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HomeMy WebLinkAboutCouncil on Aging-Disabilities 12-20-07 NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY COUNCIL ON AGING Thursday, December 20, 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: Secret Santa Medicare Part D Outreach Update Long -Term Care Reform/ADRC Development Update 3. New Business: Abby Kubly, BSW Student Intern — Research Project Volunteer Requests 4. 9:30 85.21 PUBLIC HEARING 5. Break: Senior Center Board Coalition 6. Staff Reports 7. Nutrition Program/Senior Center Updates 8. Possible Agenda Items for next meeting ADJOURN (Items may be taken in different order) SUBMITTED BY Kjersti L.O. Duncan, Thursday, December 6, 2007 COPIES TO County Board Office County Clerk News Media/ Notice Board Committee Members Senior Center Board Members Items for County Board approval must be submitted to the County Clerk's office by Wednesday morning preceding a County Board meeting. 12/07/2007 2:23 PM COUNCIL ON AGING MEETING December 20, 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, Bette Norman, and Pat Shilts. Also present were: Department on Aging Director Kjersti L.O. Duncan; Community Outreach Specialist Tracy Davis; Administrative Assistant Renea Aeschliman; Department on Aging Intern Abby Kubly; Nutrition Program Managers: Vivian Kemling, Sheila DeRosier, Trisha Stork, Janice Thompson and Sallie Dull; Julie Speer, Richard Marzolf, Health and Human Services Director Fred Johnson and Lorraine Jacobs. ACTION OF PREVIOUS MINUTES: A motion to approve the previous month's minutes was made by Supervisor Mortensen and seconded by Councilmember O'Connell; motion carried. DATE OF NEXT MEETING: The next meeting will be held on Thursday, Jan. 17, 2008. 1. Introductions: 2. Old Business: Secret Santa: Director Duncan informed the Council that over 90 bags were delivered this year to elders in St. Croix County. Volunteers packaged and delivered the bags. There were 44 new individuals to the list and the community support/donations were amazing. Director D n Duncan shared that this ro am is a eat way to reach out o neighbors who m u t a p �' �' Y Y be lonesome or in need of extra cheer during the holiday season. Medicare Part D: Director Duncan informed the Council that in the month of November, Elderly Benefit Specialist Liza Gibson and Student Intern Abby Kubly offered individual Medicare Part D assistance to 50 people. Of those 50, 37 found that they could potentially save money by switching providers. Open enrollment will end on December 31 St Long Term Care Reform /ADRC Development Update: Director Duncan invited Director of Health and Human Services Fred Johnson to today's meeting. She informed the Council that since their last meeting the ADRC Ad Hoc committee met with Buck Rhymes, OSA Consulting, to review different models for ADRC organizational structure and governance. Also in attendance to these Ad Hoc meetings were Council Chairperson Nelson, Health and Human Service Director Fred Johnson, Long -Term Support Supervisor Ron Lockwood, Health and Human Service Chairperson Esther Wentz, County Board Chairman Buck Malick, County Administrator Chuck Whiting, County Human Resource Administrator Tammy Funk, and two citizens whose young adult children have disabilities. Director Duncan handed -out the models that were reviewed by this Planning Group (Model 1 — ADRC is linked to Department on Aging and Health & Human Services; Model 2 — New ADRC Department is created — Aging is a part of ADRC; Model 3 — ADRC is division within Human Services — Council on Aging Page 1 01/25/08 i Department on Aging remains separate department; Model 4 — ADRC and Department on Aging are integrated into Human Services). Four criteria were used to evaluate the models: impact on consumers, cost, impact on staff, and political feasibility. Lorraine Jacobs asked Director Johnson his model preference. He mentioned he agreed with the majority of the planning group, and preferred Model 4. He mentioned that Health and Human Services currently has a financial system in place to manage MA reimbursement. Health and Human Services also currently serves the 5 target groups served by the ADRC: elders, persons with physical disabilities, persons with developmental disabilities, persons with mental health issues, persons with substance abuse issues. Due to long -term care reforms, and the introduction of the Managed Care Organization (MCO) providing traditional waiver programs, there is the potential loss of 4 or 5 current staff positions. Those professionals could apply for new positions in the ADRC. Lorraine Jacobs then asked Director Duncan her preference. Director Duncan shared she stated a preference for Model 2 when the planning group met. Director Duncan stated she followed the expressed opinions of the Council on Aging at previous meetings for the ADRC to have a consumer - represented governing board which reports directly to the County Board. She recognized that Health and Human Services has efficiencies related to MA billing, however it is important to note the majority of persons served by the ADRC will not qualify for MA. An important goal of the ADRC is to ensure consumers make cost - effective decisions with their personal /private resources. She also commented that it is important to recognize the ADRC is a new entity, not simply a restructured department. There are strengths that the Department on Aging brings to the table, and it is important those functions, services, and values are incorporated into this new entity. The Department on Aging should not be viewed as a provider of services, but as a partner in the ADRC. Council President Nelson, who also stated a preference to the planning group, chose Model 1. She expressed the importance of partnering between Health & Human Services and Aging. She also did not want Health & Human Services to "swallow -up" the Council on Aging or Department on Aging. Lorraine Jacobs further asked how the Department on Aging would be enhanced by a transition to Health & Human Services. HHS Director Johnson pointed out that the HHS budget with the Nursing Home has over a 36 million dollar budget. He mentioned that there is a genuine concern people may have that, when departments are merged, their funding /program income may be "lost ". He stated that each department within Health and Human Services has their own line item/detail within the budget. The money that the Seniors of St. Croix County have relied on in the past would not be lost. Supervisor Peterson stated that the budget information is not all that important at this time. He stated concern regarding the low number of older adult representatives on the Ad Hoc and planning committees. He also stated that an advisory committee will not mean much of anything. Supervisor Peterson strongly feels that a board for the ADRC does not even need to exist if it is going to advisory. Director Duncan clarified that the state does not require that the ADRC have a governing board; it does have requirements regarding consumer representation. Council on Aging Page 2 01/25/08 Supervisor Peterson strongly recommended Model 3 because under that structure the Council on Aging remains a governance board. HHS Director Johnson stated that Model 3 is workable, with equal representation, but could be also considered a stepping stone to Model 4. Supervisor Mortensen expressed a concern regarding Model 4 if it would somehow threaten the number of volunteers that assist the Department on Aging. Director Johnson admitted that Health and Human Services has not done as good a job at utilizing volunteers in the past; however that is a part of their strategic planning. He expressed it may be more difficult to find volunteers who are willing to assist some of the other target groups. Director Duncan stressed that the Department on Aging, Health and Human Services, and all those involved with the planning of the ADRC have the same sincere goal — which is to provide a broader range of services and information and assistance to our communities. Considering the MCO can not be implemented in St. Croix County until an ADRC is in place, this process is under a timeline. Director Duncan handed out information from the Department of Health and Family services regarding the number of elders that are currently on the wait list for community based services. Council President Nelson intervened in the discussion due to the 9:30 a.m. 85.21 Public Hearing on the agenda. At this time HHS Director Johnson left the meeting. After the Public Hearing ended, discussion on the ADRC resumed. Supervisor Mortensen questioned if a motion should be made as to what model the Council on Aging prefers. He stated that he preferred Model 3 with the Department on Aging and Council on Aging remaining separate. Director Duncan pointed out that there is momentum throughout the state and in the federal Older Americans Act to have aging units evolve into ADRCs. She mentioned o ed that Model 3 could be considered a transitional model to e the e ADRC a g P and going; that the Department on Aging should still involve itself and help promote the ADRC through memorandums of understanding with Health and Human Services. Supervisor Peterson stressed that the Council on Aging needs to maintain its identity. Supervisor Mortensen pointed out the motion that was made and passed at the November 15 meeting regarding the ADRC having a governing board that reports directly to the County Board. Director Duncan stated that motion influenced her stated preference for Model 2 when she met with the planning committee. Supervisor Mortensen further quoted from the November 15th minutes: page 3, third paragraph - "Rhein pointed out that it will be harder for Aging Units to remain separate from ADRCs. At the Federal level, it is the preference to combine the Aging and Disability Resource Center with the Older Americans Act programs. What needs to be decided in St. Croix County is if the ADRC and Department on Aging will create an autonomous entity or if they will be integrated into Health and Human Services." Director Duncan stated that the ADRC application must have a letter of approval from the Council on Aging, as well as Health and Human Services and Long Term Support Boards. Council President pointed out that the recommendations /motions that the Council made last month were not based on the Models presented today. Supervisor Mortensen motioned that the Council accept Model 2; seconded by Supervisor Peterson. Council President Nelson called for a role call vote. (Yes: Mortensen, Grant, Nelson; No: Peterson, Terpstra, Shrank, Blier, Council on Aging Page 3 01/25/08 r O'Connell, Norma; Absent: Shiltz, Tubman, Harrison). Motion denied. Councilmember Schrank voiced concern that there may not be enough representation of older adults on the ADRC board. Director Duncan reiterated that statues are already in place to assure that older adult, as well as other consumer representation will be there. Council President Nelson pointed out that the November meeting minutes were not approved at the time of the December planning group meeting, so the motions passed by the Council on Aging in November were not known. Those preferences and motions should be considered by the ADRC Ad Hoc committee as it drafts its application, so as to receive support from the Council on Aging. Director Duncan reminded the Council that all ADRC Ad Hoc meetings are open to the public, and that they would be meeting this afternoon at 1:00 p.m. Director Duncan also mentioned that the consultant, Buck Rhymes, would make himself available to help facilitate further discussions between the Council on Aging and the ADRC Ad Hoc committee. 3. New Business: Abby Kubly, BSW Student Intern — Research Project: Abby explained the project she will complete for her senior thesis. She stated she will look at senior center trends and figure out ways to increase numbers of participants. She will conduct 3 different types of surveys — one that will be in SCAN, one that will be left at the Senior Centers for participants to complete and another that will be for Nutrition Program Managers /Senior Center Board members. The surveys will have questions regarding menu suggestions, activity ideas, etc. Surveys will be distributed in February. Results will be shared in SCAN. Volunteer Requests: Copies of recent newspaper articles which highlighted the DayAway program were handed out to the Council members. Review the attached information for the most recent volunteer needs. The Faith in Action program will be changing its name to Interfaith Volunteer Program of St. Croix County. 4. Public Hearing for 85.21 Specialized Transportation Assistance Grant: Tracy handed out sections A — H for the Council members to review. The 2008 grant Allocation is $130,090 with a mandatory match from the County of $26,018. Information was shared regarding the grant allocation. Tracy closed the hearing at 9:37 a.m. 5. Staff Reports: Kjersti's Report: Kjersti mentioned that the SCAN arrived late due to the holidays and additional mail that is sent at that time (i.e. advertisements, catalogs, magazines). Hopefully, delivery will be expedited after the new year. Kj ersti informed the Nutrition Program Managers that new intakes for 2008 have been distributed. All participants are requested to complete these annual forms (whether they've filled them out in the past, or if information hasn't changed). We are required to request and update the following information on an annual basis to ensure proper funding and to sustain quality programming. Council on Aging Page 4 01/25/08 Nutrition Program Contracts will be mailed out before the end of the year between the Department on Aging and the Senior Center Boards and/or local communities. The Public Health Sanitarium will begin her visits to the Nutrition Programs after the New Year. 5. Nutrition Program/Senior Center Updates BALDWIN Nutrition Program Manager Sallie Dull stated that the monthly birthday party is being held today. Activities for January are entertainment by Jim Armstrong; presentation on fraud by Ray Carpenter, AARP; and bingo. The men's group (Table of Knowledge) meets every morning. DEER PARK Nutrition Program Manager Jan Thompson stated that their Christmas party was taking place today. With the assistance of Pat Shilts, the Senior Center Board wrote a grant and received enough money to purchase a new computer for the Senior Center. A trip is planned for the 28 to go to the Mall of America. Instead of driving all the way and parking at the MOA, they are planning to take the light rail from Fort Snelling to the MOA for .50 /each. GLENWOOD CITY: Nutrition Program Manager Shirley Marlette was not present for the council meeting. Councilmember Schrank shared that they had their Christmas party last Friday. HAMMOND: Nutrition Program Manager Donna Lamson was not present for the council meeting. HUDSON Nutrition Program Manager Sylvia Heller was not present for the council meeting. NEW RICHMOND Nutrition Program Manager Vivian Kemling informed the Council that they have also had a busy December. Some of the participants went to a holiday concert that was held at the High School in New Richmond. They also took a trip to Amery to hear the Memories perform and then ate dinner at the Crossroad Restaurant. The Christmas party was on December 12' and Vivian wanted to thank all of her board members for their help and Nancy Olson for the hand painted candles. Shopping is offered every other week. RIVER FALLS: Bette Norman informed the Council that the annual Christmas party was held at the West Wind in River Falls on Dec. 3 rd and there were lots of door prizes. Foot Care is really popular. ROBERTS Nutrition Program Manager Randi Hanson shared that everything is going well. Bingo is going great. This year's Christmas party was held at Suzanna's in New Richmond. SOMERSET Nutrition Program Manager Sheila DeRosier told the Council that the lunch out this month was on the 7 at the Settlement. The 4 h graders from St. Anne's visit monthly to make tray favors for Westfields Hospital. Individuals from Deerfield came to eat on the 17 and the Brunners entertained for the Christmas party. Santa also visited and brought goodies and there was a little gift exchange. The Somerset Fire Department will be having defibulator training. WOODVILLE Nutrition Program Manager Trisha Stork informed the Council that the month of December was really busy. They had a gingerbread house building day, dinner and light tour, and Christmas bingo. VAN TRIPS. Council on Aging Page 5 01/25/08 ANNOUNCEMENTS AND CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: A motion to adjoum was made by Supervisor Mortensen and seconded by Councilmember Terpstra; motion carried. Council on Aging Page 6 01/25/08