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Home My WebLink AboutFY 2018 Budget Presentation (Agency on Elderly Affairs)COUNTY OF KAUAI A ency on Elderl Affairs 2018 Budget Presentation Kealoha Takahashi Program Administrative Officer I ...-...__.,,. I l l Halo Halo zazo Gro1ul'lglrul'l~ AGENCY ON ELDERLY AFFAIRS I. Mission The Kaua 'i Agency on Elderly Affairs, as the designated lead County agency, plans, implements, supports and advocates for the well-being of Kauai 's older adults ; and serves as a one stop source of information on long term care support options and services for all residents. II. Vision -Kauai's older adults will live independently at home or in the community with dignity and respect . -Kauai's family caregivers receive adequate support to care for their older adults. -Kauai's older adults, persons with disabilities, and family caregivers will make informed choices and have streamlined access to long term care support . III. Successes and Achievements A. Older Americans Month In celebration of May being Oder Americans Month, the Agency on Elderly Affairs hosted two events in 2016. This year's theme, "Blaze a Trail" highlights the ways older adults are taking charge of their health, engaged in their communities and making a positive impact on the lives of others. The annual Older Americans Recognition Ceremony took place on May 6th at the Kaua'i Beach Resort with a luncheon that followed. Twelve Kupuna were honored at the Recognition Ceremony. The nominees for Outstanding Older American Kauai were Front row: Aileen Mawae, Patricia Fallbeck, Gini Stoddard and Elvira Kimokeo ; Back row: Wilma Chandler , Nathan Kalama, Tom Timmons, Richard Coller, Keith Holdeman , Mayor Bernard P. Carvalho, Jr., Shirley Simbre-Medeiros, Edward M. Kawamura and Dr. Krishna Kumar. Shirley Simbre-Medeiros and Edward M. Kawamura were recognized as the 2016 Female and Male Outstanding Older Americans Kaua 'i. 2018 Budget Presentation Page 1 On Thursday, May 19, 2016, the Agency on Elderly Affairs Blazed a Trail by hosting workshops on falls prevention/home modification program, proper use of walkers and other durable equipment, a presentation on fraud prevention and an information fair of partnering resources and organizations at the County Complex in Lihue. B. Falls Prevention Program The County of Kauai's older adult population has continued to grow at a higher rate than the overall total population growth. Between 2000 and 2010, the proportion of the older adult population reached a significant increase of 40.64% in comparison to the rate of increase of Kauai's total population at 14.75%. In the 2010 U.S. Census , 27.04% ofKaua'i older adults 60+ years indicated they lived alone. Of that, 57.1 % are 60-74 years old, 25.5% are 75-84 years old and 17.4% are 85+ years old. The Kaua'i Fire Department reports that the aging population continues to represent a larger portion of their emergency calls . In 2016 , the Agency on Elderly Affairs, Kaua'i Fire Department and American Medical Response, Kaua'i Operations joined together for a Fire and Fall Prevention Program for Older Adults to address the need for preventative programs in order to be proactive in protecting their lives. The AEA manages the referrals and appointments of older adults to the program and provides some falls prevention equipment. KFD conducts a fire safety assessment and installation of smoke detectors and the falls prevention equipment and AMR conducts a medical consultation which includes medication assessment. As of March 14, 2017, 43 homes of our Kupuna were visited . The following falls preventative equipment were installed and distributed in these homes: Smoke Detectors 209 Night Lights 48 2018 Budget Presentation Page2 Grip Tape Shower Chairs 40 IO C. 2016 RSVP Recognition Luncheon Shower Grip Tape Handrail 21 IO The 44th annual recognition was held on Friday, December 2, 2016, at the Kauai Beach Resort. More than 250 RSVP volunteers attended. Volunteers recognized for 25 years of service pictured above front row from the left are Esther Yamamoto, Bessie Maeda, Beatrice Hashimoto, Sumile Francisco, and Lillian Amimoto. Honored Guests standing in the back row from the left are Carrice Gardner, JoAnn Yukimura, Timmy Albao , Arryl Kaneshiro, Mayor Bernard P. Carvalho , Jr., and Rep. Nadine Nakamura. D. 2017 Martin Luther King Day Service Project As part of Martin Luther King , Jr's National Service day project, RSVP Advisory Council board and volunteers collected donations and distributed school supplies to Koloa Elementary School Principal, Linda Uyehara, on January 30, 2017. 2018 Budget Presentation Page 3 E. Better Choices, Better Health There were eight participants enrolled in the Diabetes Self-Management Program (DSMP) workshop which began January 12 to February 23, 20176. Four participants completed the program. One of the participants wrote to Stanford: "Aloha, I just graduated from the course Better Choices, Better Health, Diabetes Self-Management Program, with the County of Kauai, Elderly Affairs Agency. This is the second course I've taken led by Johnny Yago and Kealoha Takahashi. The book and the class were well presented by the trainers and I learned a lot that will help me manage my health . Thank you to the Stanford Patent Education Research Center for producing an excellent self-help management for our elderly." This fiscal year AEA collaborated and partnered with the National Kidney Foundation in conducting workshops on Kauai in September 2016. F. EnhanceFitness (EF) EnhanceFitness classes are conducted by a certified instructor who has completed the EnhanceFitness Training to safely lead the class through an hour of dynamic exercises at a pace that's right for the participants. Pictured here are the new EF Instructors who just completed training on March 5-6, 2017 with Master Trainer, Kay Holt on the left, Teri Wilkinson, Michelle Fastenau and Johnny Yago, Program Coordinator. 2018 Budget Presentation Page4 EnhanceFitness participant wrote the following: "This is my 4th day post laparoscopic hysterectomy and I'm feeling better and better as each day passes & I'll tell you why ..... . • Being in EnhanceFitness paid off enormously after a surgery ... .! kid you not! • Having an awesome instructor made a great deal of difference in recovery. • The aerobics, stretches, weight exercises & occasional walking have improved my balance, flexibility, loosened my leg, foot, calf muscles, mobility, not to mention eased pain. The pharmacy gave me Oxycodone for pain but I don't need them. "I may be back to the class sooner than expected. I may do sit-down exercises at first & not use the weight bars. So be on a look-out for this loud mouthed ole lady. Thank you for keeping me healthy." Another participant wrote: "Shortly after a third session of EnhanceFitness was opened, I signed up and began attending the exercise classes three times a week. For a person who had been physically or socially inactive since 1997, any exercise program sounded very intimidating in many ways. Observing and then participating in this program has been rewarding. Now I am able to raise my right arm straight up without assistance from the left arm. This was the first improvement I noticed within a month or two of beginning EF. This realization made me so excited; it was such an ego booster for me since I was resigned to the fact that I would never be able to fully raise my right arm. "Through EF, I discovered that my balance was not what it should be. Since I had been told by the doctor to use a cane, it was something I really did not notice (and I did walk in a "funny" way). At present I am working on my balance and like to think it has improved. "The health benefits are encouraging me to keep attending the sessions. Better yet, it is possible for people like me who are on a fixed income, to improve and maintain our physical health with such programs which are offered through Elderly Affairs." IV. Challenges A. Support the State EOA's efforts to integrate a No Wrong Door model of a statewide ADRC system. Kauai is piloting an electronic referral tool between agencies. We've operated by phone contacts with agencies so the added paperwork through an electronic tool becomes cumbersome as compared to a phone call. B. Leverage available funding to offer Better Choices, Better Health workshops and EnhanceFitness program. State funding for healthy aging programs were reduced, however available Federal and County funding allowed continuation of these programs. V. Goals & Objectives A. Maximize opportunities for seniors to age well, remain active and enjoy quality lives while engaging in their communities. 2018 Budget Presentation Page 5 1. Three hundred fifty (350) older adults will be engaged in volunteer opportunities through RSVP, by March 2018. 2. Offer seven (7) Better Choices Better Health Program (BCBH) workshops each year. 3 . Leverage available funding to increase the current nwnber ofEnhanceFitness Program participants by 5% annually. B. Forge Strategic Partnerships and Alliances that will give impetus to meeting Hawaii's Greatest Challenges for the Aging Population. 1. Explore development of a coalition of transit service providers by end of FY2016. 2 . Explore a referral system to establish access to in-home mental health services by end ofFY2017. 3. Attend advocacy meetings to support efforts to increase pedestrian safety, annually. . 4. Establish and update Memoranda of Understanding (MOUs) with government, disability, aging, health care and business agencies/ organizations, annually. C. Develop a statewide ADRC System for Kupuna and people with disabilities and their Ohana and caregivers to access and receive long term support services (LTSS) information and resources within their respective Counties. 1 . Support the State's efforts to integrate a No Wrong Door Model of a statewide ADRC System by 2018 . 2. Update of the resource database in the Kaua'i ADRC website, annually. 3. On-going implementation and improvements of options counseling service/person centered planning . D. Enable people with disabilities and older adults to live in the community through the availability of and access to high-quality long term services and supports, including supports for families and caregivers. 1 . Increase the nwnber of identified older adults and people with disabilities by 15%, annually . 2. Establish a pool of vendors to allow participants more choices by the year 2019. 3. Develop and distribute quality of in-home services survey, annually. 4. Expand educational opportunities for Kaua'i's older adults and caregivers to include conducting mini educational workshops throughout the community, annually. E. Optimize the health, safety and independence of Hawaii's older adults. 1. Establish accessible emergency safe havens for vulnerable elders by 2016. 2. Annual updates of individual emergency disaster plans. 3. Implement a low cost home modification program to minimize falls among 85+ year olds by 2017. See Appendix I-Fiscal Year 2016-2017 Goals and Objectives Accomplishments & Appendix II-Fiscal Year 2016 & 2017 Targeting Performance 2018 Budget Presentation Page 6 VI. FY 2018 Budget Overview FY 2 017 Salary and Wages 531,046 Benefits 465,465 Utilities 0 Vehicle/Equip, Lease 5,522 Operations 265,536 1,267,569 FY 2017 Operating Budget •Salary and Wages •Benefits •Utilities •Vehicle/Equip, Lease •Operations FY 20 18 '-+ L -O /o+l- 537,801 6,755 1.3% 486,117 20,652 4.4% 0 0 0.0% 15,348 9,826 177.9% 265,536 Q 0.0% 1,304,802 37,233 2.9% FY 2018 Operating Budget •Salary and Wages •Benefits •Utilities •Vehicle/Equip , Lease • Operations FY 2017 and FY 2018 Comparison 500,000 400,000 300,000 200,000 100,000 0 Salary and Wages 2018 Budget Presentation Benefits Utilities Vehicle/Equip, Lease Operations II FY 2017 II FY 2018 Page 7 A. Operating Budget Discussion 1. A list of all new positions or changes to any existing positions, indicating contractual, civil service, exempt, or appointed and the respective salary. • LT-146-Program Specialist II SR-22 reallocated to Program Coordinator SR-18 • Position numbers and titles changed from LT-146 Program Coordinator SR-18 to LT-146 Departmental Accounting Technician SR-15; LT-137 Departmental Accounting Technician SR-15 to LT-137 Program Coordinator SR-18 2. A list of current or anticipated vacant civil service and contractual, exempt or appointed position(s), duration of vacancy, and expected date for filling these position(s). Please describe why the vacancies have not been filled and your plan to address hiring obstacles. • 135 -Program Specialist II SR-22 (Dollar funded, vacant :from 12/31/14) • LT-139-Community Service Worker SR-9 (Selection of applicant made 3/8/17) • LT 148 -Program Specialist II SR-22 (In recruiting process, vacant :from 12/31116) • LT-146-Departmental Accounting Technician SR-15 (In recruiting process, vacant :from January 16, 2017) 3. A list of contractual positions funded by State or Federal grants and the contract period. Grants-funded positions are limited-term civil service positions with Not To Exceed dates aligning with the expiration of federal funds (October 1, 2016 to September 30, 2017/ RSVP grant :from Aprill, 2016 to March 30, 2017) and state funds (July 1, 2016 to June 30, 2017). • LT 148-Program Specialist II-Aging (I&R Specialist}--Federal Administration for Community Living (ACL)/ Administration on Aging (AoA) • LT 137-Program Coordinator (RSVP Director}--Federal Corporation for National and Community Service (CNCS) 50% • 9557-Program Specialist II-Aging (Case Manager)-State Funds • 9558-Program Coordinator (EF/Better Choices, Better Health}--Federal ACL/AoA • LT 136-Program Support Technician II (Data Entry)-Federal ACL/AoA/State ADRC • LT 134-Program Support Technician I (RSVP}--Federal CNCS • LT 139-Community Service Worker-Federal ACL/AoA 50%, County 50% • LT 147-AccountantIII-Federal ACL/ (AoA) 50%, County 50% • LT 146-Departmental Accounting Technician-Federal ACL/AoA 4. Tables of Organization See Appendix III: Agency on Elderly Affairs, Organizational Chart VII. FY 2018 Consolidated worksheet See Appendix IV 2018 Budget Presentation Page 8 Appendix I Fiscal Year 2016-2017 G d Obiect' Goal 1: Maximize opportunities for seniors to age well, remain active and enjoy quality lives while engaging in their communities. Ob.iectives % Complete by June 30, 2017 Obstacles or Challenees Three hundred fifty (350) older adults will 97% completion with 338 active volunteers be engaged in volunteer opportunities providing 29,950 hours. through RSVP, by March 2018. Offer seven (7) Better Choices Better Completed eight workshops and Health Program (BCBH) workshops each collaborated with National Kidney year. Foundation on two workshops. Leverage available funding to increase the 12% increase of new participants enrolled current number ofEnhanceFitness in EnhanceFitness. Program participants by 5% annually. Goal2: Forge Strategic Partnerships and Alliances that will give impetus to meeting Hawaii's Greatest Challenges for the Aging Population. Objectives % Complete by June 30, 2017 Obstacles or Challenees Explore development of a coalition of Completed MOU with transit service Scheduling workgroup to address needs transit service providers by end of providers. and possible solutions. FY2016. Explore a referral system to establish Completed; MOU established with Kim access to in-home mental health services Gropper, LCSW for in-home mental by end ofFY2017. services. Attend advocacy meetings to support Revising objective to improve pedestrian efforts to increase pedestrian safety, safety. annually. Establish and update Memoranda of Completed 24 MOUs with agencies. Understanding (MOUs) with government, disability, aging, health care and business agencies/organizations, annually. Goal 3: Develop a statewide ADRC System for Kupuna and people with disabilities and their Ohana and caregivers to access and receive long term support services (L TSS) information and resources within their respective Counties. Ob_jectives % Complete bv June 30, 2017 Obstacles or Challen2es Support the State's efforts to integrate a Executed MOUs with Door agencies on Electronic referral tool was implemented No Wrong Door Model of a statewide Kaua'i. to be pilot tested on Kauai. The summary ADRC System by 2018 . ofreferrals from February 1 to March 13, 2017 showed AEA making one referral to United Healthcare. AEA received 4 referrals outside of electronic referral tool by phone contact. Update of the resource database in the Seventy-five (75) resource organizations Kaua'i ADRC website, annually. have met inclusion in the resource database . On-going implementation and Staff participated in 22 training sessions in improvements of options counseling 14 areas of competency; 10 of 15 AEA service/person centered planning. staff are certified CIRS AID (National Accreditation for Information & Referral Specialists in Aging and Disability) Goal 4: Enable people with disabilities and older adults to live in the community through the availability of and access to high-quality long term services and supports, including supports for families and caregivers. Objectives % Complete by June 30, 2017 Obstacles or Challen2es Increase the number of identified older 79% completion; identified 474 older adults and people with disabilities by 15%, adults. annually. Establish a pool of vendors to allow Identification of vendors for Personal Care, participants more choices by the year Homemaker and In-Home Respite is 2019. ongoing. Five vendors in Kauai have been identified. Develop and distribute quality of in-home Distributed survey for home-delivered services survey, annually. meals to 180 participants and 45% responded. • 40% have been in the program for 3-5 years • 53% indicated that the meal is their main source of nutrition • 89% were able to remain at home for more than 3 months because of the meals • 89% indicated that their contact with the meal deliverer is important • 68% are very satisfied with the meals and 31 % are somewhat satisfied. Distributed survey for congregate meals to 131 participants and 73% responded. • 88% are satisfied with the congregate meals service • 33% have been receiving congregate meals for 3-5 years • 49% indicated that the congregate meal is their main source of nutrition • 52% eat meals alone at their homes • 79% go to the congregate meal sites because they enjoy socializing • 82% are receiving their congregate meals on-time • 49% received nutrition education, • 16% received nutrition screening, • 20% received nutrition counseling Distributed survey for homemaker to 32 participants and 4 7% responded. • 93% are satisfied with the homemaker services (53% very satisfied and 40% somewhat satisfied) • 33% have been receiving homemaker services for 1-2 years, 33% also 3-5 years • 40% indicated that the start of their homemaker service after their initial contact with the AEA worker is 1-2 weeks • 47% have their lives greatly improved because of the homemaker service • 40% indicated that the BAY ADA service is excellent and 33% said that the service is good • 93% remained at home for more than 3 months due to the homemaker service • 87% said that the worker is on-time • 86% of the clients indicated that their needs are met by the homemaker service Distributed survey for personal care to 21 participants and 52% responded. • 100% are satisfied with the personal care services ( 45% very satisfied and 55% somewhat satisfied) • 45% have been receiving personal care services for 1-2 years • Start of personal care service after their initial contact with the AEA worker began after 1-2 weeks for 2 7%, 3-4 weeks for 27% and greater than 1 month for also 27% • 36% have their lives greatly improved because of the personal care service • 36% indicated that the BAY ADA service is excellent and 55% said that the service is good • 91 % remained at home for more than 3 months due to the personal care service • 91 % said that the worker is on-time • 100% of the clients indicated that their needs are met by the personal care service Distributed survey for transportation to 67 participants and 55% responded. • 93% are satisfied with the transportation services (76% very satisfied and 16% somewhat satisfied) • 41 % indicated that their transportation service began 1-2 weeks after their initial contact with the AEA worker • 86% have their lives greatly improved because of the transportation service • 59% said that the Kauai Bus service is excellent and 32% said that the service is good • 84% remained independent due to the transportation service • 84% said that the driver is on-time • 97% of the clients' needs are met by the transportation service Expand educational opportunities for Twenty-four workshops were offered to the Kaua'i's older adults and caregivers to community by KAEA and its partners. include conducting mini educational workshops throughout the community, annually. Goal 5: Optimize the health, safety and independence of Hawaii's older adults. Ob.iectives % Complete by June 30, 2017 Obstacles or Challene:es Establish accessible emergency safe In process of identifying appropriate ADA havens for vulnerable elders by 2016. accessible facilities. Annual updates of individual emergency Disaster plans are part of in-home disaster plans. assessments that are ongoing at new initial intake and annual assessments. Implement a low cost home modification As of March 14, 2017, forty-three homes program to minimize falls among 85+ year were assessed. The following falls olds by 2017. preventative equipment were installed and distributed in these homes: Smoke Detectors 209 Night Lights 48 Grip Tape 40 Shower Grip Tape 21 Shower Chairs IO Handrail 10 Append i x II At or below Poverty Low Income Minority Rural Res i dence Frail {2or moreADLs ) Li m it e d Engli s h Profi ci ent Li vin g Alon e Living Alone i n Poverty 75 years old and over N US ACS 2014 Baseline Data PSA1 Older Population 9.20% *7.5% 100% Kaua'l Agency on Elderly Affairs Targeting Performance State Fiscal Year: July 1, 2015 to June 30, 2016 Clusters 1 and 2 Services Personal Care, Homemaker, HDM, Adult Day Care, Case Management, Congregate Meals Clusters 1 Clusters I & 2 Serv i ces Performance Data &2 Total Services Home Personal A du l t D ay Case Total Care Homemaker Delivered Care Management Meals _ S F..~~1~1 §Il ~l}'/1 ~&14 1 SF ~1 s :n1,, ~ 1$.6.l v m.s.w ~ 1 S'lil.Y ~'!ll 6 ~1 ~BMfij~~ i$F Yr f 5 ff .6 . j~Q.S 12mos ~1 2 mR$i . 12mos t~Jl n.~. 12mos I ~ 12mos l I ' ~ 9 !7,,5 ~ ~56 .S.%· f :6 76 % ~5 J 38o/ct 1 ~.ail % ~41 29 ~ 1 ·2.1'5% .\ ~ ., r II ·r ' ,, __ ~ •• -r~ ·_i -· -_j --·-- c ~. -. .... " '"~ ,.. l:<'. ·~ -.. 6 :08 ,S , 1~,45% O.O'QMi ' 1 D , ~ ~ " ~·~ _, .• $.52 % 5 .6 1/h '".}'; "' !1. - 1 1 ~0% 100% , n0,% I 100% 100% 100% 19 0% ,, ·~ -'~ ( " **25,3 % I ' ~2 2~ m 5 ~:2 9 iw I I' '~!.'.1 ~ ' 66 1 61'AI l 5 !8 'l~ .9 11 • .48% 7i 9 ,~°A; ,,1 ,. I ' I ' ii: "' ~ I i ~ ;!1 I ~ ;t 15.30% 0 :2 1°% II 0 .32 ~ Q ;O~ O.O p % Q.54% o .o q~ 0 .93 °/'o 'ti ' t ~ ~ I .~ ~ -· --cl < 35.50% ¥.(5 1 99 ~J I I 3 7:.58% 1 i l.8 5 ~ I ' 82.0 ~% I • 38.0 ,7.% 1,4 .29% ~ .!16 .73 ~k I I ~ ~ ,. I I t. " :1 ,..._ ·~ ... , '" ' I n -. -,.,. I! '1 ~ ~ I not 6.2 9ifo ' ' 15 .09 % av a ilable 'l1 52% 5 :88Pk II 1 fe8 2~ ~ ' '4/l 6% ' t 4.6 7'% '1 " ~ ' ·~ , 'I c u. " ·- ~·· -· "·i ., ..... --. ~·~ 'l ·n •.·---·· ,_ -----... --·--_., . -f2'8 .1 9~% l9 !68 ~~ I j I '8'1 ~~% ,, 31.50% " ll S ..1 2 11% '7i\i 36 ~· r. 9 M .8 ~ ?1:8.5 0 % ' 1 ' '~ ~ .IL ..... --· h JI• I: -I Q. .. ., 17 .414 lt1'6 5 ! 620 ... j'7 '" 'i 39 1 1 ~ 37 3 ' I 21 s c i: 1 ,0 7 "" I Projected Unduplicated Individuals per APA ' ~5 ' 3 5 ' 3 Q.li : 30 1 1 ,., 9 ,0 .,. .. ·~. Congregate Meals "1 $f Jfr1'~f 6 1 12mos ' ., I ' 1Q.po ~ I ''-·--.. t -~ I ~ 16.0 0 % l 100% 1 ~.0'00(0 ' o .po % ,9 ,50 % ·I ., .. . 9.50 ,% ., ' .71.50'% l l. 200 2 00 Kaua'i Agency on Elderly Affairs Targetting Performance State Fiscal Year: July 1, 2015 to June 30, 2016 Clusters 3 4 Transpo, IA/R, Out r each, Friendly Visiting , Telephone Reassuran c e, Exercise Physical Training Clusters 3 & 4 Services Performance Data Clusters 3& US ACS 2014 Total 4 Services Information & Baseline Data Total Transportatl Assistance Outreach Friendly Telephone PSA1 Older on Referral Visiting Reassurance Population (s ff¥ i~r 6 ' I -'A S Ff~5 ;'~ , ~F M1 ~~~6 S f¥ 15·16 : · !Sf J f5 ~~6 SF¥15 .::f 5 i. SfY ~M~ " ;.1 ~l ffi0 s 12mo s ~;2 1 :mo ~ 12mos 1 2 )m os 12mos 1 r ;f~IJl'J!.S .. ..,, '11 '· At or below I> ' 9.io% U5 % 1 91'2-%. I ~6.6 3% 1 ( .,.s.o ~ ~9 !6~~ 50.0,0~ 41 .6 .7 % Poverty I • !I ,, I • ., ~: _ .. , I • .. --,_ ----·--_,. ·--·-··---·~ . -.,., .. ·-l'T ·~ --·" ·.-. -----· -r-·· ·-· ... ··-·---~ Low Income *7.5 % 6 1 Q Q..% 1 .82!Ml ' ~~.Q.5% ~·2 1 a :t f!I 12.5 5 % 3 3.33~, 3~:;33% i ~ Minority I --~ --I -' Rural -,, 100% f OO ,o/e \ f 00% ~OO r %1 ~A Q% ~0.0% ~-0 '0% " <1 0J1%' ' Residence ' I ~ Frail {2or ~ ------ **25.3 % ~2 1 2 Ji$ J ·~:~.9 $ i 3 t 4 ~ ~ 3 ~.63.~ 39.2'1% 66.67% 5.0.00% I mo r eADLs} -' ·'" T. « Limited ., e • ! - English 15.30% 0 ~21 °~ Q fM o/o I ~rA 1~ 0 }46 ,Yo 0.6~% 0 ;00% I I 0.00% - Proficient ~· ' ' ) -'"' -,_ 35.50°io I 3 0 a Q'Plo 3 J 1 .n ~, ~3 1 3 3 ;o/C: 11 I Living Alone ~5Q9~ a o.i ~~ 33 J Ol'/o .~8 ·3 .3% i "!c 'J ,. I I ,. -- IC" ' .. ·-. I ,j ,-; -" Living Alone not AJ ~2~ !! t.a .a~ !H 3 ~ 9 t ~Q % 1 6.6 .7%· 25 1 00.% I ' I 9.0 1 1 % in Poverty available I I ··-~ .•. ~ ~ I "' "' .-II • "' ·~ ... 1 :-· .. ··-r -... -· -· .. I Jr-.. --., .... 75 years old . , ' I I I • 31.50% 1 / 2§.9 5% SA :.9~ n i s i 34 .~ 5 ~.62 ~, .~9 ~1i % I I 83 1 33o/o 8~.33 % and over < •i Iii ~ . ~ --.. .. -. ~· -- N 17.414 {~~111§ 1,768 ·~;211 1,527 9 8'8 il! 6 1 ... ~· :~2 ! Projected Unduplicated Individuals per APA I i• , r (1 3 ~ I~ 1,400 1,00§ 50 '~~fl. f 20 -1f~ • y ... J Exercise Physical Training SFV: 1 5·16 - 12mos 5 !~"8% - a .B .5% 100% 7 ,2 6%. 0 ·00% ~b 3% - 2 !99 ,% .... 54.2 7% ~ .234 200 USACS2014 Baseline Data PSA1 Older Population At or below 9.20% Poverty Low Income *7.5% Minority Rural 100% Residence 1 • Frail {2or moreADls} **25.3 % Limited English 15.30% I ~ Proficient Living Alone 35.50% Living Alone not in Poverty available 75 years old and over 3 1.50% N 17 ,414 Total Kaua'i Agency on Elderly Affairs Targeting Performance State Fiscal Year: July 1, 2016 to December 31, 2016 Clusters 1 and 2 Services Personal Care, Homemaker, HOM, Adult Day Care, Case Management, Congregate Meals Clusters 1 Clusters I & 2 Services Performance Data &2 Home Services Personal Adult Day Case Congregate Homemaker Delivered Total Care Care Management Meals Meals 1 S fYr ~ 6 ':1 J~ {S F,;r;r 4'6;g;, ,S f ~~1 /l-~ l SE.Yl~~6 ~1 ir . ,S FY '~ 6 1i 1 'll ~ $fY,,~6 }~7 t'. K ~SF ¥(·~ 6 ;111 11 SF¥1 §~f1: 'Smo _s , l ·s 1 ro ps 1t 6,0J.Q~, ~e :1 m ps -1 6 mo .a s ~nws · )6 }l)i O~ ,, ,6m9s " I l ~ -! ' ' I \. ~ 13.84,% i ~6 ~28% j M 4 ~ I 1'.1 'fll.11 6% ~~l ~~ ~8.~"8% 11 8.24o/o U i 09'~ I ' ~ ' " ~ . ~ ~·-~ ~. --L L •. ~ -~ -~ ,,,_ -":fi"!i 1! ·-~ -···~ .. ~ --· ····--· c..-· -· <O ,1 t I t ~ I r I 8 l'7 1 % H 1 63~ J 000 ,% I ' s r ss 1 %• ~;1',7.9 ~ 18 1 8 %"\ I I UW a 12 17-7:% I ' ~ jJ ·-· ~ ' .. ,..--!"'J" 1 ni11f$ 100% u o ~. 100% I I n :o1>% 100% . '100% 100% I ~ ~ -·-~ --I~ 2 2 :1 9% 1 55:62% 9'.2 .86~ 1 1; i 6 .~7 % 02.1 ~·% il2.7 3% a8fi4% ~ ~'0,1 ~,% ' t ' ~ ·-I --, ... I ~ ~· • I • ,1 Q.AOo/o Q.58% Q.00 ~ 0:00 % 0 \76!.{I 0.00% ,. 0:1 8%· ~ 0 1 0 0% ' ~ ' I ' ,, I ( I ~ I I ·~ - 1i ,, 22.85% 3 8)!~~ • ~U6~ , : ~6 !t i% -.~.83% '1 .;~ ,3 7 ~65% 39 l9i$ U §% '" ,, -' ,_ ' -r.-1 •. 'J I ~ ) R 5 .9~% .85~~ II ' 03)<1i~ ' 8 :'8 2'1' IJ.5 6~ :P l 9 it % a,35°~1 I ~U!71Ai ~ ) ' :_ -I ' -~ I L·!~"" J -·--.. .. -' r . ., -.. ···-.. -I~--. .. ·--., 1 -···--~ j ,, :t5J§.8o/o • :, I ~ ~ 8 ~tll1 %/ ; 40 :7-~~ It 111,4 3 ~ ~ !78.47% 86.69$ r ,0.9W i t " 60 '&J% 1 ,, ;1 ~ ... I " ,_ . -'I ---" - ~t ,98 1 7' 516 ' 2.8 . ~ 34 f 2 &3 11 ,, 8§ ' '188 ' r. Projected Undupllcated Individuals per APA .. ~) 35 --~g /, 30 90 '...,• ~~. .: 200 USACS2014 Baseline Data PSA1 Older Population Ator below 9.20% Poverty Low Income *7.5 % Minority Rural 100% Residence Frail (2or moreADLs} **25.3 % Limited English 15.30% Proficient Living Alone 35.50% Living Alone not in Poverty available 75 years old 31.50% and over N 0 Kaua'i Agency on Elderly Affairs Targetting Performance State Fiscal Year: July 1, 2016 to December 31, 2016 Clusters 3 4 Transpo, IA/R, Outreach, Friendly Visiting, Telephone Reassurance, Exercise Physical Training Clusters 3 & 4 Services Performance Data Clusters 3& Total 4 Services Information & Total Transportati Assistance Outreach Friendly Telephone on Referral Visiting Reassurance I SF.¥ ·1 6 .';fT, S fn 6-~i1 ·SF 7{~6 ~~i7 SF¥16·~7 Sl:i¥ 1 6·1 17 .SF ¥t 6·1 .7 SF :< 16·17 .. ' . I 1 B l ru os : Ie)m os . .6 J ll1.QS , ~ ·-1.6 1 mQs I t 16 mo!i ,~·mQs . 1 6m.os \JI -I t .Ii· '' :o,-r . ·1~1 8lt '/ti ~2.~5~ 1 2 .~0~ 1!1 .2 ~% 10.2~ 0.00 $ 0 J 00% ~· 1 1 ~ -..,__ :;i ·-- .''' ...... r-... . I> I I 'I 10 8.711Yo 'I\ 1 98 ~ ~.1 .5'l 0 Ai I i 8.5~~ 6 ~5~ 0 !00% " 0.00% I i• I I i 1· 'I ·-· 1 r . -~ I I I i ~00?/.0 ~00 % ~00$ j0 0% 1 00% 100 ~ ' 100 ~, ' I i :i " . '· .... --'Ill "' . I t '2'2.f 9!Yo I 2 ~.66% 5950% 2 3.1 2~ 20.45 ,~ O i 0p% 0.00% ,. ><· -~ ." t . ' i , .. ·1 ,, O i(O?lo f Q .'1 §;~· us~ I o.s 2~ O f 4 0~ (0.00~ 0.00% r .. ~ --I -· ---~ ~ ' I r ~ - 2 t 66 $ H ~8 !72 % 0.00% !• O :Q O% Ii 22,8 5~ "2~!J 9 Y o 22 .07,,% ~ ' ·-~ ' . ' • I 5.9!1 ~/o ·5.~% .\ ,, t .1!5% '6 i 09 JY o ~.35% 0.00% I' 0.00 ,% l i ~ ' l --,,. I >, . .... ~ JI ~----.. .. , ------. • - ;I I· r \ i 40.71 ~. 3 .'7t'1 56% 55._3 7,!Yo 37.46% 3Q.87fo I t 0.00% I I 0.00%, '4 ' :!· ' ,. "" -~ 'I:-. u ·l;9B it I 1,768 " 1 :~1 . 1 1,527 988 6 ,5t .1 2 Projected Unduplicated Individuals per APA 1 ' t :J"Q" ~r'. 1,400 ' 1 ;00~ i'r, 50 I~ 20 I --, Exercise Physical Training - ~ff 1 '6·17 ~ 6' l'flOS ~ •U7% I . ' '1 u 2r . , • 100% - ' •] 5 ;11 3o/ci -- I 0.00% .. I 1 .J 26,07% I I ,, ' Q t71% " , ;l .. 1 J ~2.74% -234 200 Appendix Ill Approved by: I [ Fiscal 1 I Accountant Ill SR-22, Pos . T-147 I Departmental Accounting Technician SR-15, Pos. LT-146 Date I CoUNTY OF KAUAI AGENCY ON ELDERLY AFFAIRS Program Administrative Officer EM-01, Pos. 132 Administrative Spist. II _,__ Aging Program Planner SR·18, Pos. E -131 SR-24, Pos. 130 I ( Grants ] ( ADRC/lnformation J Management Referral I I I I I I Program Specialist II Program Specialist II Program Specialist II Program Specialist II SR-22, Pos. 133 SR -22, Pos . 135 SR-22, Pos . 9557 SR·22, Pos. LT-148 I Program Coordinator Program Support (Aging) -Technician II SR-18, Pos. 9558 SR-13 , Pos. LT-136 Community Svc. -Worker SR-9, Pos. T-139 Community Service --Program Assistant I SR-13, Pos .138, 140, 141, 144 [ ......................................................... I Key: •-seasonal o -Sect i on 3 •-Temporary Reallocation ...................................................... Volunteer ] DeVelopment I Program Coordinator (Aging) SR-18, Pos. LT-137 I Program Support Technician SR-11, Pos. LT-134 I --·--· 'l ltUIMN ~IXU I' I Date~ la Sha r ePolnt : lll!vlslan Da1e : 3f1 4/2JJ17 UAD 'I c !Jnt7 Appendix IV Agency On Elderly Affairs Intecrated Budget· July 1 2017 -June 30, 2018 . As of March 21, 2017 Consolidated Bu ..... A-·'-ble Balonoe ID Grat F llDds (or Ille ·--On Eldsl Alrlirl Total C.n 8JYl6 ADRC Titl•lll I > Clencnl Fund fundl(etf SFVJ&l17 JF\'16617 NS!P PPYIT RIVPfFY17 Budm FY 'll OIB 1-Dcoori.,.;on ........ 11.oi- Salaries and wl!G-/ R"'°"lar 01.()1 531 499 59441 II 733 214.293 0 47076 S864 049 Vacation Credit P-1 t 01.0S I 0 0 0 0 0 SI Overtimc l •-·lar 02.()1 I I 052 0 2000 0 0 $3 053 Premium faY 03.()J 6.300 0 0 0 0 0 $6300 Em•"--Bcnefiis I Sociol SocurilV 05.()J 42.376 0 0 0 0 0 $42376 Em·•--BcnefilS I Hcolth Fund 05.()2 3l 86l 0 0 0 0 0 S35 865 Emnlttv.oP. Benefits I Rctin:m.ent Ol.03 102 lOS 0 0 0 0 0 SI02 l0l Em•""-BcnelilS /Wrrl.<s's r~-tion TTD Ol-04 I 0 0 0 0 0 SI Emolawe BendilS /Wrrl.<1'1 r~-~tion MEDI 05-05 I 0 0 0 0 0 SI Em•"--BcnefilS /Uncmol<Mnent c ~-·•lion 05.()6 I 0 0 0 0 0 SI Milc=l!e 05.()9 250 0 1.256 0 0 0 SI l06 Gnnt Em 1.,..... BcnefilS Ol-11 l8l 000 0 0 0 0 0 SIBl 000 Other Post Emrd-ent Benefits Ol-12 120118 0 0 0 0 0 Sl20 118 Tnin in t: 24.()Q 0 0 0 0 0 0 so Other Services 30-00 0 lO 821 18 7l0 3 142 0 0 $72 713 Other Se.vices "'•'•~~ Fitness Hcolth l 30-00 114.211 0 0 0 0 0 Sll4.211 Dues I SubscriDlicw 31.()0 0 0 0 0 0 0 so Consullanl Savic:cs 32.()0 0 367 610 32 894 193 098 0 0 $593 602 Consultant Savic:cs I C-•-·te Mcols l 32.()0 0 0 0 1 18 814 0 0 Sll8 814 Consul!anl Savic:cs !Home .l Communitv Based Svcs l 32.()0 128 9ll 261 248 0 4 0 478 0 0 $430 681 S""""'I Proiccis 3l.OO 0 0 0 20 704 0 0 S20 704 s-•11 Proiccb (Cooniv Emol-JDs \ 3l.()O 600 0 0 0 0 0 $600 RmtaYCoo i er 41.02 0 0 0 I 000 0 0 SI 000 Other Rauals 41.()3 122l 0 12.004 0 0 0 Sl3.229 Advertisll:m l5.()0 0 0 16430 0 0 0 $1 6 430 Travel I Airf,.._ Gencn1 l6.()J 450 0 34 740 0 0 0 Sll 190 Travel I Pcr Di<m Gcncnl l6.()2 270 0 672 0 0 0 $942 Travel I Car Rentel .l Parkin• Gaunl l6.()3 22l 0 6l9 0 0 0 S884 Travel I Other T ravd. Gencrol l6-04 0 0 0 0 0 0 so Other T...W..• l6-IO 0 0 ll 117 0 0 0 SIS 117 Office Suoolics 61.()) 0 0 0 0 0 0 so Suoolics/Othcr 61.02 0 0 0 0 0 0 so Smoll E -·'·IDcrif 62.()2 0 0 1400 0 0 0 $1400 Other Commodities rft SVP o-~ciOll DIY , S enior Citizcru 0&¥ A I 67.()0 19600 0 0 0 0 0 Sl9 600 Postue 68.00 0 0 2 lOO 0 0 0 $2.SOO Leased 88.02 ll 348 0 0 0 0 0 Sll.348 0 0 0 0 0 0 so Total Available Bolanc:e for FY 2018 1.304 802 740 179 148 ll4 l93 530 0 47076 S:Z.833 741 --- Cylt•l ·fund•· Ucm Dmori""'-c:lomcnt/obiaol so so Total Available Bol1ncc for FY 2018 so so so so so so so -i" ~a: &.almfll. G.rJIDJ.1!.IUJJ/JJJ.r. (tzt tx.3.fl.d. Fodcrol-RSVP Gnni FYl7 1 4/1117 -3/31/18) El716Fw/CounlYsharoS9790B ll 771 SIS 771 Federal-NSIP Gnnt FFY17 E171BF cstimate.rn9/30/17 40000 $40 000 Si.to KC Grant SFYIS El80l0-El8059 cstimllc ~ 6130/19 553 426 SSl3 426 I ~ $0 TotaJ Available Balance for FY 2018 s o SSl3 ,426 s o so $40,000 S!S ,771 S609,197 -·. -·--· TDllll A.-lt Baltmcc ror rv..201a s1.,W,10z , 51193.615 Slila.154 I $93,530 Ut.IOI 5'2.147 S3 ...... ,31