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HomeMy WebLinkAboutFY 2019 Budget Presentation (Agency on Elderly Affairs) COUNTY OF KAUAI Agency on Elderly Affairs 2019 Budget Presentation Date: April 9, 2018 Kealoha Takahashi Program Administrative Officer I 2019 Budget Presentation Page 1 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. FY 2018 Successes and Achievements A. Older Americans Month The Agency on Elderly Affairs celebrated Older Americans Month during the month of May with two events. This year’s theme, “Age Out Loud” gave aging a new voice, reflecting their desire to take charge, strive for wellness, focus on independence and advocate for themselves and others. 10 Kupuna who had made significant contributions to Kaua’i and its residents were honored at the annual Older Americans Recognition Ceremony at the Marriott Courtyard in Kapaa. Pictured below with Mayor Bernard P. Carvalho Jr. are Timothy “Timmy” Albao, Rebecca “Becky” Fries, James “Jim” Jung, Winona Steed, Mayor Carvalho, Jonathan McRoberts, Janet Takeya, Allan Villaflor and Marcelina Parinas. Missing: Sanae Morita and Trinadad Dela Cruz. Sanae Morita and Jim Jung were recognized as the 2017 Female and Male Outstanding Older Americans Kaua’i. 2019 Budget Presentation Page 2 On Friday, May 19, 2017, the Agency on Elderly Affairs in partnership with Kukui Grove Center hosted the Older Americans Fair. Presentations on Living Falls Free by Rachelle Bachran, How to Age Well with Dr. Dennis Pezzato, and Scams/Fraud Prevention with Deputy Prosecuting Attorney Ramsey Ross and an information fair of partnering resources and community organizations was well received by the Kupuna. B. Falls Prevention and Wellness Program The County of Kauai’s older adult population has continued to grow. The elderly population, those 65 years and older, grew an average annual growth rate of 4.9% from April 1, 2010 to July 1, 2016. Hawaii’s ratio of dependent-age population to the working-age population increased. In 2010, there were 58 dependent-age people for every 100 working-age people. In 2016, there were 63 dependent-age people for every 100 working-age people. The “working-age population” is defined as people between the ages of 18 and 64. The “dependent-age population” is defined as those under 18 years of age and those 65 years of age and older. 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. 2019 Budget Presentation Page 3 When the program started in April 2016 through March 12, 2018, a total of 202 homes were visited, serving 225 elderly. The following falls preventative equipment were installed and distributed in these homes: Smoke Detectors 469 Night Lights 168 Grip Tape 76 Shower Grip Tape 56 Shower Chairs 53 Handrail 33 C. 2017 RSVP Recognition Luncheon The annual recognition event was held on Friday, December 15, 2017, at the Kauai Beach Resort. More than 260 attended including volunteers, volunteer station coordinators, elected officials and Hawaii State Program Director of the Corporation for National & Community Service. 2019 Budget Presentation Page 4 Volunteers recognized for Presidential Volunteer Service Awards pictured above, Margaret McGinty (seated left) – Gold Award for serving more than 500 hours in the last year and Michiye Funaku (seated right) – Lifetime Achievement Award for contributing more than 4000 service hours. Honored guests standing from left are Carrice Gardner, Rep. Nadine Nakamura, Mayor Bernard P. Carvalho, Timmy Albao, Council Chair Mel Rapozo, Donna Olivas-Kaohi, Derrick Ariyoshi, Rep. Jimmy Tokioka, Clyde Kodani, and Kealoha Takahashi. D. 2017 September 11th National Day of Service and Remembrance Service Project RSVP Advisory Council board and volunteers presented Kaua’i’s first responders with a care package on September 11, 2017. Local businesses donated items to fill these gift baskets, which were delivered to each Kaua’i Police and Fire headquarters and substation as well Emergency Medical Services stations, in appreciation and gratitude for their service, 24/7, to our Kaua’i community in our times of need. Recognizing Kaua’i’s First Responders… 2019 Budget Presentation Page 5 E. EnhanceFitness Classes This Evidence-Based Fitness and Fall Prevention program is entering its 11th year and most sites are at or close to their maximum 22 participants to maintain program fidelity. There are 8 classes at 7 sites with most of the sites full and only a few openings. The participants meet 3 times per week for an hour class session. Kauai has made a serious commitment to maintaining the program as all instructors must be certified. Data collected proves to the participants that they really gain a lot via participation. Their health genuinely improves. A baseline test is conducted at the beginning of classes, then tested every 4 months for the first year, and then yearly after that. The participants can see their improvements on a chart, due to the regular testing. A comment received from a participant as to the most significant outcome, “keeping up with physical movement in a constructive way of exercising. I do not keep up with physical exercise otherwise, too much of a couch potato. I’ve made new friend, also. I look forward to class to keep my health up to par. I was diabetic for a brief period but no longer. Thanks to this class.” Another participant commented that the most significant outcome has been “pain reduction, better sleep, ease of movement, and improved balance.” IV. FY 2018 Challenges A. Better Choices, Better Health Workshops Better Choices, Better Health (BCBH) is a 6-week self-management workshop developed and tested by Stanford University. The workshop does NOT replace prescribed treatment. Instead, the workshop augments and supports medical- 2019 Budget Presentation Page 6 professional-recommended treatment plans. People learn skills to help them manage their health conditions and interact with their health care providers. The workshops include Diabetes Self-Management Program (DSMP) and Chronic Disease Self- Management Program (CDSMP). Three workshops were conducted with a total of 14 participants who completed the course. Currently only two instructors certified to conduct workshops. Recruiting lay leaders to conduct workshops; training scheduled in April. B. Statewide No Wrong Door System Executive Office on Aging is working on referral protocols and a common referral system. AEA conducted a pilot referral system with Kauai Doors. The pilot referral system was unsuccessful due to AEA was the only Door using the system routinely. V. FY 2019 Goals & Objectives A. Maximize opportunities for seniors to age well, remain active and enjoy quality lives while engaging in their communities. 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 number of EnhanceFitness 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 of FY2017. 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. 2019 Budget Presentation Page 7 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 number 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 2017-2018 Goals and Objectives Accomplishments & Appendix II – Fiscal Year 2016 & 2017 Targeting Performance VI. FY 2019 Budget Overview FY 2018 FY 2019 $ + / - % + / - Salary and Wages 551,906 592,766 40,860 7.4% Benefits 485,935 496,764 10,829 2.2% Utilities 0 0 0 0.0% Vehicle/Equip, Lease 15,348 1 -15,347 -100.0% Operations 265,536 265,536 0 0.0% 1,318,725 1,355,067 36,342 2.8% 42% 37% 0% 1% 20% FY 2018 Operating Budget Salary and Wages Benefits Utilities Vehicle/Equip, Lease Operations 44% 37% 0% 0%19% FY 2019 Operating Budget Salary and Wages Benefits Utilities Vehicle/Equip, Lease Operations 2019 Budget Presentation Page 8 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-139 – Community Service Worker SR-9 reallocated to Community Service Program Assistant SR-13 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.  LT-139 – Community Service Program Assistant SR-13 (In recruiting process, vacant from January 1, 2018)  E-131 – Administrative Specialist II SR-18 (Vacant March 1, 2018) 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, 2017 to September 30, 2018/ RSVP grant from April1, 2017 to March 30, 2018) and state funds (July 1, 2017 to June 30, 2018).  LT 148-Program Specialist II-Aging (I&R Specialist)—Federal- Administration for Community Living (ACL)/ Administration on Aging (AoA) 0 100,000 200,000 300,000 400,000 500,000 600,000 700,000 Salary and Wages Benefits Utilities Vehicle/Equip, Lease Operations FY 2018 and FY 2019 Comparison FY 2018 FY 2019 2019 Budget Presentation Page 9  LT 146-Program Coordinator (RSVP Director)—Federal-Corporation for National and Community Service (CNCS) 43%  9557-Program Specialist II-Aging (Case Manager)—State Funds  9558-Program Coordinator (Healthy Aging Program)—State Funds  LT 136-Program Support Technician II (Data Entry)—Federal ACL/AoA/State ADRC  LT 134-Program Support Technician I (RSVP)—Federal CNCS 53%  LT 139- Community Service Program Assistant SR-13—Federal ACL/AoA 50%, County 50%  LT 147-Accountant III—Federal ACL/ (AoA) 50%, County 50%  LT 137- Departmental Accounting Technician—Federal ACL/AoA 4. Tables of Organization See Appendix III: Agency on Elderly Affairs, Organizational Chart VII. FY 2019 Consolidated worksheet See Appendix IV Appendix I Fiscal Year 2017-2018 Goals and Objectives Goal 1: Maximize opportunities for seniors to age well, remain active and enjoy quality lives while engaging in their communities. Objectives % Complete by June 30, 2018 Obstacles or Challenges Three hundred fifty (350) older adults will be engaged in volunteer opportunities through RSVP, by March 2018. 60% completion with 312 active volunteers providing 25,058 hours. Scheduled two appreciation events called “Afternoon Delight” in Lihue and Kapaa to reconnect with volunteers, recruit, orient new volunteers, and introduce volunteer stations and volunteer opportunities available in the community. Volunteers Satisfaction Survey Evaluation: (Outcome: 85% of RSVP Volunteers expressed satisfaction in remaining active and socially engaged through volunteerism.) 320 surveys were mailed out. 189 returned (59% rate of return.) 98% expressed satisfaction with their volunteer assignment:  Volunteering makes me feel good by keeping active and my brain healthy  Volunteering fills a need to help other people of the community  Volunteering provides socializing opportunities  Volunteering allows me to share my experiences Total number of volunteers enrolled in RSVP: 518 Challenge is to activate 206 volunteers through “Afternoon Delight” events to reconnect with volunteers.  Volunteering develops my talents and helps me find new ones Three volunteers were certified as SHIP Counselors. They assisted older adults 65 years or older eligible to enroll in a Medicare Part D plan during the open enrollment period, October 15 - December 7, 2017. Offer seven (7) Better Choices Better Health Program (BCBH) workshops each year. Completed three workshops with a total of 14 participants who completed the course. Currently only two instructors certified to conduct workshops. Recruiting lay leaders and training scheduled in April. Leverage available funding to increase the current number of EnhanceFitness Program participants by 5% annually. 11.9% increase of new participants enrolled in EnhanceFitness. 75% participants indicate EF has helped with their physical abilities (walking, strength, etc.) Fitness Check Analysis:  No. of participants taking part in Fitness Checks: 352  87% improved or maintained Average/Above Average ability in the Chair Stand activity  85% improved/maintained Average/Above Average ability in the Arm Curl activity  59% improved/maintained Average/Above Average ability in the Up & Go activity Goal 2: Forge Strategic Partnerships and Alliances that will give impetus to meeting Hawaii’s Greatest Challenges for the Aging Population. Objectives % Complete by June 30, 2018 Obstacles or Challenges Explore development of a coalition of transit service providers by end of FY2016. No report Explore a referral system to establish access to in-home mental health services by end of FY2017. Eight referrals were made to provider/partner. Attend advocacy meetings to support efforts to increase pedestrian safety, annually. No report Establish and update Memoranda of Understanding (MOUs) with government, disability, aging, health care and business agencies/organizations, annually. Fifty-four organizations were identified as community partners. There are 24 MOU agreements signed. 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 (LTSS) information and resources within their respective Counties. Objectives % Complete by June 30, 2018 Obstacles or Challenges Support the State’s efforts to integrate a No Wrong Door Model of a statewide ADRC System by 2018. Currently working with Executive Office on Aging (EOA) with preparations to implement a Statewide No Wrong Door system:  EOA has identified agencies or “Doors” of the No Wrong Door system  EOA is working on referral protocols and a common referral system  AEA conducted a pilot referral system with Kauai Doors. The pilot referral system was unsuccessful.  AEA executed MOUs with Door agencies on Kaua’i  AEA established electronic service orders in Mediware for AEA service providers: Bayada Home Healthcare Kaua’i Economic Opportunity Legal Aid Society of Hawaii  AEA conducting continuous training on new tools and the mobile assessment in Mediware for proficiency  AEA arranging person-centered training courses for staff training Update of the resource database in the Kaua’i ADRC website, annually. Seventy-five (75) resource organizations have met inclusion in the resource database. Website visits: 4,142 with 2,107 unique visitors Resource Directory available online at www.kauaiadrc.org; printing of directory in process. On-going implementation and improvements of options counseling service/person centered planning. Staff participated in 27 training sessions; 10 of 16 AEA staff are certified CIRS A/D (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, 2018 Obstacles or Challenges Increase the number of identified older adults and people with disabilities by 15%, annually. Identified 399 new older adults for services. Establish a pool of vendors to allow participants more choices by the year 2019. Identification of vendors for Personal Care, Homemaker and In-Home Respite is ongoing. Five vendors in Kauai have been identified. Develop and distribute quality of in-home services survey, annually. Surveys were distributed for 8 services in during FFY17. Results were analyzed for effectiveness of service, competence of care workers, service delivery, quality of service.  Home-delivered meals (KEO) • 180 surveys distributed • 48% surveys completed and returned • 99% expressed satisfaction with service provided  Congregate meals (KEO) • 131 surveys distributed • 73% surveys completed and returned • 88% expressed satisfaction with service provided  Legal services (LASH) • 122 surveys distributed • 41% surveys completed and returned • 34.8% expressed satisfaction with service provided  Adult Day Health (KADH) • 2+6 surveys distributed • 85% surveys completed and returned • 100% expressed satisfaction with service provided  Transportation (CTA) • 67 surveys distributed • 55% surveys completed and returned • 92% expressed satisfaction with service provided  Personal Care (Bayada) • 21 surveys distributed • 52% surveys completed and returned • 100% expressed satisfaction with service provided  Homemaker (Bayada) • 32 surveys distributed • 47% surveys completed and returned • 85% expressed satisfaction with service provided  In-Home Respite (Mastercare) • 9 surveys distributed • 67% surveys completed and returned • 83% expressed satisfaction with service provided • Expand educational opportunities for Kaua’i’s older adults and caregivers to include conducting mini educational workshops throughout the community, annually. A baseline in FFY17 of 38 workshops were offered to the community by AEA and its partners. 50% increase of workshops from FFY16 of 24 workshops. Topics covered: • Caregiver Support/Training • Health Self-Management • Disaster Preparedness • Elder Abuse • Falls Prevention • Infectious Disease Prevention • Medicare • Medication Management • Dementia/Mental Health • Scams/Fraud Protection • VA Benefits • Resource Information Goal 5: Optimize the health, safety and independence of Hawaii’s older adults. Objectives % Complete by June 30, 2018 Obstacles or Challenges Establish accessible emergency safe havens for vulnerable elders by 2016. Identified appropriate partners: 1. Tip Top Hotel 2. Regency at Puakea 3. YWCA 4. Kauai Care Center 5. Hale Kupuna There were no incidents requiring an emergency safe haven. Annual updates of individual emergency disaster plans. Disaster plans are part of in-home assessments that are ongoing at new initial intake and annual assessments. Implement a low cost home modification program to minimize falls among 85+ year olds by 2017. Since the start of the program in April 2016 to March 12, 2018, 202 homes were assessed. The following falls preventative equipment were installed and distributed in these homes: Smoke Detectors 469 Night Lights 168 Grip Tape 76 Shower Grip Tape 56 Shower Chairs 53 Handrail 33 Approved by: COUNTY OF KAUAI AGENCY ON ELDERLY AFFAIRS Department of Human Resources Date Uploaded to SharePoint: REV. 3/2018 Date Program Administrative Officer EM-01, Pos. 132 Fiscal Accountant III SR-22, Pos. LT-147 Departmental Accounting Technician SR-15, Pos. LT-137 Grants Management Program Specialist II SR-22, Pos. 133 Program Coordinator SR-18, Pos. 9558 ADRC/Information Referral Program Specialist II SR-22, Pos. 9557 Program Specialist II SR-22, Pos. LT-148 Program Support Technician II SR-13, Pos. LT-136 Community Service Program Assistant I SR-13, Pos. 138, 139, 140, 141, 144 Volounteer Development Program Cordinator SR-18, Pos. LT-146 Program Support Technician SR-11, Pos. LT-134 Administrative Splst. II SR-18, Pos. E-131 Aging Program Planner SR-24, Pos. 130 Appendix IV Agency On Elderly Affairs Integrated Budget: July 1, 2018 - June 30, 2019 As of February 11, 2018 Budget Available Balance in Grant Funds for the Agency On Elderly Affairs Total General Fund KC SFY18 (exp 6/30/20) ADRC SFY17&18 Title III FFY17&18 NSIP FFY18 RSVP FFY18 Budget FY 2019 4/1/18 - 3/31/19 Salaries and Wages / Regular 01-01 586,464 65,300 31,694 188,976 0 47,392 $919,826 Vacation Credit Payout 01-05 1 0 0 0 0 0 $1 Overtime / Regular 02-01 1 0 0 0 0 0 $1 Premium Pay 03-01 6,300 0 0 0 0 0 $6,300 Employee Benefits / Social Security 05-01 44,849 0 0 0 0 0 $44,849 Employee Benefits / Health Fund 05-02 45,937 0 0 0 0 0 $45,937 Employee Benefits / Retirement 05-03 105,526 0 0 0 0 0 $105,526 Employee Benefits / Worker's Compensation TTD 05-04 1 0 0 0 0 0 $1 Employee Benefits / Worker's Compensation MEDI 05-05 1 0 0 0 0 0 $1 Employee Benefits / Unemployment Compensation 05-06 1 0 0 0 0 0 $1 Mileage 05-09 250 0 2,512 0 0 5,305 $8,067 Grant Employee Benefits 05-11 185,000 0 0 0 0 0 $185,000 Other Post Employment Benefits 05-12 115,199 0 0 0 0 0 $115,199 Training 24-00 0 0 0 0 0 0 $0 Other Services 30-00 0 44,139 95,755 0 0 4,900 $144,794 Other Services (Enhance Fitness Program/Better Health)30-00 114,211 0 0 0 0 0 $114,211 Dues / Subscriptions 31-00 0 0 0 0 0 0 $0 Consultant Services 32-00 0 460,125 46,403 181,557 0 0 $688,085 Consultant Services (Congregate Meals)32-00 0 0 0 126,108 0 0 $126,108 Consultant Services (Home & Community Based Svcs)32-00 128,955 251,514 0 92,242 0 0 $472,711 Special Projects 35-00 0 0 0 21,536 0 0 $21,536 Special Projects (County Employee IDs)35-00 600 0 0 0 0 0 $600 Rental/Copier 41-02 0 0 0 0 0 0 $0 Other Rentals 41-03 1,225 0 20,898 0 0 0 $22,123 Advertising 55-00 0 0 18,479 0 0 0 $18,479 Travel / Airfare, General 56-01 450 0 28,229 0 0 4,500 $33,179 Travel / Per Diem, General 56-02 270 0 10,810 0 0 0 $11,080 Travel / Car Rental & Parking, General 56-03 225 0 9,135 0 0 0 $9,360 Travel / Other Travel, General 56-04 0 0 0 0 0 0 $0 Other Training 56-10 0 0 26,364 0 0 0 $26,364 Office Supplies 61-01 0 0 0 0 0 0 $0 Supplies/Other 61-02 0 0 0 0 0 750 $750 Small Equip/Perif 62-02 0 0 1,039 0 0 0 $1,039 Other Commodities (RSVP Recognition Day, Senior Citizens Day & RSVP)67-00 19,600 0 0 0 0 0 $19,600 Postage 68-00 0 0 2,323 0 0 0 $2,323 Leased 88-02 1 0 0 0 0 0 $1 0 0 0 0 0 0 $0 Total Available Balance for FY 2019 1,355,067 821,078 293,641 610,419 0 62,847 $3,143,052 $0 $0 Total Available Balance for FY 2019 $0 $0 $0 $0 $0 $0 $0 Federal - RSVP Grant FY19 (4/1/19 - 3/31/20) E1916F w/County share $117,719 0 $0 Federal - NSIP Grant FFY19 E1918F estimate exp 9/30/19 40,000 $40,000 State KC Grant SFY19 E19050-E19059 estimate exp 6/30/20 611,066 $611,066 $0 Total Available Balance for FY 2019 $0 $611,066 $0 $0 $40,000 $0 $651,066 Total Available Balance for FY 2019 $1,355,067 $1,432,144 $293,641 $610,419 $40,000 $62,847 $3,794,118 Item Description element/object Capital Funds Item Description element/object Other Projected Grant Funding for FY 2019 Consolidated