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HomeMy WebLinkAboutCouncil on Aging-Disabilities 10-18-07 NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY COUNCIL ON AGING Thursday, October 18, 2007, 8:30 am County Board Room, St. Croix County Government Center 1101 Carmichael Road, Hudson, Wisconsin 54016 CALL TO ORDER PLEDGE OF ALLEGIANCE ROLL CALL APPROVAL OF MINUTES OF PREVIOUS MEETING ADOPTION OF AGENDA DATE OF NEXT MEETING OLD AND NEW BUSINESS 1. Introductions: 2. Old Business: Caregiver Conference Long -Term Care Reform/ADRC Development Update — Proposed Structure 3. New Business: Senior Center Trends — Tracy Davis Faith in Action — Caregiver Advisory Board request to pursue 501(c)3 status Hammond Nutrition Program Volunteer Requests 4. Staff Reports 5. Nutrition Program/Senior Center Updates 6. Possible Agenda Items for next meeting ADJOURN (Items may be taken in different order) SUBMITTED BY Kjersti L.O. Duncan, Thursday, COPIES TO County Board Office County Clerk News Media/ Notice Board Committee Members Items for County Board approval must be submitted to the County Clerk's office by Wednesday morning preceding a County Board meeting. 10/05/2007 2:41 PM COUNCIL ON AGING MEETING October 18, 2007 St. Croix County Government Center CALL TO ORDER: Council Chairperson Nelson called the meeting to order at 8:30 a.m. Pledge of Allegiance was said. ROLL CALL: Supervisors: John Mortensen, Gerald Peterson, Charles Grant, Councilmembers: Judy Harrison, Sue Nelson, Al Schrank, Inge Bleier, Jeanette O'Connell, Vince Tubman, Olive Terpstra, Pat Shilts, and Bette Norman. Also present were: Department on Aging Director Kjersti L.O. Duncan; Community Outreach Specialist Tracy Davis; Administrative Assistant Renea Aeschliman; Department on Aging Benefit Specialist Liza Gibson; Department on Aging Intern Abby Kubly; Caregiver Support Coordinator Nancy Abrahamson; Nutrition Program Managers: Donna Lamson, Jan Thompson, Vivian Kemling, Sheila DeRosier, Trisha Stork, Sylvia Heller and Shirley Marlette; Laura Rebhan, Harriet Meath, Lorraine Jacobs, Caregiver Support Advisor Board Chairperson Pastor Paul Lovestrand, John Clymer, and Area on Aging AgeAdvantAge Regional Planner/Program Consultant Dianne Rhein. ACTION OF PREVIOUS MINUTES: A motion to approve the previous month's minutes was made by Councilmember Schrank and seconded by Supervisor Grant; motion carried. DATE OF NEXT MEETING: The next meeting will be held on Thursday, Nov. 15, 2007. 1. Introductions: 2. Old Business: Caregiver Conference: Director Duncan reminded the Council that the St. Croix County Department on Aging, in collaboration with Pierce County Department on Aging, Wisconsin Statewide Parent Educator Initiative, AgeAdvantAge, Starting Point Resource Group and local hospitals will be hosting a caregiver conference on Friday, October 19 at the First Covenant Church in River Falls. The day will begin at 8:00 a.m. and go until 2:30 p.m. There will be speakers, a caregiver panel, mini workshops, and a resource fair. Registrations are still being taken. Long Term Care Reform /ADRC Development Update: The ADRC Ad Hoc committee continues to meet. (Per county board resolution, the Ad Hoc committee was appointed by Chairman Malick and includes: Director Duncan, Norma Vrieze [Long Term Support Birth to Three Supervisor], and Peg Gagnon [community member and Executive Director of Bridge, Inc.]). The committee is at an impasse regarding ADRC governance and organizational structure. Earlier this year, Director Duncan and Health and Human Services Director Johnson presented a proposed governance and organizational structure to the Council on Aging and the Health and Human Service Committee, which would create a joint - collaboration between the two departments. An administrative team, made up of the Aging Director and the Long -Term Council on Aging Page 1 12/07/07 I Support Supervisor, would be formed to oversee the operation of the ADRC. This proposal would create dual - reporting conflicts (as the Aging Director would report to both the Council on Aging and ADRC Board; and the Long -Term Support Supervisor would report to both the ADRC and Health and Human Services). This model does not seem practical or effective. The ADRC Ad Hoc's discussion has focused on different options for governance and organizational structure. In our area, Dunn County has made the decision to shift the Department on Aging and the ADRC into the Health and Human Services Department. In Dunn County the ADRC will be overseen by the Health and Human Services Board. Their Commission on Aging and Long -Term Support Committees will merge to become an ADRC advisory committee. In Eau Claire County, a free - standing ADRC Department has been formed (separate from HHS) and the Department on Aging will be shifted into that organizational structure. In Eau Claire, the ADRC will have a governing committee that reports directly to the County Board. Director Duncan distributed a hand -out which included the proposed structures n for both Dunn and Eau Claire, along with Chippewa, Pierce, Portage, and Washington this information was obtained from the state Bureau of Aging and Disability Resources). Lorraine Jacobs stated that looking over the models, it is rather confusing. She asked if there was a model that we come close to or we are aspiring to. Director Duncan stated it is important for consumers to state their preferences. Consideration should be given to the strengths and weaknesses of each model, with consideration to what is unique about St. Croix County and the consumers served by the ADRC. Director Duncan reiterated the goals of creating an ADRC. As St. Croix County (and the state) continues to move forward with long -term care reforms, an ADRC must be in place prior to implementation of the Care Management Organization (CMO). Community Health Partnership (CHP) is the private, non - for - profit entity that was awarded the contract from the state to become the CMO in this region. Frail elders and younger persons with disabilities, who are on Medical Assistance and receive community based services for waiver programs, may choose to receive their services through CHP. Services will also be provided, over a period of time, to persons currently on the wait list for these community based services. The ADRC is the gateway into this publicly - funded long -term care program. 80% of persons who come to the ADRC will not qualify for publicly funded programs. Information and assistance will be provided to them to ensure they make cost - effective decisions regarding their own personal resources. Director Duncan distributed a hand -out which outlined the Federal Government's description of ADRCs, as well as the state's summary of Lessons Learned during the initial implementation of Family Care and ADRCs. Director Duncan restated how it is important for the Council to understand the functions of an ADRC, so they can shape the services that will be provided to older adults through this new entity. As the governing committee which oversees the Department on Aging, the Council is under the mission of the Older Americans Act which emphasizes that the aging network belongs to and is governed by older people. Older adults are capable of standing up for their own interests. Due to their wisdom and life- experiences, older adults can also be empathetic and advocate on behalf of the other target groups served by the ADRC: persons with physical Council on Aging Page 2 12/07/07 and developmental disabilities, persons with mental health and/or substance abuse issues. The current older adult population has made extreme sacrifices throughout their lives to ensure we have the freedom to influence how and what decisions are made. Director Duncan then presented the Wisconsin Department of Health and Family Services video Introduction to Aging Disability Resource Centers, available over the internet. After the video, Director Duncan asked for any questions or comments. Lorraine Jacobs commented that when people first come into the Department on Aging, they are made to feel comfortable. When there are problems at home, and there are issues of grief, the Department on Aging's professional and kind staff is always helpful. "You take us by the hand and you lead us through all of these things. Until you are involved in it, you can't know what it means and how important it is. We need to remember that when government gets involved we have to keep our personality in there ". Ms. Jacobs commented that the members of the Council have an advantage to influence future decisions because they are familiar with the services offered by the Department on Aging, and understand that the Department on Aging is the first place older people go to for help. She commended Kjersti and the others on this reform. Dianne Rhein, Area on Aging AgeAdvantAge Regional Planner/Program Consultant, stated that the formation of ADRCs is happening throughout the Country and the State. Aging programs and programs for those with disabilities are getting connected through the ADRC. Each County needs to decide what would be best for their county considering the resources and concerns of their county. The Council is part of the input process and it is very important to be involved. Rhein went on to say that in order to provide guidance, individuals need to get a handle on an extremely complicated situation. She stated that this is not the only county looking at different ways of organizing services; there are a lot of ways that have been chosen and are being considered. At a minimum, the Council should advocate that a number of options for governance and organizational structure be considered prior to making a decision. St. Croix County has a lot of innovative "spunk ": there may be something exciting that comes out of the process. Rhein continued to say that the St. Croix County Department on Aging has a lot of strengths in place. So whatever structure the county decides upon, it should be a goal to build upon the strengths of the Department on Aging. The caregiver conference coming up tomorrow is a good example of community organizing and collaboration. There are not enough tax dollars to solve the problems of the current generations or the baby boomers as they age. We n the infrastructure , that spirit and keep need to get that p it with us at the ADRC. Build o compassion, that friendly face, and be sure that you are well informed and at the table. If an outcome comes and it is not one that you wished, you still need to be at the table. The State will look to see that consumers have been involved in the development process when the county submits an ADRC application. It is important that there be stakeholders from different advocacy groups and different service agencies representing all the consumer groups. Director Duncan informed the Council that an invitation has been extended to an independent consultant to assist the Ad Hoc Committee, as well as the Department on Aging Council on Aging Page 3 12/07/07 and Department of Health and Human Services. Buck Rhyme is with Organizational Skills Associates and has been hired by the Wisconsin Bureau of Aging and Disability Resources to help ADRC planning groups throughout the state. Supervisor Mortensen commented that currently we are called the Department on Aging and the Council on Aging; if the name were changed to Aging Resource Center it might be clearer. Supervisor Mortensen also asked for clarification regarding combining aging with disabilities. Director Duncan stated that the Eau Claire County Commission on Aging did change the name of their Office on Aging to Aging Resource Center within the past year. Aging and Disability Resource Centers are a federal initiative, and the state of Wisconsin is moving forward with developing ADRCs throughout the state. Older adults and persons with disabilities have been combined as they have similar needs with regards to needing information and assistance with long -term care needs. Director Duncan handed out information compiled by CWAG regarding Family Care and the Rights, Requirements, and Responsibilities of an Aging and Disability Resource Center. The hand out reviewed the requirements of the governing board; marketing, outreach, and public education; client advocacy, and complaints /grievances. Supervisor Peterson commented that this is an awful lot of material, but he stated he can not help but think that the ADRC would be best served by a board that "has a voice ". Supervisor Peterson is of the opinion that advisory boards have less influence; a board is needed that can make decisions and be recognized. Director Duncan reiterated that the ADRC Ad Hoc committee holds open meetings. Feedback like Ms. Jacobs, and Supervisors Mortensen and Peterson needs to be expressed directly to the committee. No one over the age of 60 has attended the ADRC Ad Hoc meetings, and considering the majority of persons served by the ADRC will be older adults, it is vital that older adults and their advocates become more involved with this process. 3. New Business: Senior Center Trends — Tracy Davis: Recently Tracy Davis, Sheila DeRosier, and Pat Shilts attended the Wisconsin Association of Senior Centers in Stevens Point where they heard a presentation by Mike Edwin, Manager WIPFLI Consulting. Mr. Edwin attended today's meeting to provide the Council with information regarding Senior Services Trends. Mr. Edwin handed out the complete presentation, and highlighted key points. We are currently experiencing a "calm before the storm" as the baby boomers begin heading toward retirement. The 65 -75+ year old population in St. Croix County is growing faster than any other in the state. Between 2015 and 2030 there is a projected growth of 93% in the 75 and older group. Senior Centers will see an increase in utilization; however they will need to move to a community- orientated, intergenerational and integrated community. The next generation of older adults is going to want different services and it may take up to ten years or more for change. The number of Nursing Homes is decreasing throughout the state, while the number of Assisted Livings is increasing. There is a need for Nursing Homes, and there will continue to Council on Aging Page 4 12/07/07 be a need; however, Assisted Livings, Independent Livings, and Community Based Services will be in greater demand. The long -term care reforms that are currently taking place in the state, will also impact Senior Centers. Senior Centers could become providers of services to the Care Management Organizations. Considering St. Croix County's growth, its proximity to the Twin Cities, its aging population with a solid working population base, it is important to consider what changes need to occur in the local communities to provide services to older adults. Mr. Edwin presented examples of Senior Centers throughout the state that have already changed their focus. Faith in Action — Caregivers Advisory Board request to pursue 501(c)3 status: Nancy Abrahamson, Caregiver Support Coordinator, along with Pastor Lovestrand, Chair of the Caregiver Advisory Board and John Clymer presented information regarding the Faith in Action program pursuing nonprofit status. Currently the Faith in Action program applies for grants from the United Way. Pastor Lovestrand reported that by becoming its own 501(c)3, Faith in Action will become a "legitimized" program and individuals will be able to claim their donations as a deduction on their taxes. This change would also allow for the expansion of services provided by FIA, including the possibility of providing basic home repair services by volunteers. Supervisor Peterson asked who will oversee the 501(c)3. Mr. Clymer stated that FIA can stand alone as a separate corporation. Tracy Davis pointed out that the Department on Aging currently works with two 501(c)3 — Aging and Handicapped, Inc. and Senior Center Board Coalition. Tracy Davis asked if funds raised would be used for administrative costs or for service materials. Chairperson Nelson asked Abrahamson if the Caregiver Advisory Board is actively working on filing the necessary paperwork. Abrahamson stated yes, and that they came to the Council on Aging to receive approval to go ahead with the application. The first step was to receive approval from the Council on Aging since Faith in Action is under the Department on Aging. Chairperson Nelson asked for a motion to allow Faith in Action to pursue a request to become a 501(c)3. A motion was made by Supervisor Peterson and seconded by Supervisor Mortensen; motion carried. Hammond Nutrition Program: Director Duncan informed the Council that the Hammond Nutrition Program has been relocated to the Westfield Apartment complex until the end of the year. This relocation is due to construction at the city hall. The decision was made not to close the Nutrition Site until the end of the year. A motion was made to accept the short term relocation of the Hammond Senior Center by Supervisor Grant, seconded by Councilmember Terpstra; motion carried. Volunteer Report: Review the attached information. 4. Staff Reports: Kj ersti's Report: Kj ersti informed the Council that the Nutrition Program Managers will attend training in Rice Lake next week. She also mentioned members of the local Senior Center Boards will be attending the Coalition of Wisconsin Aging Groups District 6 meeting tomorrow in Eau Claire. Kjersti handed out statistical information regarding the services the Department on Aging provides. Council on Aging Page 5 12/07/07 S. Nutrition Program/Senior Center Updates BALDWIN: Sallie was not available to present. Councilmember Terpstra informed the Council that the 2n annual Dinner/Dance fundraiser had a good turn out. DEER PARK Jan informed the Council that thirteen participants went on a trip to the Minnesota Science Museum in September. Jan also informed the Council that their Senior Center received a grant from St. Croix Electric with the help of Pat Shilts. They're looking forward to the Panhandlers coming in November to help celebrate Veteran's Day. Also looking forward to coming to Roberts for the Monster Mash Bash. Six people will be attending the Supreme Court events at the Courthouse next week. They're interested in going to Fanny Hill for a Christmas Event and have asked Liza to speak at the Senior Center regarding Medicare. GLENWOOD CITY: Shirley informed the Council that things are going rather well. Meals have increased on Tuesdays and Wednesdays. They're thinking of adding bingo in the fall on Thursdays. Planning a Halloween party and will be attending the Monster Mash Bash. Fire Drill was taken care of yesterday. The Center Board welcomed a couple of new members. HAMMOND: Donna informed the Council that even though they had to relocate temporarily, all activities continue. A leaf and shopping trip was held on October 12 A Halloween party is planned for October 30' Liza Gibson will be speaking on November 27 regarding general Medicare information. HUDSON Sylvia reported they went to the Maple Leaf Apple Orchard last week and visited one of the former participants at the Parkview Nursing Home in Woodville. Everything else is going well. NEW RICHMOND Vivian informed the Council that they went on their fall tour — Lindstrom, Center City, and Taylor Falls. They ate lunch at the Swedish Inn in Lindstrom. Looking forward to coming to the Monster Mash Bash in Roberts. John and Maureen Brunner are going to entertain on the 8 th with patriotic songs. The members of the VFW will be coming on the 12 for a Veteran's Day Ceremony. Continuing to work on a painting class. The van usage has increased with medical trips and shopping trips. Working on setting up a time for Liza Gibson to come and speak on Medicare and also have Ray Carpenter present information on fraud protection. Bingo and cards are being played and Yahtzee has started up. RIVER FALLS: Bette informed the council that foot care is twice a month — November 6 th and November 20 The General meeting will be on October 30 and Liza Gibson will be presenting on Medicare. The flu clinic will also be held on October 30 The Pierce County Department on Aging Director contacted the Senior Center in need of a volunteer to provide transportation to dialysis because they are in need of transportation volunteers. Bette also informed the Council that the architect is working with the city of River Falls to build a new city hall. He will be visiting the current Senior Center to see what is there currently and would like input on what is needed for older adults in the future. The current building will be torn down. ROBERTS Randi was not present. SOMERSET Sheila told the Council that their annual fire drill was on the 15 Liza Gibson will speak October 30 on Medicare. They will be showing a video on October 23 on how to use a defibrillator. First Friday Lunches have been organized since the Nutrition Site is not open. The Council on Aging Page 6 12/07/07 group gets together the first Friday of the month to try out restaurants in the area and it is very popular. The Panhandlers will on November 6 in honor of Veteran's Day and it is lots of fun to have them come and practice. WOODVILLE Trisha informed the Council that their Salad Bar Luncheon fundraiser last month brought in @ $360.00 for the Senior Center Board. The annual fire drill was on the 4 Ray Carpenter, AARP, will be speaking on Fraud/Identity Theft and Liza Gibson, Benefit Specialist, will be speaking on Medicare. The Red Hat Ladies will be coming for lunch the first week of November. A group is planning on attending the Monster Mash Bash and a Halloween party is planned at the Senior Center as well. The Senior Center will be celebrating their 30 anniversary on Tuesday, November 6`". VAN TRIPS: Deer Park to Eau Claire — November A motion was made to approve van trips by Supervisor Mortensen and seconded by Councilmember Harrison; motion carried. ANNOUNCEMENTS AND CORRESPONDENCE Chairperson Nelson stressed that members of the Council need to discuss the issues raised in today's meeting with participants at the Senior Centers and with County Board Supervisors. Supervisor Mortensen stated that he would like to recommend St. Croix County look at a model similar to Washington County model, which maintains a governing board. The ADRC Ad Hoc Committee will be meeting today, October 18 at 1:00 p.m. in Hudson. There will be another meeting on October 24 at 1:30 and location will be determined at today's meeting. The meetings are open to the public. Chairperson Nelson handed out a form that individuals can complete to send to Senator Herb Kohl, who is the Chairman of the Special Committee on Aging. Individuals can voice how they feel about the actions Senator Kohl is taking or let him know that they approve of what he is doing. POSSIBLE AGENDA ITEMS FOR NEXT MEETING: Aging and Disability Resource Center Updates. A motion to adjourn was made by Councilmember Shilts and seconded by Supervisor Grant; motion carried. er � Ri u r n , iI6 eso IN � Center An W*Mve of the U.& De neat of HeW th &M Hunu SeM eft Council on Aging Page 7 12/07/07 r Aging and Disability Resource Centers (ADRCs) are welcoming, attractive, accessible places where older people and people with disabilities can go for information, advice, and help in accessing services. They provide a central source of reliable and objective information about a broad range of programs and help people to understand the various long term care options available to them. By enabling people to make informed, cost - effective decisions about long term care, they help people conserve their personal resources, health and independence and reduce the demand for public funding for long term care by delaying or preventing the need for potentially expensive long term care services. ADRCs help people to apply for programs and benefits, and serve as the single access point for publicly funded long term care. ADRCs are also available to physicians, hospital discharge planners, or other professionals who work with older people or people with disabilities. Services are provided at the resource center, over the telephone, or in visits to an individual's home. Council on Aging Page 8 12/07/07