver Service Providers." 3, Each chosen provider furnishing transportation as a component of this service must have a valid Michigan driver's license, 4. When the CLS services provided to the participant include tasks specified in 2.a.f, 2,a.ii, 2.a.ffi, 2.a,v, 2,b,fif, 2.b,v, 2.b.vi, 2.b.vil, or 2,d above, the individual furnishing CLS must have previous relevant experience or training and skills in housekeeping, household management, good health practices observation, reporting,and recording information. Additionally, skills knowledge, and/or experience with food preparation, safe food handling procedures, and reporting and Identifying abuse and neglect are highly desirable. 5, When the CLS services provided to the participant include tasks specified in 2,a.iv, 2.b.il, 2.c and 2,d i above, the individual furnishing CLS must also be trained in cardiopulmonary resuscitation. This training f may be waived when the provider is furnishing services to a participant who has a"Do Not Resuscitate" order, 2 r R Printed On: 6/24/2014 F f ANNUAL MULTI YEAR IMPLEMENTATION PLAN 2014-2016 dy}r4C4 Q?BtYXroZC4&.�C thn A31xrv9 Tri-County Office on Aging FY: 2016 Rationale(explain why activities cannot be funded under an existing service definition) This service provision will facilitate the seamless delivery of supports and services to clients regardless of the a ment source being used. � .hn.i rn3_. ❑ Access ❑ Title ill PartB 0 Title 111 PartQ d Title IIi PartE Each Unit Equals ❑ In-Home El Title V►I ❑ State Alternative Care ❑ State Access One individual Served ❑' Community ❑ State In-home 0 State Respite ❑ Other .3"erv.ice DefinlMon,: Crisis Services for the Elderly-Assistance paying for a utility bill or emergency prescription assistance with a maximum of$200 spent per unduplicated client each fiscal year. (Previously Approved in the 2014-2016 Multi-Year Plan Minimum Standards 1. This service will provide assistance to individuals sixty years of age and older living in Clinton, Eaton or Ingham counties. 2. Program staff shall assess each request for assistance through the Crisis Services for the Elderly process by obtaining name, address, phone number, utility bill information and other resources the individual has approached for assistance. 3, The program shall maintain linkages with Information and Assistance programs, utility companies, local Department of Human Services and other local agencies that provide assistance for utilities. 4. The program shall develop a network of community resources to refer individuals to when other needs are identified. 6. Program staff shall be knowledgeable of community resources and have the ability to share Information in a manner which empowers individuals and/or their famil . Rationale(explain why activities cannot be funded under an existing service definition) This program Is designed to assist individuals in facing non-medical emergencies, specifically prescription and utility crises. Assistance is limited to a maximum of$200 per person per year and Individuals never directly receive money. This program serves a vital role in helping to keep Individuals living in the community and does not:fit with any current OSA service definitions. Curing the 2012 FY over 500 individuals were served by this ro ram printed On:6/24/2014 AKv ANNUAL & MULTI YEAR IMPLEMENTATION FLANS 0S a 2014-2016 MP O of SH-dkos6A tho Ajj Sitg ."""vm°w+a+annrnwnmwnn,:,.a�n.su.rrnuxo�„www,.nn ' Tri-County office on Aging FY: 2016 Access Services Fth ess Services may be provided to older adults directly through the Area Agency without a ovision request. These services Include: Care Management, Case Coordination and C3isasto Advocacy and Outreach Program, Information and Assistance, Outreach,and nsportation,Agency is planning to provide any of the above noted access servlcds directly during FY plete this tab. place a checkmark in the box next to the name of.eachse'I vice t�ie Area ans to provide directly during 2016 and provide the Information requested.'Also specify the planned goals and activities that will be undertaken to provide the service In the appropriate.text; box for ea tt ei ice-category, :a.twoMpage DRedt`aervice Budget WAY FY 201'5(found In the Document Library) must be completed for each access service to be provided and.:uplaaded,under the Budget and Other bacunients tab. Case Coordination and Support Starting Date 10/01/2014 gndloq Date 09/30/2015 Total of Federal Dollars $4.086.00 Total of State Dollars $15,000.00 Ggogra.p is area to be served: Case coordination and support will be provided in Clinton, Eaton and Ingham counties lip-poify the pignned goal§and activities that will be undertaken to vide t e service. 1. Provide Case Coordination and Support services to a minimum of 56 clients in Region 6 from 10/01/14 through 9/30/16, 2. Conduct assessments for all new clients and reassessments every 6 months for a minimum of 55 clients from 10/01/14 through 9/30/15, 3. Secure and monitor appropriate in-home services from 10/01/14 through 9/30/16, 4, Refer clients to other services as needed from 10/01/14 through 9/30/15. 5. Adhere to all minimum standards from 10/01/14 through 9/30/15. Expected Outcome: Individuals not eligible for Horne and Community Based Waiver(Project Choices)will have assessments and services to assist them In remaining in the home of their choice, There will be a seamless system for older adults going from Case Coordination and Support to Care Management/Project Choices Information and Assistance Sty Date 10/01/2014 ,Ending Date 09/30/2015 Total of Federal Dollars $15.687.00 Total:of State Dollars $0.00 i Geo ra hic area to be selygd, Information and Assistance will be provided in Clinton, Eaton and Ingham counties. i t Printed On:6/24/2014 f { ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 0ifto of SWVt4Q4 W thO Agift Tri-County Office on Aging FY: 2015 Sgecif -Ie�that will tp undertaken V the,planned goalg.aodl gctivit to provide the service. 1. Provide I&A services to a minimum of 2,000 older adults, family members or community members each fiscal year. 2. Secure signed contracts for general I&A services that were selected through a Request for Proposal process by 9/30/2016, 3. Monitor I&A contracts with service providers for compliance, including person centered thinking, annually. 4. Monitor jhn.number of individuals assisted.th-rough.I&A, including individuals whpare considered minority, each quarter. 6. Provide Caregiver I&A services to a minimum of 100 caregivers each fiscal year. 6. Refer caregivers to identified services through a person centered process during FY 2015-2016, is 7, Adhere to all O$A minimum standards. Expected Outcomes: 1, There will be a more Informed population through Information and Assistance services available In Clinton, Eaton and Ingham counties, 2.Caregivers will seek needed assistance to reduce the stress associated with their caregiving role. Outreach Starting Date 10/01/2014 Ending Date 09/30/2016 Total of Federal Dollars $8.696.00 Total of State Dollars $24,952.00 Geographic area to be served: Outreach will be provided In Clinton, Eaton and Ingham counties. Specify the.planned goals.,and activities that will be undertakento orovide the-seNj 1. Provide outreach services to a minimum of 600 Individuals sixty years of age and older living In Clinton, Eaton and Ingham counties each fiscal year, 2, Provide a minimum of 16 presentations to senior, caregiver or community groups regarding agency services each fiscal year. 3. Participate in a minimum of 10 planning meetings regarding disaster preparedness each fiscal year. 4. Participate in a minimum of 6 health and information fairs in the community each fiscal year, Expected Outcomes: 1. Greater community awareness of TCOA resources for older adults, their family members and agencies Printed On:6/24/2014 ------------------ JkNNUAL & MULTI YEAR IMPLEMENTATION PLANS 01 2 L osa 0 00tCO Of SNYW20 W thO AW09 214-2016 Tri-County Office on Aging FY: 2015 that assist older adults and persons with disabilities, 2. TCOA will be more prepared to assist the community in case of emergency and/or disaster, $. Older adults with utility or prescription crises will have access to assistance with paying utility bills through the Crisis Services for the Elderly program, ' 4, Kinship caregivers will be better equipped to handle caregiving responsibilities by alleviating caregiver burn out, Care Management Starny Date., JE nd1r, -L g_ 09/30/201 Total of Federal Dollars $0.00 Total of State Dollars $21:5,913.00 Geggraghic area to be seCvLe_d., Care Management will be Provided in Clinton, Eaton and Ingham counties, Specify the Laoned qoal§—and activilles that,V111 be qn_dgrt Ren to -9 . Qlxgyidgthe service 1, Provide Care Management services to a minimum of 160 clients In Region 6 from 10101114 through 9/30/15. 2. Conduct a minimum of 100 initial assessments from 10/01114 through 9/30/16, 3, Develop a minimum Of 80 care plans from 10/01/14 through 9/30/16, 4. Conduct reassessments every 3 months on all active clients or every 6 months if a client is on maintenance from 10/01/14 through 9/30/15. 5, Arrange and monitor services as needed from 10101114 through 9/30/15, 6.Transition eligible Care Management clients to the MI Choice program as funding allows from 10/01/14 through 9/30/15, 7.Comply with all minimum standards and quality assurances from 10101114 through 9/30/15, Expected Outcome: A minimum of 160 Individuals will be able to remain in their own home. There will be a seamless system for older adults going from Case Coordination and Support to Care Management, Number of client pre-screenings: Current Year: 500 Planned Next Year, 5oo Number of Initial client assesments: Current Year: 100 Planned Next Year: loo Number of initial client care plans: Current Year: 80 Planned Next Year, 80 Total number of clients (carry over Current Year: 160 plus new): Planned Next year: 160 Staff to client ratio(Active and Current Year: 38 Planned Next Year: 38 maintenance per Full time care Printed On:6/24/2014 ANNUAL . MULTI YEAR I P LE M E TATION PLANS osa 2014-2016 pffte lad SplY M to the Avimo , Tri-County office on Aging FY: 2015 Direct Service Request It is expected that in.-home services, community services and nutrition services will be provided . under contracts with community-based service providers. However,when appropriate,a service provision request may be approved by the State Commission.on Services to the'Aging. .Service . provision is defined as "providing a service directly to a senior,such as preparing meals, doling chore services,or working with seniors in an adult day setting". :Service.provision by the area agency may be appropriate when In the judgment of OSA: (1) provision Is necessary to assure an adequate supply; (2)the service Is directly rotated to>the-area agencjr's administrative funct'riins or, (3)a sorvice can be provided by the area agency more economically than any available contractor, A ariu�Ith:c'6mparabie quality.A AsA4'-,4-request to provide an In-hom,v service,community se rR' , and/or a nutrition service must complete the section below for each service category. Please place a mark in the box next to the appropriate service name and enter the iiiforrriatio.n requested pertaining to basis,justification,.and public hearing discussion for any new(not already approved with the FY 2014-2016 MYP) Direct Service Request for FY 2015. A Work Plan and two page Budget Detail.for FY 2016 are required to be completed for each service provided directly,even If already approved with the FY 20142016 MYP.Work Plan and budget forms to be completed are located In the Document library and are to be uploaded underthe'Budget and Other Documents tab. Please skip this flab if the Area Agency does not plan to provide any In-home,community;or. nutrition services directly during FY 2015, Caregiver Education, Support and Training Total of Federal Dollars $7,686.00 Total of State [dollars $0.00 I Geographic area to be served: Region 6: Clinton, Eaton and Ingham Counties Section 307(a)(8)of the Older Americans Act provides that services will not be provided directly by an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or more of the three provisions described below. Please select the basis for the services provision request(more than one may be selected). (A) Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. (B)Such services are directly related to the Area Agency's administrative functions. (C) Such services can be provided more economically and with comparable quality by the Area I Agency. The Creating Confident Caregivers curriculum is one of the most popular evidence based disease prevention programs in the planning and service area. This program meets the needs of a population of caregivers that no other evidence based disease prevention program in the area does.The direct provision Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Mao 110 solvicor to tft"019 Tri-County Office on Aging FY: 2016 of this service is necessary to assure that there is an adequate supply of this program in PSA 8 during FY 2015. Provide a detailed Justification for the service provision request.The justification should address pertinent factors that may Include: a cost analysis; needs assessment; a description of the area agency's efforts to secure services from an available provider of such services; or a description of the area agency's efforts to develop additional capacity among existing providers of such services. If the service is considered part of administrative activity,describe the rationale and authority for such a determination. Region 6 AAA has been providing Creating Confident CaregIvers classes under a statewide grant since 2008. Currently, the agency has three Creating Confident Caregivers Trainers capable Of teaching classes, One of these.tralnprsjs,qlso working,pQ1achlev1.ng herNesteg Trainer oertificati.onio0. S0.. 1. tbe—s-tatewide.- grant expired r 30, 2012)* TCOA would like to continue to provide these classes using Title IIIE funding in FY 2015. Describe the discussion, If any,at the public hearings related to this request. Include the date of the hearing(s). This direct provision was granted last year during the 2014-2016 MYP, The direct provision of Caregiver Education, Support and Training by providing Creating Confident Caregivers/SAVVY Caregiver classes was included in each of the two public hearings discussing the FY2014-2016 Muiti-Year Plan as well as the public hearing for the FY 2015 Alin. Congregate Meals Total of Federal Dollars $498,198,00 Total of State Dollars $7,909.00 Geographic area to be served: Region 6: Clinton, Eaton and Ingham Counties Section 307(a)(8)of the Older Americans Act provides that services will not be provided directly by an Area Agency on Aging unless, In the judgment of the State agency, It Is necessary due to one or more of the three provisions described below. Please select the basis for the services provision request(more than one may be selected). (A) Prov'islon of such services by the Area Agency Is necessary to assure an adequate supply of such services. (B) Such services are directly related to the Area Agency's administrative functions. (C)Such services can be provided more economically and with comparable quality by the Area Agency, This provision is necessary to assure an adequate supply of congregate meals in Region 6, Printed On: 6/24/2014 ANNUAL & MULTI YEAR gM P LE M E TATIO N P LAN S 2014-2016 oa o tfooW Swvktts W the AWN .�� n..m+.w,.�.+ww .awnvnn�.w�,eu.a.aruuw�ea+awe..c�.ama�'M1 •mm ,nrsnn,.iwm.< Tri-County Office on Aging i"Y: 2016 Provide a detailed Justification for the service provision request.The Justification should address pertinent factors that may include: a cost analysis; needs assessment; a description of the area agency's efforts to secure services from an available provider of such services; or a description of the area agency's efforts to develop additional capacity among existing providers of such services. If the service Is considered part of administrative activity,describe the rationale and authority for such a determination. Tri-County Office on Aging has actively sought other providers to administer the Congregate Nutrition Program by putting out a Request for Proposal for providing this service every three years and no one has answered the requests. Michigan Office of Services for, -e Aging asked TCOA to assume the Congregate Nutrition Program, therefore, TCOA has assumed the role. Obsorl'be'th6 discustilbn 4f-aniy,at the pubile hearlis ��f�ted to.this request. Include tl�e date of the hearing(s). I During the public hearings an overview of the Multi-Year Plan was presented to attendees. It was stated that a Request for Proposal process coincides with the multi-year plan and which programs would be part k of the Request for Proposal. This included stating that the Congregate Meal Program was included in this, No questions or comments were made by attendees regarding this topic. During the Request for Proposal process no organization submitted an application to provide Congregate Meals. Home Delivered Meals Total of Federal Dollars $325.111.00 Total of State Dollars $286A58.00 i Geographic area to be served: i Region 6: Clinton, Eaton and Ingham Counties i f Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by an Area Agency on Aging unless, In the judgment of the State agency, it is necessary due to one or more of the three provisions described below.Please select the basis for the services provision request(more than one may be selected). i (A) Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. (8) Such services are directly related to the Area Agency's administrative functions. (0) Such services can be provided more economically and with comparable quality by the Area i Agency. This provision Is necessary to assure an adequate supply of home delivered meals in Region 6. i i Printed Ow 6/24/2014 i I #.VNNLEAL. MULTI YEAR IMPLEMENTATION PLANS osa � �"` t5 t�ra ra soMC44 rQ the Anon Tri-County Office on Aging FY; 2016 Provide a detailed justification for the service provision request. The justification should address pertinent factors that may include: a cost analysis, needs assessment; a description of the area agency's efforts to secure services from an available provider of such services; or a description of the area agency's efforts to develop additional capacity among existing providers of such services, It the service is considered part of administrative activity,describe the rationale and authority for such a determination. TCOA has been providing Home Delivered Meals since 1976, To date, Home Delivered Meals has never had a waiting list, we receive local donations and other In-kind supports to help maintain this program, TCOA has actively sought out other providers by putting out a request for Proposal for this program every three years and no one has answered the request. Michigan office of Services to the Aging has asked TCOA to a.AAW (41ye. Ho.me-Delivered.Meaka,pt grarn, therefore, TCOA ha; 'a*;surned the role,` _ Describe the discussion, if any,at the public hearings related to this request, include the date of the hearing(s), During the public hearings an overview of the Multi-Year Man was presented to attendees. It was stated that a request for Proposal process coincides with the multi-year plan and which programs would be part of the request for Proposal, This Included stating that the Home Delivered Meals program was included in this. No questions or comments were made by attendees regarding this topic. During the Request for Proposal process no organization submitted an application to provide Home Delivered Meals. i Printed On:6/24/2094 i a ANNUAL & MULTI'YEAR IMPLEMENTATION PLANS 2014-2016 Tri-County Office on Aging FY: 2016 i I Regional Service Request It is expected that regionally defined services will be provided under contracts with p g Y community-based service providers. However,when appropriate,a Regional Service Provision request may be approved by the Michigan Commission on Services to the Aging. Regional service j provision by the area agency may be appropriate when in the judgment of OSA, {1j provision Is . necessary to assure an adequate supply; (2)the service is directly related to:ttie area agency's administrative functions; or,(3)a service can be provided by the area agency more'ecoriarriicaily than any available contractor and with comparable quality. Area agencies that request W_provide a regional service must complete this tab for each service category, j i Please place a mark in'the ba)c nest to the appropriate service name and°enfis'�ihe'hiformation requested pertaining to basis;justification and public hearing discussion for any new(not already, approved with the FY 2014.2016 MYP)regional service request for FY 2016. A Work Plan and two-page budget detall for FY 2016 are required to be completed for each regional service provided directly, even if already approved with the FY 2014.2016 MYP. The Work Plan and budget forms to be completed are located In the Document Library and are to be uploaded under the Budget and Other Documents tab. j i Please skip this tab if the Area Agency is not planning on providing any regional services directly dU ring FY 201S. Crisis Services For The Elderly Total of Federal Dollars $14,324,00 Total of State Dollars $4,041.170 Geographic area to be served: Region S; Clinton, Eaton and Ingham Counties Section 307(a)(8)of the Older Americans Act provides that services will not be provided directly'by an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or more of the three provisions described below. Please select the basis for the services provision request(more than one may be selected). (A)Provision of such services by the Area Agency Is necessary to assure an adequate supply of such services. (B)Such services are directly related to the Area Agency's administrative functions, (C)Such services can be provided more economically and with comparable quality by the Area Agency. Crisis Services for the Elderly is a twenty-four hour hotline for seniors with non-medical emergencies designed to help older adults resolve problems in times of crisis, For this program, a crisis is defined as a situation an older adult encounters that needs an immediate response for which the client sees no clear or obvious resolution. CSE is available to older adults in the planning and service area age sixty or older. There is also an energy assistance component to the Crisis program which serves seniors in all of Clinton, Printed On:6124/2014 i ANNUAL MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Tri-County Office on Aging PY: 2016 Eaton and Ingham counties who have received a utility shut-off notice, or who heat their homes with deliverable fuel and in a crisis situation. For the last several fiscal years this program has served over 400 seniors In crisis annually, it is projected that this program will continue to grow and serve more seniors as the need grows, Additionally, as more assistance season restrictions are being placed on government agencies, Crisis Services for the Elderly has seen increased demand In individuals seeking help with no other agency resources available, In order to assist the number of individuals with these urgent needs, the Area Agency needs to continue to provide this service, Provide a detailed Justification for the service provision request.The Justification should address pertinent factors that may Include:a cost analysis; needs assessment; a description of the area agency's efforts to secure services from an available provider of such services; or a description of the 1area,a9q9cy_!s.efforts to develop adFAltlpnal capacity amqn9,Wd$tir,1gproV1dorsof bervices.1f the service' - rV I a considered part of administrative activity,describe the rationale and authority for such a determination, A-Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. Describe the discussion, If any, at the public hearings related to this request. Include the date of the hearing(s). This service provision was granted at part of the 2014-2016 MYP. It was discussed as part of the Multl-Year Plan public hearings. Additionally, it was discussed as part of the public hearing held for the 2015 AIP on June 12, 2014. Printed On:6/24/2014 ANNUAL & MULTIYEAR IMPLEMENTATION TION PLANS osa , , 2014,2016 offto&S+Mtos 00 tha A£INrg Tri-County Office on Aging FY: 2016 Program Development Objectives For FY 2016, please provide Information for all program development objectives that will be actively addressed during the fiscal year.This may include objectives previously presented in the MYP for fiscal years 2016 and/or 2016 as well as any new objectives, or activities, proposed by the Area f Agency, Please identify for each objective the following: i 1. The State Plan goal, if appropriate,that the objective relates to. 2, staff positions and time to be allocated to the objective(expressed as total F7�s per objective) 3. The desired outcome. I i Program Developmert pbjectives related to either state or reglonai dbais ar®to'f;e incluiiecl under this tab..A separate,cumulative program development narrative is no longer required. However, a narrative for each oWective is expected. State Plan Goal: Goal 1 ' --Work to improve the health and nutrition of older adults i AAA Response: I Improve the quality of food provided through Meals on Wheels while maintaining low meal costs. C. Suonodono -Nutrition Director-80 hours-$2640 from Nutrition funding. i Timeline: FY 2016-2016 i c#ivities: -Seek alternatives to current supply vendors to save money and improve the quality of ingredients purchased, - Research the possibility of establishing a frozen meal pantry for Meals on Wheels clients. Expected Outcome: Clients will have access to a variety of high-quality meals through the Meals on Wheels program while the program maintains a low cost per meal. ar ative It Is important to regularly assess both client satisfaction with the quality of food being served through Meals on Wheels and the cost of preparing those meals, This is especially true as the cost of food and supplies continues to rise as the economy shifts, State Plan Goal: Goal 2 --Ensure that older adults have a choice in where they live through increased access to information and Printed On:6/24/2014 i I ANNUAL & MULTI YEAR IMPLEMENTATION PLANS ShfJ6c 4f 3 uvkdx Cry tha h i�r� G 0 14-2 016 Tri-County Office on Aging FY: 2o15 services AAA Response: Ob'ec ive; Work with the ADRC-Capital Area Partnership to outreach to local seniors, persons with disabilities and care providers about the ADRC-Capital Area. I and A Speoiallst-50 hours-$1050 from State Aging Network funding Timeline, FY 2016-2016 - Include ADRC-Capita!Area Partnership updates at quarterly Joint Providers meetings, - Include an ADRC-Capital Area Partnership update during at least one quarterly TCOA all-staff meeting. - Include ADRC-Capital Area Partnership outreach materials when TCOA attends health fairs and other community outreach events, Tri-County residents will have greater access to available information and services. Narrative The ADRG-Capital Area Partnership received its Emerging Status from the Michigan Office of Services to the Aging n April 2012. The Partnership has continued to meet monthly and expects to receive its Fully Functional status by September 20, 2014. Following becoming Fully Functional the partnership looks forward to beginning outreach for the partnership. AAA Response; Improve access to adult day services programming for underserved populations In the tri-county area, L. Olson - Community Relations and Grants Specialist-40 Hours -$550 from Program Development funding, Timeline; FY 201 a-2015 i Activities; - Explore establishing an adult day services program in a rural area outside the city of Lansing, -Work with local adult day services providers and the Alzheimer's Association to examine expanding adult day services programming options for Individuals with middle and late stage Alzheimer's disease and dementia, f Ex acted Outco e; There will be a decreased rate of caregiver burn-out in the tri-county area t i i 5 (printed On;6/24/2014 s i } ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Ofto*f SWiVkQ*W 111A AWN TrI.County office on Aging FY: 2016 _Narrative The 2013 needs assessment and public hearings Indicated Interest In expanding adult day services programming in the tri-county area, State Plan Goal: Goal 3 --Protect older adults from abuse and exploitation AAA Response: Strive to maintpin.a.v junt er pool of qt least 6 Medicare/Medicaid Assistance Program (MMAP) volunteers,- 8.tacey Humphrey,I Regional onal MMAP Coordinator, 164 kouri A.16-ital of$2,456 fr6mW MMAP funds, Time ling FY 2015-16 Activities. -Recruite and train new MMAP volunteers -Utilize social media and outreach to obtain new volunteers Expected Outcome: Beneficiaries in the community will be able to access information and assistance to better help with making an Informed decision regarding Medicare, Medicaid, Prescription Drug Coverage, Supplemental Insurance, Long Term Care Insurance and Waste, Fraud, Abuse and Exploitation. Narrative MMAP is one of the most sought after programs in the tri-county area. Maintaining a consistent volunteer pool Is necessary to keep up with community demand. AAA Response: Obleoflvg: Improve advocacy on behalf of older adults and persons with disabilities In the tri-county area, L. Olson Community Relations and Grants Specialist-40 Hours-$960 from Program Development funding, Jimeline:. FY 2016-2016 Activities,: -Have local seniors represent the tri-county area on the Michigan Senior Advocates Council and State Advisory Council to advocate for older Michiganians. -Tri-County Office on Aging's Advisory Council outreach committee will work with local community organizations to increase TCOA's communication and outreach network. Continue to have Tri-County Office on Aging staff member representation on the planning committee for Printed On:6/24/2014 ANNUAL MULTI YEAR. IMPLEMENTATION PLANS osa 2014-2016 anko 10 5"V1101 to IN!Autoo Tri-County Office on Aging FY* 2016 Older Michiganians Day, E�pected Outcome: Community members and legislators will have Increased awareness of Tri-County Office on Aging.and Issues Impacting local seniors and persons with disabilities, Nmgjtve Advocacy is a major component of TCOA's mission to"promote and preserve the independence and dignity of the aging population." Expanding advocacy In the service area is always considered a priority to the agency, State Plan Qpal 4 --Improve the effectiveness, efficiencies, and quality of services provided through the Michigan aging network and its partners AAA Response: Oblective: Work with a cross-provider collaborative to improve the quality of care for high risk older adults and persons with disabilities, C. Nogle-Project Choices Director- 100 Hours-$352 from Care Management funding, Timeline: FY 2015 &Ltivifies: -Attend meetings with a cross-provider collaborative to work on reducing unnecessary hospital readmissions. -Work with CMS, local hospitals and community providers on the Capital Area Community used Care Transitions Program to reduce hospital readmissions for high-risk Medicare beneficiaries by 20%, -Work to expand the Capital Area Community Based Care Transitions Program to include payers other than CMS Expected gujg2M Individuals who are at high-risk for hospital readmission will be less likely to return to the hospital, Narratlype The cross-provider collaborative, currently known as the Capital Area Collaborative for Care Transitions, has been actively partnering with TCOA to work on Improving the quality of care for individuals leaving hospitals in the service area, This partnership offers the opportunity to positively impact the health of some of the most vulnerable residents in the tri-county area, AAA Response: Oblective: Work with the Ingham County Health Department to improve the health of high-usage Medicare beneficiaries In the tri-county area. 8, Alkman -Assistant Director- 100 Hours-$4400 from Administration Printed On: 6124/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa - 2014-2016 Tri-Cnunty Office nnAging FY: 2015 funding. FY2015 - Continue to partner with the Ingham County Health Department on Michigan Pathwaysio Better Health innovations grant through the Centers for Medicare and Medicaid Services to use Community Hau|ih Workers to work with high-usage Medicare beneficiaries In Ingham County to improve enrollees' health, Increase enrollees' utilization of primary care services and decrease the cost of enrollees' health care, Serve at least 86 high-risk individuals through the Community Health Worker program annually . ' Expected HIgh-usage Medicare beneficiaries will have improved health in Ingham County, Wglgatkve� This partnership with the Ingham County Health Department is entering its 2nd year, It focuses on empowering individuals to make well-informed, positive health decisions. State Plan Goal: Goal --Recognize and celebrate the cultural, economic, and social contributions of older adults, and create opportunities for engagement|n their communities AAA Response: Obl�c8lvp� � Work to counteract the negative effects ageism has on the public perception of older adults in the tri`oVunty area. L. Olson - Community Relations and Grants Specialist-40 Hours -$SSO from Program Development funding. FY2O15 -Utilize the social media and the TCOA website to counter negative stereotypes associated with aging, - Include ageism as a topic in public outreach activities Expected OutcoMe: Community members will bm better Informed about the negative Impact of ageism _Narrative Tri-County Office on Aging's mission is to"promote and preserve the Independence and dignity of the i aging popV|aUun". This objective directly ties to the agency's mission, ` State Plan Goal, Goal ANNUAL & MULTI YEAR IMPLEMENTATION PLANS . 0saM - 2014-2016 fbft&,Ot FW*0%to tho giirp Tri-County Office on Aging FY, 2016 --Provide a variety of opportunities for older adults to enhance their physical and mental well-being, using evidence-based practices and other innovative programs, AAA Response: QW00tive: Promote and expand access to evidence based disease prevention programs in the tri-county area, L, Olson -Community Relations and Grants Specialist-40 hours -$960 from Program Development funds, Tim_ FY 2016-2016 at LVI t Lml Work to expand Personal Action Toward Health(PATH)programming in the tri-county area, focusing on serving minority and non-English speaking populations, -Work with a local service provider to research receiving Medicare reimbursement for evidence based diabetes self-management programs, Explore establishing a wellness program in the inner city Lansing area. Expected OuLtco p: Tri-county residents will have Improved health due to greater access to evidence based disease prevention programs, Narrative The needs assessment conducted In early 2013 Indicated a great deal of Interest in fitness and wellness classes in the tri-county area, Evidence based disease prevention programs will help to fill this local need, State Plan Goal: Goal 8 --Provide advocacy, information, training, and services td support the rights of older adults to live free from abuse, neglect, and exploitation, AAA Response: 9bectjve: Promote cultural competency on Lesbian, Gay, Bisexual and Transgender issues impacting local seniors and persons with disabilities, L. Tarrant- I &A Specialist-80 Hours-$1680 from State Aging Network funding, Jimeline: FY 2015-2016 Actlyltles: - Provide cultural competency training on Lesbian, Bisexual, Gay and Transgender Issues and concerns to a minimum of twenty TCOA staff members, -Continue to work to add Lesbian, Bisexual, Gay and Transgender inclusive language in TCOA forms and client materials, Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Td �\~�ounty Office PY: 2015 Expected Outcome: The agency will:have increased competency in working with a diverse group of populations, It is important to ensure that staff members, agency documents and pm|io|Go continue to serve the needs of all individuals in o Vamon'nnnhanad manner that recognizes the|nu,ees|nQ diversity in the service area, State Plan 8nm|: Goal 9 --Develop and enhance public and private partnerships to better serve oWsx adults. A-A4-Rmaponme, Increase access to Kinship Care services in the tri-county area. L. Olson-Community Relations and Gnnnha Specialist-2O Hours-$400from Program Development funding. FY2O15 Explore expanding partnerships with community organizations to proYidaWndah|p care services in the tr(-coUAty area oao means to expand the program. Expected Outcome: There will be Increased access to kinship care uerV|ne$ in the th'oountyarea Narrati Kinship Care services continues to be underutilized In the tri-county area. Focusing on expanding partnerships for this service vvi||. hopefully, increase community awareness of this service. Printed On:6134/2014 NNUAL i yp z `.'�. MULTI YEAR IMP"LEME "�" .TION PLANS o mue°n �+ v 0 1 hJ i 01YK0:0t${p 00*14i7'Ol t AJ)MQ 'lwe :wxwwwwa�r�.+.mrix,w+w�..ramwrrauuwxew,ru�»xw�« arm«�r ,mwaue, mng�Y„, Tri•County Office on Aging FY: 2015 Advocacy Strategy Describe the AAA's comprehensive advocacy strategy for FY 2016. Describe how the:agency's advocacy efforts will Improve the quality of life of older adults within the PSA. Enter your!dv6cacy.. . strategy in the dialog box, AAA Response: The Tri-County Office on Aging (TCOA)advocates for seniors and persons with disabilities to help assure that they can live as independently as possible. The second goal of TCOA's mission statement, "to promote and preserve the independence and dignity of the aging population", Is to advocate for adequate resources-,and sound public policy, - . Advocacy Is done on the national, state and local levels. TCOA's membership in the Area Agencies on Aging Association of Michigan (AAAAM) and the National Association of Area Agencies on Aging (N4A) provides timely information on Important issues and bills being discussed and voted on In the National and State Legislatures, Through the AAAAM, TCOA has participated in efforts to promote, reopen and expand the MI Choice Program, locally known as Project Choices, in Region 6 and state-wide. Many agencies, programs and Individuals in Region 6 are also on the statewide coalition in support of MI Choice. The TCOA Advisory Council appoints three representatives to the Michigan Senior Advocates Council (MSAC), The MSAC representatives report to the Advisory Council at their monthly meetings on proposed legislation and issues being worked on, The Advisory Council's opinion is also sought and at times a resolution is passed.in support of an.issue, Typical concerns of this group are health coverage(Medicare & Medicaid), income (Social Security, Supplemental Security Income and pension security), state funding for senior programs, elder abuse and public uti[ity costs and regulation. One local senior is a representative to the Michigan Office of Service to the Aging Advisory Council as well as a staff member of the local Social Security Administration office who serves on TCOA's Advisory Council, The local State Advisory Council members attend the State Advisory Council meetings and reports to the TCOA Advisory Council, When the TCOA Advisory Council membership has a concern, they seek out more information and may support an issue through a resolution or write a letter expressing their opinion, This Information is then shared with the appropriate individual(s)or organizations, Periodically information on how to advocate as an individual is provided, this includes data on current topics, tips on advocacy, pertinent statistics and names and addresses of National and State elected officials, The Advisory Council membership is encouraged to personally express their Ideas and to encourage other groups they are involved with to do the same, During FY 2014 the TCOA Advisory Council membership voiced their support for Michigan elder abuse legislation through written and verbal testimony at committee hearings. Additionally, some Advisory Council members made personal visits to every local Representative and Senator in the Michigan House of Representatives and Senate. The Advisory Council Members plan to increase their advocacy efforts throughout the community including increasing outreach and networking, Seniors are encouraged to let elected officials know their opinion on an issue with tips on advocacy and how to contact elected officials with names, e-mail addresses and phone numbers provided, Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa. 2014-2016 Mica at SvWcet,V,5 the.Agina Tri-County Offloo on Aging FY: 2016 The TCOA Executive Director is a member of the AAAAM Steering Committee that planned the first Older Michiganian's Day In June 2008; and is working on the event again for June 3, 2014, The event is held on the Michigan Capital lawn with elected officials speaking. In 2013, Region 6 had older adults, clients, staff, Advisory Council Members and Board Members attend along with MSAC members. Some visited local elected officials to seek support for the three part advocacy platform: increase senior accessibility to a full range of high quality long term care options, educating on the economic impact Michigan seniors have on the economy and protecting seniors from abuse and financial exploitation, The Tri-County Aging Consortium Board Is kept Informed of national and state issues and also expresses their concern or support on issues. Because they are4l,elected officials or their appointees, these Individuals are advocates at their respective unit of government In support of older adults. Printed On:6/24/2014 NNUAL & MULTI YEAR. IMPLEMENTATION FLANS osaw . 2014-2016 t7fftcecnf SaxaE�ms to the l�giltg .WYMtP'aNeW.MYM.UKG'h M/.nt.HHHittgxeMN*mxN� wplMwml�MY 41Wr>kpWmmlpiXWw1MWYr1hN.FYI!`NWYF1'ANANssiWRWMYIAYWYuWMA" Trl-County Office on Aging FY: 2015 Leveraged Partnerships Describe the Area Agency's strategy for FY 2015 to partner with providers of services liy other resources as Indicated in the PSA Planned Service Array, Include, at a minimum, plans to leverage resources with organizations in the following categories; Community Action Agencies; Public Wealth; Mental Health; Commissions and Councils on Aging; Centers for independent Livina (CILS): other In addition to the ADRC-Capital Area Partnership. TCOA works numerous local partnerships and coliaborat(ves in the area to identify the needs and wants of community members. Many of these groups Include the membership of Community Action Agencies; Clinton Eaton and Ingham Community Mental Health, grad c� ieat-d ro :Center>fia :lnd eritferr t iviri . Cu'rrentiy, two parfhe,s rips the agency is participating in have resulted in new programs being offered in the service area. Community Health Worker At the beginning of 2013, TCOA began participating in the Michigan Pathways to Better Health (MPBH) initiative. This initiative is funded by the U,S. Department of Health and Human Services Centers for Medicare and Medicaid Services through a Health Care Innovations Grant to the Michigan Public Health Institute. Locally, this program is administered by the Ingham County Health Department and has partners throughout the county serving the needs of high risk populations. The MPBH is based on the Pathways Community HUB Model and will serve adult Medicare and Medicaid beneficiaries with two or more chronic conditions. MPBH goals include: a) improve enrollees' health, b) increase enrollees' utilization of primary care services, and c) decrease the cost of enrollees' health care by decreasing utilization of the Emergency Departments and hospitalizations. The MPBH initiative started on July 1, 2012 and began enrolling and serving clients on January 1, 2013. As an agency partner,TCOA currently employs one Community Health Worker through this program to help provide access to coordination of social services and healthcare services. It is hoped that this program will continue to build community connections and provide needed coordination of services in Ingham County throughout its three year grant period, As of April 1,2014 TCOA's Community Health Worker has served 73 clients. Capital Area Collaborative for Care Transitions In 2010, TCOA began attending meetings of the Chronic Disease Management Collaborative (CDMC). This group is a cross-provider collaborative that meets monthly with the goal of collaborating with other organizat(ons/agencies to reduce hospital readmission rates in the tri-county area. Throughout the duration of this collaborative, members have worked on several projects to improve the quality of care for high-risk individuals. In 2012, collaborative members worked to submit a funding request for Community-Based Care Transitions Program (CCTP)to the Centers for Medicare and Medicaid Services under section 3026 of the Affordable Care Act with TCOA as the lead organization and fiduciary for this proposed project.The purpose of this request is to use two evidence based programs,the Bridge Model of Transitional Care and Printed On:6/24/2014 ANNUAL MULTI YEAR IMPLEMENTATION PLANS - 2014-2016 osg! Tri-County Office on Aging FY., 2016 BOOST, to improve care transitions and reduce unnecessary hospital readmissions in high-risk Medicare patients by 20%. In late January 2013, TCOA received notification that the submitted proposal for a CCTP was accepted and the program began to work with participants in April 2013. As of April 2014 the CCTP program has served 867 clients. Describe the area agency's strategy for FY 2016 for ADRC partnerships In the context of the access services system within the planning and service area, The intention of the ADRC-Capital Area Partnership Is to receive Fully Functional status from OSA no later than September 30, 2014. Once the partnership receives Fully Functional status the partnership will have two now goals for the 2015 Fiscal Year, The first goal of the partnership will be.toactively turn the partnership's business plan into reality. For.th last several years the partnership has been creating plans and procedures with limited implementation. Fiscal Year 2015 witl be the first time that all of these will be actively used. Throughout the 2015 Fiscal Year partners will continue to meet and work to make the ADRC-Capital Area Partnership an active resource for the community to use. i. The second goal for Fiscal Year 2015 will be to promote the partnership within the community. Throughout the development process, the partnership has limited its community outreach. The partnership did not want to actively promote the ADRC within the community until It was Fully Functional and able to assist Individuals In need, Local service providers have been given periodic updates on the progress of the local ADRC partnership, but there has not been active outreach to community members. Once the partnership receives fully functional status, partners will begin to outreach to community members and work to gain community recognition. This can be done through presentations, attendance at health fairs and promoting the ADRC -Capital Area Partnership on local radio. Describe how the area agency can support Aging Friendly Community/Community for a Lifetime Initiatives within the PSA,with the following as requested (include any past or present efforts underway). * Community assessments,senior survey results and demographic data that can be shared with community groups to enhance aging friendly assessments. * Information that can be provided to community groups to enhance the quality of their aging friendly community assessment In such areas as;supportive community systems, health care access,transportation,disease preventionthealth promotion,safety, home repair and other relevant areas. # Technical assistance that can be offered to community groups In developing and collaborating on aging friendly community assessments or Improvements. # Please identify the area agency staff contact regarding Aging Friendly Communities/Community for a Lifetime activities within the PSA: TCOA can support Aging Friendly Community/Community for a Lifetime initiatives by: - Making available the results of the 2013 needs assessment to local communities. , Supporting community outreach activities to local seniors. - Provide education on long term care supports and services to community leaders. -Support the establishment of senior advisory councils to local governments throughout the tri-county area. Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLNS , i42 . a t tiuo t f swvke';Ga tha d�tFr3� Tri-County Office on Aging FY: 2016 The TCOA staff contact for Aging Friendly Community/Community for a Lifetime is L.eeAnna Olson, Printed On:6/24/2014 ANNUAL& MULTI YEAR IMPLEMENTATION PLANS osa . 2014-2016 �kTtFao�xP 5wwlcaata the,��rnst ,,,�,,,,,,,, Tri-County Office on Aging FY: 2016 Community Focal Points Please review the listing of Community Focal Points for your PSA below and update as necessary. Specifically note whether or not updates have been made. Make any changes or corrections necessaryto the listing. Describe the rationale and method used to assess the ability to be a community focal point, Including the definition of community, Explain the process by which community focal points are selected. The rationale for the selection of the community focal points is to have a central place and/or cultural donter within each community where-svniors go or identify as a 01600 to access or learn about seivicea; Also, each Identified focal point has a paid staff person who has responsibility to work with seniors. The Tri-County Office on Aging defines a community as a specific geographical location where persons live within a larger society and share a common Interest; or a group of persons sharing a common cultural background. in the Tri-County Area, those living in a designated geographical boundary within an area will be identified as living in the same community. For example, an older person living within the geographical boundaries of St. Johns in Clinton County will share the same community and identify with the Information and Assistance (I&A)offices as well as the Clinton County Senior Citizens Drop-in Center In St. Johns. A cultural center in the community where persons of similar heritage congregate and/or access services is also identified as a focal point. The Tri-County Aging Consortium Administrative Board is made up of County Commissioners from Clinton (2), Eaton (3) and Ingham (3) Counties and Lansing (4) and Bast Lansing (1)City Council members or their designee(See Appendix 6). Also, the aforementioned local units of government appoint the senior members of the Advisory Council and this Board approves agency representatives. The Administrative Board is charged with the responsibility of overseeing the functions of the Tri-County Office on Aging and Is responsible for all phases of the Area flan, This includes the identification of Community Focal points in the region, The Advisory Council reviews documents and makes recommendations to the Board. With the consensus of the Administrative Board, Advisory Council, senior citizens and Tri-County Office on Aging staff, community focal points are to be identified as the i&A Offices (senior citizens offices)senior centers in each county, and TCOA. The senior community identifies their local senior centers, senior citizens offices andlor community centers as a place to go to receive information and/or services for senior citizens In their respective communities. In the Tri-County Area, there are two focal points identified in Clinton County; four in Baton County; four in Ingham County other than the cities of Lansing and East - Lansing;and three in the City of Lansing and one in the City of East Lansing. In addition to the I&A Offices located In each county and Tri-County Office on Aging, several senior/community centers are identified as focal points. The seniors in the community meet at senior/community centers for various reasons and identify them as a place to go if they need additional services and/or information about senior citizen resources. The agency is particularly sensitive to the needs of minorities in the community and Identified three centers where the majority of participants are from minority ethnic/cultural backgrounds, For those focal points, the definition is an ethnic/cultural boundary where persons sharing similar cultural backgrounds gather. i Printed On:6/24/2014 I ANNUAL & MULTI YEAR IMPLEMENTATION PLANS 2014-2016 Tri-County Office on Aging FY: 2016 The rationale used for defining a community is based on the Input from staff and senior cItizen inth region, In terms of identifying a community, staff has taken into consideration certaine factors such as geographical area; where People go to buy groceries, shop for clothing, receive m religious services; and where seniors go to ask for information/assistance, Also, community Includes edical care and attend where seniors of a specific ethnic/cultural background gather and/or go to receive information/assistance, Provide the following,Information for each focal point within the PSA, List all designated community focal points with name,address,telephone number,website, and contact person.This list should also include the services offered,geographic areas served and the approximate number Name: Sam Corey Senior Center(Merldia,.P.,�-,'�,inlor Center) Address,: N,' OWar, Holt,'MI 48842 Website: Telephone: (617)268-0096 Contact Person: Mark Jenks Persons: 2400 Service Area: N: Jolly, Willoughby and 1-96, S:Nichols Rd., W: Waverly Rd,, E: College Rd. Services: Name: Capital Area Community Services Clinton County Service Center Address: 1001 S, Oakland, St. Johns, MI 48879 Website: www,cacs-ino,org Telephone: (517)224-7998 Contact Person: Pauline Baert Persons: 7516 Service Area: N: Gratiot Rd,, 8: Sheridan Rd,, W: Hubbardston Rd. (Lebanon Up.) (Clintonla Rd., Dallas, Westphalia, Eagle TwpQ, E: Meridian Rd, Services: Name: Capital Area Community Services Eaton County Service Center Address: 1370 N, Clinton, Charlotte, MI 48813 Website: www.cacs-inc,org Telephone: (517) 543-5465 Contact Person: Serenia Beals Persons: 12667 Service Area: N: Eaton Hwy,, S: Baseline Hwy., W: Hager Rd,, E: Waverly Rd, Services: Name: Capital Area Community Services Rural Ingham Service Center Address: 218 East Maple Street Mason, MI 48854 Website: www,cacs-inc.org Telephone: 517-676-1081 Contact Person: Marina Poroshin Persons: 13773 Service Area: S: Baseline Rd,, St. State Rd,, W: Waverly Rd,, E: Herrington Rd,/Locke Twp, Services: Wallace/LeRoy Twp. Kane(White Oak and Stockbridge (twp) Printed On:6/24/2014 ANNUAL . MULTIYEAR YEAR IMPLEMENTATION PLAosa NS 000 of 64NYWOC 0 tha Aj;m(] 2014-2016 n"` '''"''""" roMwwrnYruwnwrw.nawmvwwvm+ w.mur Tri-County Office on Aging FY. 2015 Name: Cristo Rey Comm, Center Address: 1717 N. High St. , Lansing, M148906 Website: Telephone: (617)372.4700 Contact Parson: Sally Arias Persons: 902 Service Area: Tri-County Focal for Seniors of Hispanic Origin in Clinton, Eaton&amp; Ingham Co. Services. Name: Delhi Twp, Senior Center Address: 2108 N, Cedar, Molt, MI48842 Website: ::.. .:._ Telephone; _ (517) XB.8�0096 Contact Person, Mark Jenks Persons: 2400 Service Area: N: Jolly, Willoughby and 1-96, S:Nichois Rd., W: Waverly Rd., E: College Rd, Services: Name: Eaton Area Senior Center Address: 804 S. Cochran, Charlotte, MI 48813 Website: Telephone: (517) 541-2934 Contact Person: Cindy Miller Persons: 17751 Service Area: All of Eaton County Services: Name: Letts Community Center Address: 1220 W. Kalamazoo, Lansing, MI 48915 Website: Telephone: (517)483-4311 Contact Person: Milton Alston Persons: 18008 Service Area: City of Lansing Services: Name: Prime Time, Bast Lansing j Address: 819 Abbott Rd,, E, Lansing, MI 48823 Website: vwvw,cityofeastiansing, com/primetime Telephone: (517) 337-1113 Contact Person: Kelly Arndt Persons: 301.6 Service Area: N: 2 Miles N. of Lake Lansing Rd,, S: Mt, Mope/Forest/Bennett, W: US 127/Collins, E, AbbotUHagadorn/College Services: I Name: Rocking Chair Deserters Senior Center Address: 201 Grand, Baton Rapids, M148827 Website: Printed On:0/24/2014 i i I I I ANNUAL MULTI YEAR IMPLEMENTATION PLANS] 01 osa - 2014-2016 Tri-County Office on Aging FY: 2016 Telephone: (617)663-2335 Contact Person: Jill Skinner Persons: 4886 Service Area: N, Davis Hwy. /Klnsel Hwy, S. Baseline Hwy., W: Five Point-Curtis, E: Waverly Road Services: Name: Sam Corey Senior Center Address: 2108 N. Cedar, Holt, MI 48842 Website: Telephone: (617)268-0096 Contact Person: Mark Jenks Persons: 2400 Service A, a.,'—,..,:,,---N:.Joily,--..Wllloughby arid:1-96i 4,Nichols Rd,, W: WaV,0rIyRd.;-E: College Rd', Services: Name: Tri-County Office on Aging Address: 5303 S. Cedar St., Lansing, MI 48911 Website: www,tooa,org Telephone: (517) 887-1440 Contact Person: Deb Arendsen Persons: 59806 Service Area: Lansing &arnp;arnpamp; East Lansing, serves Clinton, Eaton and Ingham Counties for Project Choices Services: Name: Willlamston Senior Center Address: 201 School St., Williamston, MI 48896 Website: www.wmston.kl2.ml.us/communityseniorcenter Telephone: (517)655-5173 Contact Person: Nancy Williams Persons: 3980 Service Area: N: Milton Rd,, W: Meridian Rd,, E: Wallace Rd Services: Name: Delta 39ers Senior Center Address: 4638 Elizabeth, Lansing, MI 48917 Website: www,deltam1.gov/perks/deltawaverly39sprogram.htm Telephone: (517)484-5600 Contact Person: Tammy Opdyke-Mejla Persons: 3949 Service Area: N: Eaton,Hwy, W: Royston Rd, E:Waverley Rd, S: Davis Hwy Services: Printed On: 6/24/2014 NNUAL & MULTI '1e YEAR IMPLEMENTATION PLANS osa t�ttf4t��•t 5@�'�{C�tp Y{i@ A:£IPrti� wxnwwiroarawwwiaw�u« ..n+vm+uawew.M�raww..nwwmuw�+.w,ree.+uFr�vaama • Tri-County Office on Aging FY. 2015 Other Grants and initiatives Use this section to identify other grants or Initiatives that your AAA is participating in with QSA acid other partners. Grants or initiatives to be included in this section may include TCARE0, Savvy „ Caregiver, Creating Confident Caregivers(CCC),Chronic Disease Self-management Programs (CDSMPs)such as PATH,and programs supporting persons with dementia,and MMAP. Describe haw these grants and other initiatives support the t uality of life of'alder adults within the PSA. Further,describe how these other grants and Initiatives reinforce the Area Agency's planned program development efforts for FY 20% 1. Describe ofiaer.:.g ants andlor Initiatives.tho are _agency.is.participating,(n an!Ith ©SA and other. partners. TCOA previously partnered with OSA for grant funding for Creating Confident Caregivers and Personal Action Toward Health(PATH) initiatives. Both of these partnerships have expired. TCOA is not currently participating in any applicable grants or initiatives with OSA. f 2. Describe how these grants and other initiatives will improve the quality of life of older adults within the PSA. TCOA is not currently participating in any applicable grants or initiatives with OSA. 3, Describe how these grants and other Initiatives reinforce the area agency's planned program development efforts for FY 2015. i TCOA is not currently participating in any applicable grants or initiatives with OSA. I i f I i i I i i i i Printed On:0/24/2014 ANNUAL LMULTI YEAR IMPLEMENTATION PLANS . s� � r�rtt��f�+txvrc�.a xa cnz n�roa01 , Tri-County Office on Aging >wY: 2415 Appendices Appendices are presented as Individual links. Please Provide a€l requested Information for each required appendix. Please note that older versions of these appendices will not be accepted and should not be uploaded as separate documents.The appendices are: A. Policy Board Membership R Advisory Council Membership C. Proposal Selection Criteria C. Cash-in-lieu of Commodity Agreement E. VIValver of Miminum Perceritage.of a priority.Se'rvi'e Categarji F. fie uest to Transfer Funds Printed On;6/24/2014 ANNUAL MULTI YEAR. IMPLEMENTATION PLANS 0sa 2014-2016 the A019 Tri-County office on Aging FY' 2015 APPENDIX A Board of Directors Membership gg ri' "' ;� . rIFY��•i�i. V e5t, 75/G��•'# .Y• Membership 0 2 0 1 0 8 13 Demographics Aged 50 and Over . 0 _ 0 �._. 13 ;j II , r t ':' ,-y-.kY,xr -1 y rs'• n�n �,;rtYr�=�i�: i-r��x��i x;ry��, I. �-� eF i •kec' li? Y 1 C ti` i _c �t s , � d. ,� t .R 4rte i' Chris Swope ' City of Lansing Lansing City Clerk Yes Jody Washington City of Lansing Lansing City Council Yes i Joan Jaokson-Johnson City of Lansing Director of Human Yes Relations &Community Services Tina Houghton City of Lansing Lansing City Council Yes Ruth Beier City of East East Lansing City Yes Lansinq Council Jane Whitacre Eaton County Caton County Yes Commission Wayne Ridge Eaton County Eaton County Yes Commission Roger Harris Eaton County Eaton County Yes Commission I Kara Hope Ingham County Ingham County Yes Commission Rebecca Behar-Cook Ingham County Ingham County Yes Commission Bryan Crenshaw Ingham County Ingham County Yes Commission Eileen Heideman Clinton County Clinton County Yes i Commission I Printed On:6/24/2014 i I "NNUAL & MULTI YEAR IMPLEMENTATION PLANS 7 osa Offlca of Sel4fims to tho Auma �M�'" '"^�° �rreuy�ammmwa...xwmwuaaaa�+�wrwawvnµ Tri-County Office on Aging FY: 2016 Jack Enderie Clinton County Clinton County Yes Commission G { x M i 4 f! Y i }} S ' F Printed On:6/24/2019 t s r i ANNUAL & MULTI YEAR IMPLEMENTATION PLANS i 2014-2016 osa Own IV$A2Vt"d k K4 Yfia/b:+J1i$1 nw avrr""m�"mom 5 w.wuvsm+ } i FY: 2016 Tri-County office on Aging APPENDIX B Advisory Board Membership �! 3f vAlavt 6 4 a °fur < f i r g 5 r 18 di i I: Membership 0 g 0 0 2 20 25 Demographics q Aged 60 6nd'Over n i ilW �.: `� ,• =k; _, .. `• '. City of East Lansing S Bud (Felix) Hiss East Lansing Senior Ap ointee Gloria Kovnat Eaton County Eaton County Senior A ointee Eaton County Eaton County Senior Martha Yoder A aintee Eaton County Eaton County Senior LeeTaylor A pointee Ruth Voisinet Clinton County Clinton County Senior A ointee Clinton County Senior Clinton County Anne Hill Appointee i Regina Alien City of Lansing City of Lansing Senior j Appointee City of Lansing City of Lansing Senior Penny Gardner y A pointee Emly Horne City of Lansing City of Lansing Senior i Appointee Mary Estes City of Lansing City of Lansing Senior A ointee Susann Baker Ingham County Ingham County Senior A ointee Jane Wallin Ingham County Ingham County Senior A aintee Tri-County Social Security Robyn Ford Administration Maxine Rose Tri-County Tri-County Nutrition i Council Printed On:6/24/2014 i i I ANNUAL & MULTI YEAR IMPLEMENTATION PLANS GYttfcg of Srttv�a3:co tt�A�het� osa 2014-2016 Tri-County Office on Aging FY: 2015 Gary Poliltz Tri-County Senior Alliance For Education (SAFE Tina Gross/Toby Powell Tri-County Sparrow Specialty Hos ita Karen Truszkowski T6-County Sixty Plus Elderlaw Clinic Betsy Scala Tri-County Home Health Care of Sparrow Janet Clark Tri-County Retired Senior Volunteer Program Stacy Fox-Elster Tri-County Community Mental Health Older Adult Services Laurie Parker Tri-County Capital Area Center for Independent Living, Kelly Neve Tri-County Clinton/Eaton County Department of Human Services Linda Kellman Tri-County Michigan State University College of Nursin Rudy Wilson Tri-County National Association for the Advancement of Colored Peo le NAACP Chad Johnson . Tri-County Bethlehem Temple Church/The Bread House Printed on:6/24/2014 ANNUAL MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Mq*f SOVk"W ft AgAIM Tri-County Office on Aging FY: 2016 APPENDIX D Agreement for Receipt of supplemental Cash-In-LIeu of Commodity Payments for the Nutrition Program for the Elderly The above Identified agency, (hereinafter referred to as the GRANTEE), under contract with the Michigan office of Services to the Aging(OSA), affirms that its contractor(s) have secured local funding for additional meals for senior citizens which Is not Included in the current fiscal year(see above)application and contract as approved by the GRANTEE. Estimated number of meals these funds will be used 6 produce is: 600,000 These rn-eals are administered by the contractor(s) as part of the Nutrition Program for the Elderly, and the meals served are in compliance with all State and Federal requirements applicable to Title III, Part C of the Older Americans Act of 1966, as amended, Therefore, the GRANTEE agrees to report monthly on a separate OSA Financial Status Report the number of meals served utilizing the local funds, and In consideration of these meals will receive separate reimbursement at the authorized per meal level cash-in-lieu of United States Department of Agriculture commodities, to the extent that these funds are available to OSA. The GRANTEE also affirms that the cash-in-lieu reimbursement will be used exclusively to purchase domestic agricultural products, and will provide separate accounting for receipt of these funds. Printed On:6/24/2014 ri CountYOffice can Aging A C;wm,ni triajr ter'(lirtt�rtt Frttart fir. 1 IrtgArurt C:urntttr.9 ,r�rrt tlrt?ir'"fI6c�q f j'C,rrrr6018 arrrrl Fast I✓✓using.Rinve 19A1 PUBLIC HE ARI1G Tri-County office an Aging 2015�.A,nnual Implemental Plan (AIP) June 12,2014, 1:00 P.M. Tri-County Office on Aging 5303 S. Cedar Street,Building I Lansing, MI 48911 1 ri Cptinty Office on Aging's:l ltiylz IZearirrg begart at 1.00 I'M he public hearing took place prior TCOA Advisory Council Meeting. I"here were twenty-six(26) in in attendance; twenty-one to the the general public and five(5)TCOA staff members. Of the general public in attendance, thirteen (I3)Zweterom age sixty(60) or older and two (2) minorities, TCOA publicized the public hearing in the Lansing State Journal and two community newspapers serving the rural areas in the region. Additionally,notice of the hearing was also posted throughout the TCOA building and announced at networking meetings, L. Olson welcomed attendees and thanked them for attending the public hearing. She gave an overview of the Fiscal Year 2015 (FY 2015)Annual Implementation Plan (AIP)and explained that FY 2015 is the second year in the 2014.2016 multi-year planning cycle. Due to this,the FY 2015 AIP is very similar to the 2014-2016 Multi-Year Plan approved by the State Commission on Aging, Highlighted program development objectives included researching the establishment of a frozen meal pantry for Meals on Wheels; working to establish a wellness program in inner city Lansing; expanding the kinship care program through partnering with community organizations; and working to add Lesbian,gay, Bisexual and Transgender(LGBT)inclusive language to TCOA forms, doeurnents and outreach materials. Janet Clark thanked TCOA for contracting with and supporting the local Retired and Senior Volunteer.Pro Penny Gardner inquired if the FY 2015 AIP Included a section addressing LGBT issues. L. Olson indicated that it does and pointed out the sections of the AIP that relate to LGBT issues. Ms. Gardner suggested that Office of Services to the Aging add a required section to the AIP addressing LGBT'Issues.Office Anne Hill inquired whether the FY 2015 AIP addresses Governor Snyder's goals for making Michigan a"no wait state". M. Owen stated that each year the plan addresses limiting waiting lists for in-home services, TCOA's Meals on Wheels program does not have a wait list. Further questions and comments were encouraged and notecards were handed out to participants to allow for anonymous responses. There were no other questions or comments made at the hearing and no written responses were received for this Annual Implementation Plan. The public hearing adjourned at 1:14 PM, j i i 5303 S. Ce(iAr Street, Suite 1, Lansing, MI 48911-3800 i Telephone 517.887,1440 . Toll Free 1.800.405.91�1'1 • Fax 517.887.8071 i . www.tcaa.org � 1 Y EVIDENCE-BASED PROGRAMS PLANNED FOR FY 2015 Health Promotion Service Definition Funded Under Disease Prevention Area Agency on Aging Tri-County office on Aging 1. Programs meeting minimal criteria: • Demonstrated through evaluation to be effective for improving the health and wellbeihg or reducing disease, disability and/or injury among older adults; and • Ready for translation, implementation and/or broad dissemination by community-based organizations using appropriately credentialed practitioners, $ 2. Programs meeting intermediate criteria: q. * Published in a peer-review journal, * Proven effective with older adult population, using some form of a control condition (04 pre-;post study, case control design, etc.) * Some basis In translation for implementation by community level organization. $ 3, Programs meeting highest-level criteria: • Undergone experimental or quasi-experimental design. • Level at which full translation has occurred in a community site. e • Level at which dissemination products have been developed and are available to the public; ------------ Enhanced Fitness 17,602 Personal Action Towards Health(PATH) 4000 Matter of Balance $ 2000 $ Michlgan office pf SONIc@s•to the Aging .DiRECT PR'OVISiOCV 0'0'StRVICIMS,,w i C pi~Ai� Area Agency on Aging Tri-County Aging Consortium (Tri-County Office on Aging) Service to be provided Care Management punned time frame j F'Y 2015 ! 3 Specify tho planndd goals and activities that Will.be uhdekaken tcs: rnvld+# floats and ActtviGies GOAL: A minimum of 160 individuals will be able to remain in their own home, There will be a seamless system for older adults going from Case Coordination and Support to Care Management, I ACTIVITIES, a. Provide Care Management services to a minimum of 160 clients in Region 6 from 10/01/14 through 9/30115. b Conduct a minimum of 100 Initial assessments from 10/01/14 through 9/30/16, c. Develop a minimum of 80 care plans from 10101/14 through 9/30/145 d.Conduct reassessments every 3 months on all active clients or every 6 months If a client is on maintenance from 10/01/14 through 9/30/16, e,Arrange and monitor services as needed from, 10/01/14 thro-ugh.()!?o/15. ransition eligible Cara M61legement-clients to the MI Choice program as funding allows from 10/01/14 through 9/30/15. g. Comply with all minimum standards and quality assurances from 10/01/14 through 9/30/14, Accompitshmenta 447 individuals were enrolled in the Care Management program during the 2012 fiscal year. All active clients were reassessed every 3 months and all clients on maintenance were reassessed every 6 months, All OSA minimum standards were met. Michigan office of Services to the Aging DIRECT PROVISION OF SERVICES WORk PLAN ,. .. Plscel Year 2q1� .; ::.. ,': :•. . Area Agency on Aging Tri-County Aging Consortium(Tri-County Office on Aging) Planned time frame Service to be provided FY 2015 Case Coordination and Support Specify the planr4ed goals anal activitles that will be undertaken to peNlde06 ervice;;:;': :.;: .< Goals and Activities GOAL: Individuals not eligible for Nome and Community Based Waiver(project Choices)will have assessments and services to assist them in remaining In the home of their choice. There will be a seamless system for older adults going from Case Coordination and Support to Care Management/project Choices, ion 6 om 10/01/14 rough 9/30/15, a, provide case sCoordination ts for all new clliient and reassessments ort services to a um of 65 clients very 6 months iforr agminimum of 55 clientshfrom 10/011/14 through b: Conduct 9/30/15. c. Secure and monitor appropriate in-home services from 10/01/14 through 9/30/16. d. Refer clients to other services as needed from 10/01/14 through"t30/15. e. Adhere to all minimum.standards from 10101/14 through 9/30/15, i r Accomplishments 59 Individuals were served by the Case Coordination and Support program during the 2012 fiscal year. Reassessments were conducted for Case Coordination and Support clients every 6 months. i All OSA minimum standards were met. i i { x k i S f Michigan office of Setvfces to the Aging . DIRECT PROVISION OF SERVICES WORK PIAN Flsaai Year 201$ Area Agency on Aging Trl-County Aging Consortium (Tri-County Office on Aging) Service to be provided Congregate Meals Planned time frame FY 2015 3000ity the planned goals and 66tivities that W'II1'bo'undertaken•t6.prOVfdo th-o sorvice. Goals and Activities GOAL: Provide a minimum of 95,000 hot,nutritious meals to a minimum of 2,A00 seniors at Senior Dining Sites from 10I01i1�# through 9/30/2016, EXPECTED OUTCOME: 1,600 older adults will be provided with 1/3 of their minimum daily nutritional requirements and have an opportunity to socialize with their peers. ACTIVITIES: a, Prepare,distribute, arrange and oversee the serving of Senior Dining Site meals. b. Provide a minimum of 800 congregate meals through the Senlor.Dine Card progr..amtargwating IOW-income rural'r;lderadul{ss. o, Conduct a nmltait�u�nl-Wf 6 nutrition_cou ci it meetings; d, Comply with all minimum standards, Accomplishments Over 100,000 congregate meals were provided to over 2,000 seniors at Senior Dining Sites during the 2013 fiscal year, The Senior Dine Card program provided 508 meals to seniors in Clinton, Eaton and Ingham counties during the 2013 fiscal year. Nutrition council meetings were held regularly throughout the 2013 fiscal year, All OSA minimum standards for congregate meals were met. i Michigan office of Services to the Aging aI.RCT PROVISION OF SERVICES WORK PLAN Fiscal Year 201,5 Area Agency on Aging Tri-County Aging Consortium(Tri-County Office on Aging) ; Planned time frame service to be provided FY 2015 i Information&Assistance i i Specify the planned'gaals and aattvitles that iuMertaken to provide the servfc�:' Goals and Activities GOAL, Provide Information and Assistance services throughout Clinton,Eaton and Ingham Counties. ACTIVITIES; a. Provide I&A services to a minimum of 2,000 older adults,family members or community members each fiscal year, b. Monitor I&A contracts with service providers for compliance,including person centered thinking,annually. c. Monitor the number of individuals assisted through I&A,including individuals who are considered minority, each quarter, [ d. Provide Caregiver I&A services to a minimum of 100 caregivers&oh fiscal year. e, Refer caregivers to identified services through a person centered process during FY 2014-2015, f,Adhere to all OSA_min.lmum standards ; i i i' I Accomplishments County Of m i; 2,110 received Information and Assistance from Tri- fice on Aging during the 2012 fiscal year,Including 325 minority individuals. All OSA minimum standards were met. .. Miclrlgan(Jfflce of Servlees to'the g D IRECfi PR0V1S10N OF StRV10ES WORK PLgIV Area Agency on Aging18Ci Year 201 Tri-County Aging.Consortium(Tri-County Office on Aging) Service io be provided Home Delivered Meals Planned time(rams FY 2016 Specify the planned goals and activities tha Goals and Activities t will be unftlaken to provide the"servf ce GOAL.: Provide a minimum of 450,000 hot,nutritious meals to a 10/1/2014 through 9/30/2015. minimum of 1,800 older adults who qualify for Meats on Wheels from XP CTEtq OUTCOME; le Meals on Wheels participants will receive 1/3 of their daily nutritional minimu least a 75%satisfaction rate with the food. m ACTIVITIES; requirements and have at a.Assess/reassess Meals on Wheels participants to assure they qualify for Meals on.Wheels. b. Prepare and make a hot meal available 7 days per week, at least a days delivered hot. d.c. Prepare and make available a cold sack evening meal avallabte 7 days f,or week. FZerruit and maintain a volunteerfat,; ad uate tor deliver meals throughout the trl-county region. e. Conducf a minimum of Nutrition Council meetings each fiscal year. f. Comply with all minimum standards, AocomplishmAnts In fiscal Year ly 50g over 440,000 meals were provided through the Meals on Wheels program. approximately 013 over meals during fiscal year 2014. { p og am. The program is on track to provide 'Meals on Wheels participants were assessed for Initial quallfication In the program and reassessed to I t: Hot meals were made available 7 days per week,with delivery being available 5 days a week, ensure continued qualification, Cold evening meals were available to program participants and were delivered with }hot noon meals, ' Nutrition Council meets were held regularly throughout the year during the 2012 and 2013 fiscal ears, y All OSA minimum standards for home delivered meals were met, ' i i f l Y , A z 4' i i. Michigan office of Services to the Aging DI I r PRO\A, ON©F qgU CES WORK Ft.AN ..: . . .::..:. . Fiscal Year 2015 Area Agency on Aging Tri-County Aging Consortium (Tri-County office on Aging) 8ervlc to be provided Planned time frame Outreach .FY 2015 Speclly the planned goals:and activities,thatvtrlll 64 underfakQn to"provide the§ervice; Goals and Activities GOALS: Provide outreach in the tri-county area to promote greater community awareness of resources for older adults,their family members and agencies that assist older adults and persons with disabilities, ACTIVITIES: a. Provide outreach services to a minimum of 1000 individuals sixty years of age and older living in Clinton, Eaton and Ingham counties each fiscal year. b. Provide a minimum of 15 presentations to senior,caregiver or community groups regarding agency services each fiscal year, c, Participate-in a minimum of 10 planning meetings regarding disaster preparedness each fiscal year. d. Participate in a minimum of 5 health and Information fairs in the community each fiscal year. f Accomplishments Over 7,000 individuals were reached through outreach activities during the 2012 fiscal year. Activities included presentation,health fairs, mailings, utilization of social media and local radio Interviews. i i : I i i • : ' Qrfl�o#�rvioe'sfatfieAgCng .•:'.;':;r;;::'.i.:` . '. .: .:... ..�....::. ...::: :.. . .. :Mldigan D r PR0MSS0N OF I1 W0W N. ..: :. tscar Year 2018 Area Agency on Aging �.. ri-County Aging Consorflum(Tri-county Office on Aging) Service to be pro_( Creating Confident caregivers/SAVVY Caregiver Planned time frame FY 2016 „ . Specify the Planned gaais and.activttfes.that wtfl be undertaiken:ta pravide the service, Goals and Aottvlties GOAL: Have one AAA staff Creating Confident Caregivers trainer complete Master Trainer certification. ACTIVITIES: One current AAA staff member that is a Creating Confident Caregivers trainer will complete her Master Trainer certification. GOAL: Provide at least 6 Creating Confident Caregivers classes to at least 60 caregivers in PSA 6 In FY 2016. ACTIVITIES:Staff members will organize, publicize and teach the Creating Conf 0erjt,G reglverstipl sew.to.n n_ r caregivers in the planning,�r�d,ser Lo .area. . s.: y ry.. p afessfonal ._•ri Accomplishments The Creating Confident Caregivers curriculum Is one of the most popular evidence based disease prevention programs in the planning and service area, This program meets the needs of a population of caregivers that no other evidence based disease prevention program In the area does. Region 6 AAA has been providing Creating Confident Caregivers classes under a statewide grant since 2008. 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'`-� m j t�; n`�- ZLS ;�d'. � � £t „�. to r„ -fit>�ti'.�.3• h :�:. «� ,t'i' � d m � �z $ uJ c t.d CS rJ 5 C� I (�j 1W '.t�.". d ' E �i Ji y� c, I ) 00 co -sMr d F•- i tp r h, F^ .��K 'd' W �"" F..` ,, F �.I• ' dt src-y� MI to a A. •:jt} t}S: n S i4 V' UJI 6 r4.,A � � � q rFlr a. �•' 4 t � I(I In raCD ,�] �~J' {y � � ��'� � � r I �) 1 I I I � '� I I I I v♦ � �� I I I tS y� hlVr alto h h + a� r�C d -j Fy 611 N E �+ }1 �i` �• � TG1 ��. fc'6- {ri '� r'• W �" ;q'f 4� s � Ccgp {;� (L .7..'� n� � ?�" {i`!i{[A w" �' � 't �(' t,A � V' � p I I I I I I •Y''�i�„'Y�'�'4�r;� f >�;� �ny ,1�' xt Li `�" r 3r11 My s r4 1 t^ W uj {T'.m 4 x (� O E1� f ca � W Q ; .'t r r ikt c^ w' }. �'"" 11a ,1.,, r. y �,;, �}3#�{.� � in• 1 Z � CL Sir s: rn �i pp mCID � n. F" cu '�� ca I�F��I� cn �.,. „;, ,�,, � u'i u7 1-• {— � �p$ �� '� tlx: lei 23 LYGd. . marl LG 4�•+ lI}7�( �'Jp t V N N � � '�' ��,� a' �{#� l}' MM � ly � s�4, i M I I. t ` � )•�, ij s� {sty. � � fYs�ti LL w W.. t�:�l; �! 1 CA tp C.71 i _ S Q QG ' h- p ;ra U z z i Q zi r CV M V U. hU r (V crl SW O c hj l) h n cQ �� W N Ni d C is i Planned Services Sum ma Pa a for FY 2016 PSA: 6 Budgeted Percent Method of Provision of the A E Service Funds Total Purchased Contract Dlrect Care Mana ement $ 239,903 7,73% ,a r �j;r ;: Q4 .,,.: .•, Case Coordination &Su part 21,207 0,68% x (Ofsaster Advaaac & Outreach Pro ram $ 0.00% x Information &Assistance $ 1 0,054 4,51% x ; Outreach $ 53,270 1,72% x TransportatI n 8,208 0,17% i x x IN-HOME; SERVICES ° Chace $ 0.00/a Hame are ssistance $ 0,000/a i Hame in ur Control Hn . 14�7,29 $ 0.00% . makin $... r Home Delivered Meals $ 1,17.1 187 37,81% i d Home Health Aide $ q.00%a 3 x Mediaatfan Mana ement $ 0.0 % Personal Care $ 143,824 4.63% x j ! Personal Emer)en c Res onse S stem $ a Respite Care $ 157,336 5.07 a x Friendi Reassurance 0.00°/a COMMUNITY SERVI ES Aii, ED)a Services $ 111,670 3.6q°° 3 [Dementia Adult Da Care $ x i Con re ate Meals 614,136 19.779/o i { Nutrition Gaunselin $ o/n x x p.Oq Nutrition Education p pp% Disease Prevention/Health F'romotfdn $ 36 786 1.19% ` Health Screen!n $ - 0.00% i X Assistance to the Hsarin Im aired& peaf $ q.00% """'""W""" Home Re air $ - 0.00% t , Le al Assistance $ 25,811 0.8 % i x Lon Term Care(Ombudsman/Advocac 42,343 1.36% 58nior Center O eratfans $ I x Senior Center Staffin $ 0' qq° i Vision Services $ 0.00/0 Pro rams for Prevenfian of Eider Abuse, $ 6,454 0.00% + Counselin Services q.29oa x 1 S eciali�zed Res ite Care $ 4 400 0.114%a I x are iver Su lemental Services $ o Kinsh1 Su ort Services $ 7,808 Q,26%o t } Care iver Education, Sup ort & Trainin x ' $ 7,648 0.25°/a x utrl anlS ° x , Emer enc funds ,i 2 i i#'r v1,41� z t r ;* i�8tx+ 4 u ry t b, $ 20,406 0.66° r; c r, 1 v4fjy C. 0.00% x ` $ 0,00% DMI a i i X x TOTAL FUNIOING $ 3,1p2,G79 $468,558 s340,397 "`�"`—"-`1 a i $2,294,113 , { , u . s i Fy 2015 Stagschatslare fiver Related Services dud et Narrative Agency, i COA PSA: 6 i Budget Revision No. 0 llocation of State Escheats Respite Program Funds. Please describe the planned use and a Include all related caregiver service funding aliocai ons in this FY Area Plan Grant Budget. please enter the narrative in the box below. ' Ttii9 is a single merged cell with.,tez4 wrap" ,.nter..or,0op}�n (abve here T�OA pteris io ucareh�ryt}d le 3°$4 ad0ucnnttaat Rut fobds for !t sp Dial eispite care serve f or Ada1t ; Day Care which will ga to existing service oontrabtars 2)$t3;12i�to contract but fdr respite ) I 1 I I i l f : s f i y l y ( ' �I I FY 2015..B,UI)QEI REVIEW,aEREAC)SHEF:I- one f 8 I, pate �TCOA W to Of SGA: Date ofou of; SGA Na, Flacafy or: FY2015 06/ /14 Revision No, e 8 ACATEGORY GA AWARD CIDAMOUN TOTAL 0 7 Dole Reviewed by OSA: title III Administration Initials Of Field Re 1257 $ 126190 0 State Administration Title 111.8 Services 21,9 2 7 21932 Title 111-0.1 Services $ 337694337$ 299648 6-4 Title III-C.2 services 299648 $ 986 �20 Federal Title 111.0(Prey. $ 23,421 985 Title if 23,421 VIVA (,N F 0 8(p), $ 142,157wu z Title V T, $ 142,157 buds) Title VII/11AP Services 30 4.830 St,Access 51809 $ 254 St.In Home �.: $ 26474 839$ "I T1 . ........... �V�,,,E'1111&�.�y 63,936 St.Congregate Meals 86 34 SL Home Delivered Delivered Meals 8, 34 St.Alternative care 310.24,1 St,Aging Network arv,(9t.AN$) 39 72.4 99,665 UUMMeNT St.Respite Care(Escheats) $ 73220 39 724 �. MerItAward Trust Fund $ 119,749 ,'g,� 73 20 8t,Nursing Home ombud$ 4 18 78 A` 749 .LTC Ombudsman 0485 OMP Fund 10100 St.Care Mgt, 9486 E,I P Y__1 IQ Z11 218911- . 311, SGA IOTA $ 2 588 265 ADMiNfSTRATION - U 0 0 E , SGA , DIFFERENCE Minimum — sm6UnFederal Administration 2Y VU fzVStOfa Administration Administration match ex ended state AdM,+LW0al a 41,93021932 $ 219j2 Is the to oral administration matwitiii at a min murn 7 930 Does fed araf ad es merit war Trust AdmInistraijen 722 Does state INSIt on bud eqf 101,§GA? "I'bud et Ual,'jiJAY Yes LOGO A$rative Match if dk"t Local Cos Yes $ or Award lU98 "I', I ii,.- It Laval In-Kind Mat d at or below tj%of Match IOW Merit Award Admin,Funds bu eted; Sub-Total. $ 998 Is Merit Award Trust- eted at 90(or joss? .0% (I A M n 0 raflon! tid�at 90/or a"? Amount of Yes Fdfru-stEund"buo also inn GO, 4 Is IeSI of TItAwaI etedon d (I a are a 304 CKYIL; uTs ES, BUDGET 8 es; TitleFedt rat " P otiviCes %OU DGETED re lqshlrllronl.Ke services bud e Fed.Title 1110.1(Oorigregale) $ 00.0% to Inshl 8(— fUh0AAA'6TIffOIlI-EAtndinQ? 60; $ irvio- r ly aingy State Congregate NuUition z9v 001A note:gap TL# y �6 9&TM bud E A 71- .AAA's......... -2(HDM) r rides 1`ej#fr7ed_to bud et . ...... Federal C V VY4 4VV1.1 1 jL.c r it Im m of, 00 of TI Is JI 28.85 5289 .00 'r�orm!� ulreniont of? State Home Delivered Meals 74 k:om, are, in u SmW an oilanoolo =NIX Federal Title 111.0(prov.HoAlth) L"I U 243 100,00% E Federal Title III-E(NFCSP) 21 100, 0 Enter amount guired NL1KT;,,,,nT, Iii 28.- I57 142 15( 0,0000, Bud Of0d amount 11110 lit.1; r Ombudsman. 86 Title VII/A Se(VIC01i(LTC ombuds) 4 UJO $ Is U1100 Maintenance of effort met? $5547 Tills VIVEAP Services 100,00% Si.Access 6809 $ 6 8t,In Horne 25474 $ 4A74 134936 $ St.Alternative Care 100.. 0% InIm 111 service match amount mulre St,Owe Mgt, 665 99,685 100,00% Servica Mowileo Quoiletoo:(LOG01 C@Vl+In-Kind), 101 St.LTC Ombudsman $ 21591 215 913 W. 0% IS the service .......... SIANS In 678 646 100,00% Sub-T to: 39 24 $ No IUU.UU 1944, 1 $ "911 I/D Local Service Match M. ip ., 0 Services; Local Cash Match Vxj!; W Access Local In•K nd Match .U. ...... 511 MIN. !4 a, $ ga }ter' ati l Le $82,264 fg! Total 8 Is e or Priori $99330 Sub-To a NSIP 215 ��u�et�d�j g,�j j 10%of off Inail AC L I file 11A Aro In Home Yes St.Respite Care 68 106 .1WO yugelea at Minimum to%Of Orl Inal AOL Title III,B Yes $ 73,22 C u a'00tvices bud sled 01 minimum.8.6010-6f I at AOL Title ljj�B Merit Award Trust Fund of Legal) Yes $ 100 100,0 0 % Title III-B award w 6161% i CMP Fund-LTC Ombudsman $ 485 $ _:,.4;!,sv;1Over or Transfers in Current§GA 1 4011111 1 1 um 9485 1 OUO/o Amount budgeted for Program-68—velopment., $337894 r ram In"nni. %500 ram Devela meat must Ili st be 20%or loss $67,618 oe!Den u 19.0% , gated Of 20%or less Total Services: ......... ......... ... Yes I Wit?)oorlyover, r 0 Q Ser ml Oran 02 for EBDP Activities,per TI fi9AI')-')A A, $21421 21 Yes PRIORITY SERVICE SECTION sews ery ces u ga moon a.Care Management ass oo suPP s, rsaster vocaoy d,Infa(rnellon& ssis e.outroac 8 Transportation qAq Reglonal Access Service) " (AAA Regional Access Service) ccass o a: , rr ome ery ces I I• u gat rnotm a.Chore b,Hdme Caro Assls c. ome injury n omom rig e.Homo oat Ito 1. Medication Mgt g,Personal are h, sistive Usvica&Tech I Respite Care Fnendiy Reassure { Regional In Hnnae Service AAA _ i I ) (AAA Regional in•Home Service) IN•Home U ery ces 10tal; r i ns p ery cos u go moun areg ver upp m ns mount n y f 2.Kinship 5uppon 3,Caregiver E,8 j•Klash p Amount my (Other Thle Ill•E Kinship Service) (Other Titla III-E Kinship Service) no ip ery ces Tota: i r n ,.. ,.3 (Use ONLY If 5GA Reflects Transfers) it I• award w c carryover in a• m. ranser mo e - (Always Enter Positive Number) m, ran er duo to - (Always Enter Positive Number) I o e wa oa: oreH1�1 I r i r 1 {i t r 1 { I O d'S C? Vi w d � Lo ff cv � ua U � CL u. Q to ... Cf7 W � CL tYl � O sue-^ lam{} G7 ww W ytcri N10 N O 41 LL y C'sue cc LLI c) 0 Q O x .O m o uJ # m U E E V) L 10 u �y w o IWLv E a�5 C�3 y W y qJ N y .Jr ii c c i LLi O f�5' a `« G !�- L1 z U. F r i 5 CO ° w �. 0 a w c ' U ' In. © � � � U U to w c cu ul d � LL M � � t(? 0 U- Q W n Q RUB LI. : N U Q © ui M 0 c U. 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