Area Plan Overview May, 2018 Carol Stamatakis, Executive Director - - PowerPoint PPT Presentation

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Area Plan Overview May, 2018 Carol Stamatakis, Executive Director - - PowerPoint PPT Presentation

To promote the well-being and dignity of older adults Area Plan Overview May, 2018 Carol Stamatakis, Executive Director with members of the Senior Solutions Advisory Council AREA PLAN OVERVIEW One of five Area Agencies on Aging (AAAs) in


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Carol Stamatakis, Executive Director with members of the Senior Solutions Advisory Council

Area Plan Overview May, 2018

To promote the well-being and dignity of older adults

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  • One of five Area Agencies
  • n Aging (AAAs) in Vermont
  • Established in 1973 through

the Older Americans Act

  • Non-Profit 501(c)(3)

AREA PLAN OVERVIEW

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What We Do

  • Plan and develop a comprehensive and coordinated

system of services and supports for older adults (age 60 and over) and family caregivers in our region

  • Target resources to those in greatest economic and

social need (low income, rural or socially isolated, Ethnic & Cultural minorities, limited English proficiency)

  • Serve as the advocate and focal point for older

people in the planning and service area

  • Older Americans Act services include case

management; nutrition services and programs; health promotion and disease prevention; information, referral and assistance; legal assistance; and family caregiver support.

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AREA PLAN OVERVIEW

THE “AAA”: A UNIQUE AND IMPORTANT ROLE

Area Agencies on Aging (“AAAs”) were formally established in the 1973 Older Americans Act (OAA) amendments.

  • Develops an “Area Plan” with

input from consumers, service providers and other stakeholders, reflecting local needs and values.

  • Identifies gaps in services and

works to address unmet needs in the region (thus, no 2 AAAs are alike).

  • Expected to be advocates for
  • lder adults, including on local

and state issues beyond the programs and services they fund

  • r deliver.

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OUR MISSION

To promote the well-being and dignity of older adults

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OUR VISION

Every person will age in the place of their choice, with the support they need and the opportunity for meaningful relationships and active engagement in their community.

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OUR VALUES

 We honor and respect the life experience and autonomy of Vermont’s

  • lder adults.

 We recognize the essential role of families, caregivers and communities in the lives of older adults.  We foster a work environment where creativity, open-mindedness and resourcefulness are expected; our employees are compassionate, respectful and responsive to the needs and wishes of our clients.  We are committed to maintaining strong community partnerships to assure our clients’ varied needs are met and to collectively strengthen the infrastructure of support for older adults.  We embrace our role as advocates for older adults, including speaking

  • ut about current issues, identifying unmet needs, proposing solutions

and believing that our collective voices can bring about change.

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  • Senior Solutions provides some services directly.
  • Senior Solutions contracts with local organizations

to deliver some services. Home-delivered meals are an example of a contracted service.

Local Aging Network

Area Agency on Aging Local Service Providers

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Senior Solutions may leverage other state or local dollars to offer additional programs

AAA Services

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Senior Solutions Revenue Sources

FY 18

Federal Funding 55% - Older Americans Act 22.4% - Medicaid 22.6% - Other

Federal 61% State 33% Local and Other 6%

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Senior Solutions People Served at a Glance

  • 7,416 (unduplicated) people received services in 2017
  • 3,568 elders attended Congregate Meals
  • 1004 received home-delivered meals
  • 3,869 individuals receiving information, referrals and

assistance from our Senior Helpline and State Health Insurance specialists

  • 727 received case management services

From 2017 Annual NAPIS Report

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Older Americans Act Services Provided Directly by Senior Solutions Staff

  • Information, Referral and

Assistance

  • SENIOR HELPLINE

(1-800-642-5119)

  • Options Counseling
  • Medicare Assistance

(SHIP)

  • Family caregiver support
  • Case Management and

Outreach (In-home assistance accessing services, coordinating care and solving problems)

  • Self-Neglect Investigation

and Assistance

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Older Americans Act Services Provided through Agreements with Community Agencies

Home-Delivered Meals (“Meals on Wheels”) Congregate Meals Nutrition Counseling Transportation Health, Wellness and Fall Prevention Programs Legal Assistance (through Vermont Legal Aid)

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Some Services are provided through Funding Sources other than Older Americans Act

Choices for Care and Moderate Needs Case Management (Long-Term Care Medicaid) 3SquaresVT (Food Stamp), Fuel Assistance and Other Benefits Outreach/ Assistance Home-Based Mental Health Services. Dementia Respite Grants OneCare Accountable Care

  • Org. (ACO) Care Coordination

Elder Abuse Training and Community Coordination (Dept. of Justice Grant) Special / Flexible Funds, Other Community Outreach

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Consumer

Emergency response Adult Protective Services Area Agencies

  • n Aging

Community Centers

Accountable Care Organization (ACO)

Hospitals

Medicaid Agencies Emergency Preparedness Agencies

Housing Authorities

Aging Network Partners

In addition to contracted providers, AAAs build informal and formal partnerships with

  • ther entities.

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TRENDS AND ISSUES IMPACTING OLDER ADULTS IN VERMONT

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uvm.edu/crs

Vermont in 2000 Median

age = 37.7 65+ = 12.7%

Vermont projected to 2030

Median age = 43.9 65+ = 24.4%

An Aging Vermont

Source: U.S. Census Bureau

Vermont 2nd oldest state in 2009 Median Age: 41.2 (Maine: 42.2) (US: 36.8)

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Windsor and Windham Counties 2017 Population Estimates Compared to Vermont and US

From US Census Bureau QuickFacts

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Vermont Ranked 7th Healthiest State for Older Adults in 2017

United Health Foundation 2017 Senior Report* Strengths:

  • Low percentage of ICU use
  • High SNAP enrollment

(also known as 3SquaresVT or Food Stamps)

  • Low percentage of seniors living in poverty

* Comprehensive analysis of senior population health on a national and state-by-state basis across 34 measures of senior health. www.americanhealthrankings.org

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Vermont Ranked 7th Healthiest State for Older Adults in 2017

United Health Foundation 2017 Senior Report* Challenges:

  • Low percentage of healthcare-associated

infection reporting policies

  • High prevalence of excessive drinking
  • Low percentage of hospice care use

* Comprehensive analysis of senior population health on a national and state-by-state basis across 34 measures of senior health. www.americanhealthrankings.org

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State Plan on Aging Assessment Kelly Melekis, MSW, PhD (Dec. 2017)

433 older adult and 223 provider survey respondents Key Stakeholder Interviews Area Agency on Aging areas were proportionally distributed. Consistency across the state of needs, resource challenges and recommendations.

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State Plan on Aging Assessment Kelly Melekis, MSW, PhD (Dec. 2017)

The Good News!

Overall, both providers and community members perceive Vermont, and their community in particular, as “aging- friendly,” providing services that promote health aging and independent living, and a “good” quality of life for older adults.

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OLDER ADULTS

Financial security (57%) Health care (57%) Maintaining independence and dignity (55%)

From State Plan on Aging Assessment 2017, Kelly Melekis, MSW, PhD (Dec. 2017)

TOP CONCERNS OF OLDER ADULTS IN VERMONT

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From State Plan on Aging Assessment 2017, Kelly Melekis, MSW, PhD (Dec. 2017)

OLDER ADULTS SURVEYED HELP NEEDED AND RECEIVED

  • Home Maintenance &

Yardwork

  • Housekeeping
  • Home Modifications
  • Living Expenses

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OLDER ADULTS

Top concern for Vermonters over 60, next 5 years. Financial security (14%) Health care (14%) Housing (15%)

From State Plan on Aging Assessment 2017, Kelly Melekis, MSW, PhD (Dec. 2017)

TOP CONCERNS OF SERVICE PROVIDERS IN VERMONT

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OLDER ADULTS

From State Plan on Aging Assessment 2017, Kelly Melekis, MSW, PhD (Dec. 2017)

MOST COMMONLY IDENTIFIED CONCERNS REPORTED BY SERVICE PROVIDERS IN VERMONT

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Older Americans Act Programs: Vision, Goals & Strategies

  • Title III: Community Planning & Systems Development
  • Title III-B: Information & Assistance, Case

Management Services, Legal Assistance, Access to Transportation, Outreach, Other

  • Title III-C: Home Delivered Meals, Congregate Meals,

Nutrition Education & Nutrition Counseling

  • Title III-D: Health Promotion and Disease Prevention
  • Title III-E: National Family Caregiver Support Program
  • Title VII: Prevention of Elder Abuse, Neglect and

Exploitation

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TITLE III-B CASE MANAGEMENT

GOAL: Support older adults to have their needs met and live in the settings they prefer through high quality case management, including person-centered planning. Measured by:

  • The number and percentage of case management clients who

are living in the setting of their choice

  • The number and percentage of case management clients who

report that their unmet needs were addressed

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TITLE III-C HOME-DELIVERED MEALS

GOAL: Reduce Food Insecurity and Improve the Nutritional and Health Status of Older Adults through Home-Delivered meals. Measured by:

  • The number and percentage of home delivered meals clients

who report they have enough to eat

  • The number and percentage of home delivered meals clients

who report that meals help manage or improve their medical condition

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TITLE III-D WELLNESS PROGRAMS

GOAL: Improve the Health and Quality of Life of Older Adults through Evidence-Based Wellness Programs. Measured by:

  • Number and percentage of participants of Tai Chi or
  • ther wellness programs who report improvement in their

balance

  • Number and percentage of participants of wellness

programs will report decreased feelings of social inclusion

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TITLE III-E FAMILY CAREGIVER SUPPORT

GOAL: Support older adults to live in dignity in the setting of their choice by supporting family and informal caregivers who provide care. Measured by: The number and percentage of Senior Solutions staff trained in understanding and supporting the challenges of caregiving/being a caregiver, with particular focus on dementia care and support

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Title VII: PREVENTION OF ELDER ABUSE, NEGLECT AND EXPLOITATION

GOAL: Improve prevention efforts to protect vulnerable older adults against abuse, neglect and exploitation while maximizing their autonomy. Measured by: Learn from process and outcomes of Senior Solutions’ Dept. of Justice grant to address elder abuse through a multidisciplinary approach in Windsor County and identify any best practices that could be replicated throughout the state.

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Our Eyes and Ears in the Communities We Serve

Review and comment

  • n policies,

programs and actions that effect older adults Report Information back to Local Communities Learn from Speakers and Advocates from other Communities

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Senior Solutions Advisory Council

MEETINGS: Last Wednesday of the Month Bellows Falls Senior Center, 1:00 Community Members Welcome!

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Where to Find Us

Main Office: 38 Pleasant Street Springfield, VT 05156 Phone: (802) 885-2655 SENIOR HELPLINE: 1-800-642-5119 Email: Info@SeniorSolutionsVT.org www.SeniorSolutionsVT.org

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