2008 ALTC Draft Area Plan

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YEAR 2008Section C-1Page 88

3. Develop and provide materials to staff and clients to assist them indeveloping a personal emergency response plan.

October 31, 2008 Research available literature and compile a listing of recommended materials desirable and essential inthe development of a personal emergency responseplan.

4. Provide technical assistance to contracted agencies in the developmentof emergency preparedness plans that are in alignment with Aging andLong Term Cares plan.

Jan. 31, 2008 Provide to contracted agencies, for their use if

desired, resources to assist in the development of an agency plan.

Oct. 31,2008 Require contracted agencies to develop and have inplace a written viable emergency preparedness planconsiderate of staff and clients that addresses as aminimum.

a) Protection of clients and staff.b) Continuity of agency operations (Business Continuity Plan) during

the emergency/disaster.c) If needed, processes for the restoration of agency service as soon

as possible following the emergency/disaster.d) Prevention or reduction of property damage at agency facilities.e) Coordination with other community agencies relative to roles

/responsibilities before, during and after an emergency/disaster.f) Conduct of emergency exercises annually that test the capability

and capacity of the written plan during actual emergencies or disasters.

g) Coordination with other community partners in strengthening thecommunitys capacity to respond to and recover from anemergency/disaster.

h) Maintenance of favorable public and personnel relations duringand following the emergency/disaster


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YEAR 2008Section D

SECTION D

AREA PLAN BUDGET

(Photo)


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YEAR 2008Section D-1Page 90

PIERCE COUNTY AGING AND LONG TERM CAREPROJECTED REVENUES 2007 2008

DISCRETIONARYREVENUES

2007 REVENUE 2008 PROJECTEDREVENUE

Title III-B (Supportive Services) 746,428 746,428Title III-C1 (Nutrition - Group Meals) 783,057 783,057Title III-C2 (Nutrition - Home Delivered) 226,936 226,936SCSA (Supportive Services) 904,242 913,670

Subtotal 2,660,663 2,670,091

NON-DISCRETIONARYREVENUES

Title III-D (Health Promotion) 45,655 45,655

Title III-E (Family Caregivers) 347,629 347,629Title VII-B (Elder Abuse) 9,189 9,189Caregiver-Insurance & Training 1,950,000 3,228,300Family Caregiver Support / Respite 422,564 465,503Title XIX-Contract Management 243,066 243,066Title XIX-Case Mgmt & Nursing 4,995,858 5,095,775Title XIX-Admin Claim 70,000 70,000Pharmacy Education 27,560 17,560Kinship Care 151,983 155,023Adult Day Health Certification 3,800 3,800Pierce County General Fund 315,000 315,000Ombudsman 108,269 108,269Senior Farmers Market - State 47,097 47,097Senior Farmers Market - County 55,000 55,000Nutrition Services IncentiveProgram(NSIP)**

121,099 112,257

Aging & Disability Resource Center 137,824 137,824Office of Insurance Commissioner 33,492 36,055Chronic Care Case Management 73,040 84,240

Subtotal 9,158,125 10,577,242

GRAND TOTAL 11,818,788 13,247,333

** Funds are calculated at .5539 per meal served


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PROPOSED 2008 EXPENDITURESCOMPARED TO 2007

PROGRAM 2007BUDGET

2008BUDGET

INCREASEOR

(DECREASE)

COMMENTS

1. In-Home Care Support

Basic HealthInsurancePaid Caregiver

Caregiver Training

1,600,000

350,0001,950,000

3,015,000

213,3003,228,300 1,278,300

Rateincrease for Home CareAide healthInsurance.

2. Family Caregiver Support & Relief

Respite

Access &Information

AlzheimersConsultation

SupplementalSupport Services

116,865397,059513,924

30,000161,956191,956

7,48934,99542,484

50,000 ___

50,000

116,865436,834533,699

32,000161,956193,956

7,48934,99542,484

50,000 _____ 50,000

39,775

2,000

- 0 -

- 0 -

Increase inState funds.

3. Information &Assistance

Aging & DisabilityResource Center

137,824130,405

92,64670,000

430,875

137,824134,386101,435

70,000443,645 12,770

Increase tomeet staffingmodel.


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PROGRAM 2007BUDGET

2008BUDGET

INCREASEOR

(DECREASE)

COMMENTS

PharmacyAssistance &Education

SHIBA

Media Servicesa. Newspaper b. Where To Turn

27,560

33,492

22,4505,000

27,450

17,560

36,055

22,4505,000

27,450

(10,000)

2,563

- 0 -

On-time onlyfundingreceived in2007.

4. Case Management andNursing Services

Chronic CareCase Management

4,896,663100,995100,995

5,098,653

73,040

4,996,580100,995100,995

5,198,570

84,240

99,917

11,200

2% Vendor RateIncrease.

5. Home Delivered Meals

Senior FarmersMarket

185,00030,000

215,000

47,09755,000

102,097

185,00030,000

215,000

47,09755,000

102,097

- 0 -

- 0 -

6. Adult Day Health 157,331 157,331 - 0 -

7. Transportation

MealsiteTransportation

40,000 40,000


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PROGRAM 2007BUDGET

2008BUDGET

INCREASEOR

(DECREASE)

COMMENTS

Volunteer

Transportation

Total Transportation

14,000

54,000

14,000

54,000 - 0 -

8. Mental HealthCounseling Services

Older Adult Services

Asian CounselingServices

115,450

12,000 142,450

115,450

12,000 142,450 - 0 -

9. Senior Mealsites 669,500180,000849,550

669,500180,000849,500 - 0 -

10. Footcare Services 22,71158,38981,100

22,71158,38981,100 - 0 -

11. Health Promotion

Ethnic HealthPromotion/Wellness

20,51545,65566,170

20,51545,65566,170 - 0 -

12. Helping Elders throughReferral & OutreachServices (HEROS) -Gate Keeper Program 15,000 15,000 - 0 -


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2007 2008

Total Direct Services Funding 1,256,4009,743,093

10,999,493

1,263,21111,158,74212,421,953

Total Administration & ProgramCoordination

358,683460,612819,295

358,683466,697825,380

GRAND TOTAL

1,615,08310,203,70511,818,788

1,621,89411,625,43913,247,333

Please note: SHADED numbers represent discretionary spending.UNSHADED numbers are earmarked for a single purpose.

DISCRETIONARY AND NON-DISCRETIONARY FUNDING

Generally, revenue to Human Services/Aging & Long Term Care comes fromthe state and federal governments in two forms:

Non-Discretionary Funds that are earmarked for a specific program or purpose. The department does not have a choice on how to spend thesefunds. Examples include Kinship Care, Personal Care and Respite.

Discretionary Funds that are provided with the flexibility to be spent onlocal needs, determined at the local level. Examples include Foot Care,Mental Health, and Transportation.


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YEAR 2008Section E

SECTION E

FUNDING SOURCE DEFINITIONS


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YEAR 2008Section E-1Page 97

FUNDING SOURCE DEFINITIONS

1. OLDER AMERICANS ACT (OAA): The federal legislation enacted in1965 that provides funding for the bulk of services for persons 60 yearsand older. Fund titles of the Older Americans Act include:

Title III-B Social Services, Planning, Coordination, EvaluationTitle III-C NutritionTitle III-D Health Promotion & Disease PreventionTitle III-E Family Caregiver SupportTitle VII-D Elder Abuse Neglect

2. SENIOR CITIZENS SERVICES ACT (SCSA): Washington Statelegislation enacted in 1976, which provides for community based formsof care to keep senior citizens as independent as possible. Footcareand adult day health care are examples of programs funded by thissource.

3. TITLE XIX: Often referred to as Medicaid, a title of the Social SecurityAct which provides 50% matching federal funds for health care servicesfor low income persons. Programs funded by Title XIX include CaseManagement.

4. FAMILY CAREGIVER SUPPORT / RESPITE : Washington Statelegislation enacted in 1989 and 2000, which provides funding for thetemporary relief of unpaid caregivers providing full-time care to disabledadults and other supportive services.

5. PIERCE COUNTY GENERAL FUNDS : Local dollars generated fromtaxes and administered by County government. County funds aredesignated for senior center operations, and Senior Farmers Marketvouchers and produce boxes.

6. OMBUDSMAN : Funding received from South King County CommunityAction Agency (SKCCAA) to operate a regional Long Term CareOmbudsman Program. SKCCAA receives federal and state funding toadminister the program throughout Washington.

7. SENIOR FARMERS MARKET : State funding allocated for thepurchase of Farmers Market vouchers and produce boxes.


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YEAR 2008Section E-1Page 98

8. NUTRITION SERVICES INCENTIVE PROGRAM (NSIP) : A federalprogram that provides cash, and bulk commodities to eligible socialservice programs, including senior citizen nutrition programs.

9. CAREGIVER - INSURANCE & TRAINING : State funding with federalmatch dollars for the purpose of funding health care insurance andrequired training for state paid home care workers.

10. PHARMACY EDUCATION : State funding allocated by the Legislatureto educate seniors on the appropriate use of prescription medications.

11. KINSHIP CARE : State funding allocated by the Legislature to provideinformation, basic need grants and services to eligible relatives raisingchildren.

12. AGING & DISABILITY RESOURCE CENTER (ADRC) : Federal grantfunding received through the State Unit on Aging to pilot an Aging andDisability Resource Center in Pierce County.

13. OFFICE OF INSURANCE COMMISSIONER : State funding received tooperate the State Health Insurance Benefits Advisors (SHIBA) programin Pierce County.

14. INTENSIVE CHRONIC CARE CASE MANAGEMENT : State andfederal funding provided for medically intensive case managementprovided by a Registered Nurse.


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YEAR 2008Appendices

APPENDICES


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YEAR 2008Appendix A

APPENDIX A

ORGANIZATIONAL CHART


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Y E

A R 2 0 0 8

A p

p e n

d i x A

P a g e

1 0 1

C o u n t y

E x e c u

t i v e

O f f i c e

A s s

i s t a n t

I I

1 P T E

H u m a n

S e r v i c e s

D e p a r

t m e n

t D i r e c t o r

1 P T E

A g i n g a n

d L o n g

T e r m

C a r e

P r o g r a m

M a n a g e r

( A A A D i r e c t o r

)

1 F T E

A d v i s o r y

B o a r d

2 0 -

2 5 M e m

b e r s

P r o g r a m

S p e c i a l

i s t I I I

5 F T E -

2 V a c a n

t

O f f i c e

A s s

i s t a n t

I I

2 F T E

R e g

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l L T C

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b u d s m a n

1 F T E

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b u d s m a n

2 P T E

C a s e

M a n a g e m e n

t

C o o r d

i n a t o r

1 F T E

C a s e

M a n a g e m e n

t

S u p e r v i s o r

4 F T E

C a s e

M a n a g e r s

4 0 F T E

R e g i s t e r e d

N u r s e s

1 0 F T E

O f f i c e

A s s

i s t a n t I I I

1 F T E

O f f i c e

A s s

i s t a n t

I I

6 F T E

H u m a n

S e r v i c e s

F i s c a

l

C o o r d

i a n t o r

1 P T E G

r a n t

A c c o u n t a n

t I I

1 F T E

1 P T E

G r a n t

A c c o u n t

i n g

A s s

i s t a n t

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1 P T E

( V a c a n

t )

S u p e r v i s o r o f

A d m i n i s t r a t

i v e

S e r v i c e s

1 P T E O

f f i c e

A s s

i s t a n t

I I I

2 P T E

O f f i c e

A s s

i s t a n t

I I

3 P T E

O p e r a t

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M a n a g e r

1

P T E D

I T S I I

1 F T E

2 P T E

D I T S I

1 P T E

P r o g r a m

A n a

l y s t

1 F T E

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t y H u m a n

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i c e s

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i n g a n

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i z a t i o n a

l C h a r t -

2 0 0 7

A d v i s o r y

B o a r d

2 0 -

2 5

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b e r s


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YEAR 2008Appendix B

APPENDIX B

STAFFING PLAN


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YEAR 2008Appendix BPage 103

AAA STAFFING PLAN

POSITIONTITLE

TOTALSTAFF

FULL TIME&

PART TIME

POSITION DESCRIPTION

Human ServicesDirector

1 PTE Responsible for overall management of thePierce County Human Services, (includesAging, Mental Health, DevelopmentalDisabilities and Chemical DependencyPrograms).

Manager 1 FTE Responsible for overall management of Aging & Long Term Care.

Program Specialist III 5 FTE2 Vacant Responsible for contract administration,monitoring, technical assistance, specialprojects, coordination and planning.

Office Assistant II 2 FTE Responsible for supporting the ALTCAdministrative Unit and OmbudsmanProgram.

Regional LTCOmbudsman

1 FTE Responsible for providing Ombudsmanservices, volunteer training and supervision.

Certified Ombudsman 2 PTE Responsible for Ombudsman services.

Case ManagementCoordinator

1 FTE Responsible for overall programmanagement and supervision of CaseManagement Supervisors, Case Managersand Registered Nurses.

Case ManagementSupervisor 4 FTE Responsible for supervision of CaseManagers, Registered Nurses, and OfficeAssistants.


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POSITIONTITLE

TOTALSTAFF

FULL TIME&

PART TIME


Case Manager 40 FTE Responsible for ensuring provision of qualitycase management service to elderly anddisabled adults. Program areas include TitleXIX Case Management, Family Caregiver Support, Senior Information and Assistanceand Aging Network Case Management.

Registered Nurse 10 FTE Responsible for ensuring provision of qualitycase management and services to elderlyand disabled adults.

Office Assistant III 1 FTE Responsible for lead functions of OfficeAssistant II's supporting the ALTC CaseManagement program and SSPS Support.

Office Assistant II 6 FTE Responsible for supporting the ALTC CaseManagement program.

Fiscal Coordinator 1 PTE Responsible for overall management of the

Human Services Fiscal unit.Grant Accountant II 1 FTE Responsible for management of accounting

/ budget, fiscal assessments of subcontractors and purchasing.

Grant AccountingAssistant II

1 PTEVacant

Performs grant accounting functions for agency.

Office Assistant II 1 PTE Responsible for supporting the HumanServices Fiscal Unit.

Supervisor of Administration Services

1 PTE Responsible for overall management of theHuman Services Administrative Servicesunit.


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POSITIONTITLE

TOTALSTAFF

FULL TIME&

PART TIME


Office Assistant III 2 PTE Responsible for Office Assistant support inareas of Personnel, Payroll, Travel andTraining.

Office Assistant II 3 PTE Provides office assistant duties in Receptionand Personnel areas.

Operations Manager 1PTE Responsible for overall management of Human Services facilities, information

systems and security.

Data InformationTechnical Services II

1 FTE2 PTE

Responsible for supporting all ALTCapplications. Maintains computer network,printers, file backup.

Data InformationTechnical Services I

1 PTE Responsible for computer applications,problem solving and training.

Program Analyst I 1 FTE Provides support to Information Tech staff,ALTC Administration and Fiscal staff withbillings, queries and generates reports.

Office Assistant II 1 PTE Responsible for supporting the HumanServices Communications & Data SystemsUnit.

Total number of vacant positions = 3 Total number of full time equivalents = 75 Total number of Staff = 91 Total number of minority staff = 21 Total number of staff over age 60 = 3 Total number of staff self-indicating a disability = 3


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YEAR 2008Appendix C

APPENDIX C

ADVISORY BOARD


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YEAR 2008Appendix CPage 107

PIERCE COUNTY AGING AND LONG TERM CARE

ADVISORY BOARD

NAME REPRESENTING AREA / DISTRICTJane Anne Allen University PlaceTheresa Baker Midland/Summit/Waller Meg Battson Sumner Grace E. Bennett LakewoodKazumi Divens-Cogez PuyallupDan Fruichantie South TacomaMarjorie Graham SpanawayMargaret Hensler Central TacomaPhyliss Johnson-Hayte Tacoma

Ken Kershner TacomaVirginia Kimball GrahamWilma LaFavor North TacomaDonna Miller TacomaMary Nix TacomaDonna Phillips SteilacoomCarl Ritting Gig Harbor Cindy Roggow PuyallupAlyce Schaffer North Tacoma

James F. Self Jr. LakewoodBert Stibbe LakewoodMaggie Sweasy Midland/Summit/Waller Jane Waldron Bonney Lake

Total number age 60 or over = 19 Total number minority = 2

Total number self-indicating a disability = 4

Total = 22


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YEAR 2008Appendix D

APPENDIX D

PUBLIC PROCESS


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YEAR 2008Appendix DPage 109

Pierce County

High Risk Populations

Disaster Planning SummitPlanning a coordinated effort for vulnerable populations in Pierce

County during times of disaster

June 12, 2007Oasis of Hope Center, Tacoma

Agenda

8:00 a.m. Registration and refreshments

8:30 a.m. Welcome and OverviewSheri Badger, Pierce County DEM, Vulnerable Population Coordinator Jody Woodcock, Pierce County Dept. of Emergency Management

8:45 a.m. Keynote Speaker Christine Seymour, Client and Communication AdvocateHearing, Speech and Deafness Center of Tacoma

9:45 a.m. Break

10:00 a.m. Table Discussions/Planning

11:30 a.m. Reporting out, final observations

12 p.m. Adjourn


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Pierce County Aging and Long Term Care2008 2011 Area Plan

Family Caregivers Focus GroupOctober 24, 2006

Purpose

The Family Caregivers Focus Group will discuss and evaluate the 2004 2007 Area Planobjectives and make recommendations for maintaining and/or revising them for 2008-2011Area Plan. The primary goal of the groups work will be to develop a realistic four-year agendato guide ALTCs future work in this issue area.

2004 2007 Objectives

The group will focus on four major areas in its review and evaluation of objectives: 1) programstructure (e.g., the Family Caregiver Resource Center, advisory council); 2) collaboration(e.g., with Developmental Disabilities, kinship caregiver support programs, Puyallup Tribe); 3)

advocacy (e.g., for increased Respite funding); and 4) training, education, and outreach (e.g.,expanding training opportunities for caregivers, enhancing outreach/education for ethniccaregivers, etc.).

Format

The focus group will meet for two hours. After introductions, ALTC staff will provide a brief overview of the Family Caregiver Support Program, after which a series of questions will beused to determine appropriate objectives.

Questions

1. Are the issue profile, problem statement, and goal in the 2004 2007 Area Planaccurate? What revisions, if any, are needed in the 2008 2011 plan?

2. Objectives 1, 2, and 13 address structural elements of the Family Caregiver SupportProgram. Should they be retained in the 2008 2011 plan? What changes, if any,would be advisable?

3. Objectives 3, 8, 9, and 10 focus on training, education, and outreach. Do thesecapture what ALTC should be doing in these areas? Do you have suggestions for additional activities?

4. Objectives 5, 6, 7, 11, and 12 highlight collaborative work that ALTC has beeninvolved in to support caregivers. Should these be part of the 2008 2011 plan, and

if so, should they be modified in any way? Are there additional partnerships thatshould be pursued?5. Objective 4 emphasizes the importance of advocacy. Is this a viable objective for

2008 2011? What recommendations do you have for enhancing advocacy effortson behalf of caregivers?

6. Are there additional objectives and/or activities that should be included in the FamilyCaregivers issue area?


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Home Care QualityFocus Group and Key Informant Interviews

November 17 and 30, 2006

Purpose

The Home Care Quality Focus Group and Key Informants will discuss and evaluate the 2004 2007 Area Plan objectives and make recommendations for maintaining and/or revising themfor the 2008-2011 Area Plan. The primary goal of the groups work will be to develop arealistic four-year agenda to guide ALTCs work in this issue area.


The group will focus on five major areas in its review and evaluation of objectives: 1)

Evaluation of home care services (Objectives 6, 7, 8, 9); 2) Client safety measures(Objectives 1, 3, 10, 11, 13); 3) Education and training (Objectives 5, 12); 4) Interagencycommunication (Objective 4); and 5) Advocacy (Objective 2).

Format

The focus group will meet for two hours, and the questions listed below will guide adiscussion to determine appropriate objectives for the 2008 2011 plan.

Discussion Questions

1. Are the issue profile, problem statement, and goals in the 2004 2007 Area Planaccurate? What revisions, if any, are needed in the 2008 2011 plan?2. Objectives 6, 7, 8, and 9 deal with methods to evaluate home care client satisfaction with

services and home care program effectiveness. Should they be retained in the 2008 2011 plan? What changes, if any, would be advisable?

3. Objectives 1, 3, 10, and 13 focus on ways to ensure client safety. Do these objectivesadequately express what ALTC should be doing in these areas? Do you havesuggestions for additional interventions or activities?

4. Objectives 5, 11, and 12 cover home care staff education and training. Should theseobjectives be part of the 2008 2011 plan, and if so, should they be modified in any way?Should any new objectives be added?

5. Objective 4 highlights inter-agency communication. Is this a viable objective for 2008 2011? Do you have recommendations for enhancing communication between ALTC,home care agency staff, and individual providers?

6. Objective 2 emphasizes the importance of advocacy related to home care issues. Shouldthis objective be continued in the 2008 2011 plan. Are any revisions to it needed?

7. Are there additional objectives and/or activities that should be included in the Home CareQuality issue area?


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Rural Elders Focus GroupJanuary 12, 2007

Purpose

The Rural Elders Focus Group will discuss and evaluate the 2004 2007 Area Planobjectives and make recommendations for retaining and/or revising them for the 2008-2011 Area Plan. The primary goal of the groups work will be to develop a realistic four-year agenda to guide ALTCs future work in this issue area.


The group will focus on four major areas in its review and evaluation of existingobjectives: 1) senior information and assistance; 2) transportation; 3) housing; and 4)communication about service gaps. Given the information that has been gathered by the

Mustard Seed Project through its community survey, it will also be helpful to discussadditional issues that survey respondents identified as priorities and determine howthese can be addressed.

Format

The focus group will meet for two hours and the questions listed below will be used toguide discussion and develop appropriate objectives.

Questions

1. Are the issue profile, problem statement, and goals in the 2004 2007 Area Planaccurate? What revisions, if any, are needed in the 2008 2011 plan?2. Objectives 1and 2 address Senior Information and Assistances outreach efforts.

Should they be retained in the 2008 2011 plan? What changes, if any, would beadvisable?

3. Objective 3 focuses on rural transportation and Aging and Long Term Caresinvolvement in the Pierce County Coordinated Transportation Coalition, which willcontinue in the 2008 2011 plan. Do you have suggestions for additional activitiesto enhance elders mobility?

4. Objective 4 stresses the importance of preserving an adequate supply of affordablehousing to help older adults age in place. Should this be part of the 2008 2011

plan, and if so, should it be modified in any way? Are there additional partnershipsthat should be pursued?5. Objective 5 centers on communication between ALTC staff and elders and service

providers in rural areas. Is it important to retain this objective? Should it be modifiedin any way?

6. Are there additional objectives and/or activities that should be includedunder Meeting Needs in Rural Pierce County?


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Pierce County Aging and Long Term Care2008-2011 Area Plan

Aging Readiness Planning Team

Healthy Aging

Introduction

Pierce County Aging and Long Term Cares (ALTC) mission is to ensure that PierceCounty residents have available a range of community-based services that promotedignity and maximize individual choice. To fulfill that mission, it seeks to create andsustain communities throughout the County that are elder-friendly and responsive to theneeds of people with disabilities. Safeguarding the physical health and emotional well-being of older adults and people with disabilities is critical to realizing this vision.

ALTCs approach acknowledges the necessity of addressing issues facing todaysseniors and adults with disabilities, and underscores the value of anticipating the needsof the aging baby-boom generation, the first members of which have already turned 60

years old. Through careful planning with both short and long term aims in mind, ALTCis committed to developing and funding programs and services that enhance the healthof its target populations.

Key Elements to Address

Team #1 April 4, 2007

Physical activity Nutrition Chronic disease self management

Team #2 April 24, 2007

Preventive health services (screenings, vaccinations, counseling for substanceabuse, depression, anxiety and other symptoms) and health education.

Access to medical, dental and mental health care Access to palliative care

Process

1. Two Healthy Aging Planning Teams will meetone focused on physical activity,nutrition, and chronic disease self-management, and the other on preventive healthservices and access to medical, dental, mental health and palliative care. Eachgroup will:

Review original 2004-2007 Area Plan goals and determine what to retain, revise,or add.


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Review 2006-2007 Area Plan Update objectives to understand the scope of current activities and make recommendations as needed.

Propose new activities that address healthy aging, explain why they are needed,and note desired outcomes.

2004 2007 Area Plan Goals

Promote the concept of healthy aging through increased community awarenessof wellness / health promotion services and resources.

Increase community capacity to meet the wellness and health promotionneeds of older adults.

Improve access to critical health care services.

Increase and improve access to affordable counseling and treatment services tobetter address the needs of older adults with emotional health concerns andsubstance abuse problems.

2006 2007 Area Plan Update Objectives :Team #1 - Physical Activity, Nutrition & Chronic Disease Management

Expand the mature adult walking program to other communities throughoutPierce County.

Increase coordination with local parks and recreation programs to increasewellness / health promotion opportunities for older adults.

Advocate to maintain and seek increases of Senior Farmers Market NutritionProgram funding.

Collaborate with Rainier Media Center to develop a public access televisionprogram focused on senior wellness / healthy aging.

Explore areas in which ALTC Case Management can reduce Medicaid costs andimprove health outcomes through the implementation of chronic diseasemanagement / medical savings projects.


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2006 2007 Area Plan Update Objectives:Team #2 - Preventive Health Services, Access to Medical, Dental, Mental Health and

Palliative Care

Plan for the transition of the federal HUD-funded wellness / health promotionservices provided in low income senior apartments following termination of federal grant funds.

Collaborate with the Centers for Medicare and Medicaid Services, Social SecurityAdministration and the Statewide Health Insurance Benefits Advisors toeducation Pierce County beneficiaries regarding the new Medicare PrescriptionDrug program.

Research and apply for funding to support older adult substance abuse treatmentservices.

Coordinate with the Washington State Coalition for Aging, Mental Health &Substance Abuse, Pierce County Regional Support Network, DevelopmentalDisabilities and Chemical Dependency to co-sponsor a multidisciplinary trainingaddressing mental health and substance abuse issues.


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Pierce County Aging & Long Term Care

~ PRESENTS ~

September 7, 2007 Friday Pierce County Soundview Building10:00 am to 12:00 Noon Conference Room SV-1

3611 South D StreetTacoma, WA.

Pierce County Aging & Long Term Care (ALTC) invites the community to attend a public meeting on the Draft 2008-2011 Area Plan. The plan discusses challenges experienced by

older adults and individuals with disabilities living in Pierce County and includes proposed strategies to address these issues. The Plan also allocates 2008 program funding for avariety of community based services .

Comments on the following questions are requested:

Does the plan address the most critical issues impacting Pierce County?

Should ALTC consider any other collaborative partnerships?

Are there any parts of the plan that need further clarification?

Has ALTC made the right decisions regarding funding of programs / services?

Copies of the draft Plan will be available online at www.PierceADRC.org by August 20, 2007and in print by August 24, 2007. To request a copy of the plan or for additional information,please contact Mickie Brown (information below).

Submit written comments by September 17, 2007 to:

Sally Nixon, Manager, Pierce County Aging & Long Term Care

By Mail: 3580 Pacific Ave., Tacoma, WA. 98418-7915By E-mail: [email protected] FAX: (253) 798-3812

The meeting location is fully accessible. To request the services of a signer or translator, or for other special accommodations, please contact Mickie Brown at (253) 798-7376 or via email:[email protected] by August 31, 2007 .

2008-2011 DRAFT AREA PLAN

MAKING IT WORK AT HOMEPromoting Livable Communities Throughout Pierce County


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(ADRC E-News - Notice of Public Hearing)


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(Press Releases / Newspaper Publications)


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(Website Printing - draft & Survey Monkey)


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YEAR 2008Appendix E

APPENDIX E

2006 - 2007 ACCOMPLISHMENTS REPORT


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YEAR 2008Appendix EPage 121

FAMILY CAREGIVERS

Objectives & Accomplishments: 2006 2007 Area Plan Update

1. Develop the Family Caregiver Resource Center to provide caregiver

access to extensive information, training opportunities and direct services.

As the result of being selected as the pilot for implementing the firstAging & Disability Resource Center (ADRC) in Washington State, ALTCintegrated the Family Caregiver Resource Center within the new ADRC.The physical ADRC space was relocated within the Pierce CountyHuman Services building in early 2007. Strategies related to theongoing development of the ADRC are continued in the 2008-2011 AreaPlan under the ADRC issue area.

2. Expand representation on the Family Caregiver Advisory Committee toinclude ethnic communities, those caring for individuals with developmentaldisabilities and kinship caregivers.

Due to ALTC workload issues, this objective was not accomplished andwill be continued in the 2008-2011 Area Plan.

3. Continue to research and pursue expanded training opportunities for familycaregivers, in various topic areas such as legal issues, Alzheimersdisease, kinship challenges, etc.

Strategies related to ongoing caregiver education are continued in the2008-2011 Area Plan under the ADRC issue area. Activities accomplishedduring 2006-2007 included:

At the February 2006 meeting, the Family Caregiver AdvisoryCommittee identified training / education needs and recommendedpotential workshops. ALTC hosted or co-sponsored the followingactivities:

April 2006 - Caregiver workshop on Falls Prevention was hosted by ALTC.


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November 2006 Put it in Writing end of life planning / decision-makingworkshop held in observance of National Family Caregivers Month, co-sponsored by ALTC, Franciscan Hospice House and Northwest JusticeProject.

March 2007 Long Term Care: Just the Facts workshop hosted by ALTC.

Participated in the planning and implementation of the annual KinshipCaregiver conferences in partnership with the Relatives Raising ChildrenProgram for both 2006 and 2007.

Provided scholarships and supplemental Respite services to enableapproximately 20 caregivers to attend the annual Challenges inCaregiving conference in both 2006 and 2007.

ALTC provided resource materials and staff support to other communityorganizations in their efforts to provide training / education to informalcaregivers. Activities included:

July 2006 Pierce County Health Care Providers Council: Annual AlzheimersCaregiver Conference.

September 2006 Catherines Place: The Caregivers Journey workshopseries.

September 2006 & 2007- Health Coalition for Communities of Color: Seniorsand Caregivers Community Support Forum.

September 2006 Catholic Community Services: Convening on AgingConference.

4. Advocate for increased State Respite funding to address unit rateincreases for in-home care services and to meet the increased servicedemand.

Legislative advocacy efforts undertaken in coordination with theEldercare Alliance and Washington Association of Area Agencies onAging included focused support for increased State Respite care fundingin both 2006 and 2007.


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5. Collaborate with Pierce County Developmental Disabilities to improvecoordination between the ALTC Family Caregiver Support program andother community agencies / programs serving caregivers caring for individuals with disabilities.

As a component of the development of the ADRC, ALTC staff attendregular in-service training sessions to coordinate and exchangeresource information with a variety of agencies serving individuals withdisabilities and their caregivers, including Pierce County DevelopmentalDisabilities, Pierce County Coalition for Developmental Disabilities,Washington PAVE, and the Center for Independence.

Objectives addressing increasing services to under-served caregivers willcontinue in the 2008-2011 Area Plan.

6. Work with Interfaith Care Team Ministries and Parish Nurse programs toimprove / increase capacity to respond to the needs of family caregivers.

ADRC staff provided outreach and education to numerous faith basedgroups, including staff, volunteers, parishioners, congregation members,support group participants and others through individual presentations,as well as participation at the annual Associated Ministries CommunityServices Resource Fair.

The Interfaith Care Team Ministries and Parish Nurse programs receivenotice of all ALTC sponsored training / education events targeting familycaregivers.

Care Team volunteers and Parish Nurses from throughout PierceCounty will be invited to attend the Making the Link informationalpresentations to be held in the fall of 2007.

7. Increase efforts to collaborate with the Puyallup Tribe of Indians FamilyCaregiver Support Program.

ALTC continues efforts to build a successful working relationship withthe Puyallup Tribe. In 2006, ALTC attended a state-sponsored trainingaddressing required planning with Tribes and has requested additionaltechnical assistance from DSHS on this matter.


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Objectives addressing coordination with and services to Puyallup Tribalmembers are continued in the 2008-2011 Area Plan under the Older NativeAmericans issue area. Objectives addressing services to under-servedcaregivers will also continue under the Family and Kinship Caregiver issuearea.

8. Increase coordination with relevant stakeholder agencies to exploreefficient, cost-effective methods of conducting outreach and education toethnic minority caregivers and persons with limited English proficiency.

In September 2006 and 2007, ALTC participated in the Seniors andCaregivers Community Support Forum, a conference focused onassisting caregivers of color sponsored by the Health Coalition for Communities of Color.

ALTC made concerted effort to include ethnic minority / limited Englishspeaking caregivers in Area Plan activities, including participation in theOctober 2006 Family Caregiver Focus Group.

Objectives addressing increasing services to under-served caregiverswill continue in the 2008-2011 Area Plan.

9. Work with local kinship care programs and the Pierce County Bar Association to develop a corps of volunteer attorneys to provide legalassistance (including advocacy, representation and education regardingcustody issues) to kinship caregivers.

In May 2006, ALTC coordinated a meeting between the Volunteer LegalServices (VLS) program and the Relatives Raising Children program for the purpose of exchanging resource information and establishinginteragency referral protocols. As the result of this activity, VLSparticipated in the 2007 Pierce County Kinship Caregiver Conference asan informational exhibitor and workshop presenter. Additionally, VLSprovided a letter of support and commitment for Pierce Countys

successful application for Kinship Navigator funding in 2007.10. Collaborate with the ALTC Senior Information and Assistance (I&A)

program to incorporate community education targeted to rural and lowincome caregivers as part of the comprehensive I&A outreach plan.


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Refer to Information and Assistance issue area and related objectives,as well as the issue area and objectives pertaining to serving the needsof rural Pierce County.

11. Research and implement model programs for working with physicians toidentify and respond to the needs of family caregivers.

ALTC continues to provide Making the Link presentations on an annualbasis. In October 2006, a total of six 40-minute presentations weremade over two days to approximately 80 participants, includingphysicians, medical office staff, hospital social workers and other alliedhealth professionals. Making the Link will be held again during the fallof 2007.

12. Collaborate with local kinship caregiver support programs to expandawareness of and access to kinship caregiver services.

ALTC participated in the planning and implementation of the annualKinship Caregiver conferences in partnership with the Relatives RaisingChildren Program for both 2006 and 2007.

The Relatives Raising Children (RRC) program continues to participatein a number of community outreach / education events throughoutPierce County in the attempt to expand awareness of available kinshipcaregiver services.The RRC program continues to produce and disseminate a monthlyinformational newsletter to 1200+ individuals and organizationsthroughout Pierce County.

Due to the availability of a number of new and updated state-producedkinship caregiver resource materials, ALTC and the RRC made thedecision to utilize and disseminate these resources, along with generalRRC program materials, rather than develop a separate Pierce Countyspecific resource guide.

13. Conduct annual survey of client satisfaction to assess strengths,weaknesses, and opportunities for growth in caregiver support services


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In the fall of 2006, ALTC conducted a focused client satisfaction surveyaddressing Personal Emergency Response Services (PERS akalifeline). Survey respondents included family caregivers who utilizePERS as a supplemental service authorized under the Family Caregiver Support program. Responding caregivers reported overwhelminglypositive experiences with the PERS service and recommended theservice to others.

Additional Accomplishments

Developed and implemented a new pilot Comfort Therapy service for informal/ family caregivers in partnership with Good Samaritan Home Health /Hospice. The new service offers massage, reiki, aromatherapy, or musictherapy for the purpose of relieving caregiver stress.

Successfully applied to receive a $83,333 grant in state funding to implementone of four new Kinship Navigator Program sites. The new program willprovide advocacy, education and assistance to relatives raising familychildren.


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HOME CARE QUALITY


1. Reduce the potential threat to client safety and quality of care by

developing strategies and mechanisms, in conjunction with home careagencies that identify agency and independent care providers workinghours greater than permitted by labor law in a week or month.

ALTC, utilizing materials developed by Washington Labor and Industry,provided in-service training during the October 2006 quarterly homecare coordination meeting/workshop to home care agency staff on labor laws relevant to managing work hours, employment, compensation,Labor and Industry functions, and other matters related to employment.Agency managerial staff was provided materials for use in refreshingknowledge of labor laws. Consideration is being given to repeating thispresentation annually at future workshops.

Providers modified and have in place systems to preclude direct serviceemployees from working unlimited hours that may result in having anegative impact (client services and safety) on the client and worker.Evidence of systems (e.g., computerized time management andscheduling systems and supervisor validation of time and attendancesheets, etc) in place were evident during the 2006 home care agenciesassessments.

2. Support passage of legislation that enhances client safety, maintains anappropriate case manager to client ratio, and increases workforcestabilization.

ALTC board staff, in coordination with the Senior Lobby and EldercareAlliance, were instrumental in developing an agenda of long term careissues critical to seniors and persons with disabilities. This agendaresulted in the passage of legislation designed to improve the quality of long term care services. Legislation passed included an increase in thehome care agency vendor rate, worker training needs study, chroniccare management pilot studies, and other relevant legislation.


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3. Collaborate with home care agencies and others in the aging network in thedevelopment of a workforce that is culturally sensitive and responsive toage, race, gender, ethnicity, and disability.

ALTC developed and provided to home care supervisory staff in October 2006 and July 2007 training related to recruiting, retention, andmanaging a culturally diverse workforce to include interviewing skills andintercultural communications. This objective has been incorporated intothe 2008-2011 Area Plan as recruitment and retention of home careworkers continues to be an on-going challenge.

4. Collaborate with home care agencies, case managers, and the trainingsubcontractor to develop an inventory of caregiver continuing educationcourses consistent with client needs and acuity.

Recommendations for continuing education training needs were solicitedfrom service providers. Suggestions were given to the training provider.

Curriculums developed and offered to service providers have resulted inservice providers being better equipped to meet the needs of anevolving, multi-cultural client base with differing disorders and carerequirements. This objective is being continued in the 2008-2011 AreaPlan. ALTC shall provide input to the governors taskforce makingrecommendations to policy makers related to caregiver training.

5. Utilize ALTC Advisory Board to annually assess client satisfaction withservices and to determine what constitutes quality from the client'sviewpoint.

Clients were surveyed annually by the ALTC Advisory Board MonitoringCommittee and appropriate service providers. The results of the surveyswere shared with the appropriate entity and service deliverymechanisms were tweaked to improve service quality as deemedappropriate. Agencies surveyed workers based on the Area Agency on

Aging recommendations. This objective shall be included in the 2008-2011 Area Plan. The survey process shall be broadened to include other stakeholders involved in the service delivery process (e.g. casemanagers, Aging and Disability Resource Center, etc.)

6. Assess, annually, agency and independent providers satisfaction withwork, services provided, and service quality issues.


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Accomplishments are addressed in the previous objective and strategy.This objective shall also be included in the 2008-2011 Area Plan.

7. Review and develop measures to determine whether services achievedesired outcomes, promote quality of life and are cost effective. Utilizedata to support maintenance of funding and personnel justifications.

Plan revised, in coordination with service providers, and given toproviders in the fall of 2006 for implementation.

8. Explore the use of the standardized nationally recognized Home CareSatisfaction Measure to assess client satisfaction with services.

A standardized client satisfaction tool was implemented. The tool is

currently being reviewed as part of a broader strategy in measuringstakeholders satisfaction with services. This objective has been foldedinto 2008-2011 objectives related to measuring stakeholderssatisfaction with services.

9. Conduct a comprehensive review of all client and home care worker incidents and grievances filed over the past two years and during thisplan's period to determine trends and implications for quality. Sharefindings with providers and jointly develop strategies as warranted toimprove service quality as warranted.

Limited data was reviewed and analyzed as part of annual home careassessments and other interactions with agencies. Analysis showedwhat is a national trend. Home care workers are apt to be injured at aratio of 3:1 as compared to aides performing similar work in residentialfacilities. This objective is also being reviewed and expanded into the2008-2011 Area Plan. The focus shall be to provide workers with toolsand training that may potentially reduce the risk of injury. A lack of knowledge related to proper body mechanics and assessment of the

home environment prior to insertion of workers appear to be significantfactors in injuries.

The few grievances/complaints filed related to client satisfaction withagency services and the quality of work. The 2008-2011 Area Planobjectives shall endeavor to enhance the abilities of clients to have agreater role in their service delivery.


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10. Continue to facilitate quarterly home care supervisors workshops designedto maintain or increase quality services.

Facilitated a minimum of four home program managers/supervisorsworkshops in 2006. Additionally innumerable technical assistance visitsand consultations were provided to service providers. Aging and LongTerm Care is on track in 2007 to duplicate workshops (three providedyear to date), visits, and consultations provided in 2006.

11. Develop in collaboration with contracted home care agencies astandardized orientation for clients designed to empower the client in thedelivery of safe and quality home care.

Developed a standardized client orientation protocol but elected to delay

implementation and seek greater involvement of all stakeholders beforeimplementation. This objective/strategies has been incorporated into2008-2011 Area Plan objectives.

12. Provide to clients strategies, in conjunction with stakeholders, designed toassist the client in the delivery of quality and safe home care.

This objective was initiated, but not fully realized due to time constraints,a change in focus, coordination of necessary stakeholders, and other outstanding issues. This objective is also being folded into a broader objective for the 2008-2011 Area Plan.


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NATIVE AMERICAN ELDERS


1. Coordinate a meeting with the Puyallup Flying Eagles Caregiver Programand the ALTC Family Caregiver Support Program to share

service/resource information and establish referral guidelines.

Due to a change in program staff at the Puyallup Tribe, ALTC wasunable to establish a key contact to pursue this objective. Efforts tobuild relationships and establish key contracts with tribal programs willbe ongoing in 2008.

2. Recruit a Puyallup Tribal member to serve on the Aging and Long TermCare Advisory Board. Ensure an exchange of information that will increaseunderstanding and access to services.

A tribal employee was recruited to serve on the ALTC Advisory Board.Efforts to recruit a tribal member will continue in 2008.

3. Collaborate with BenefitsCheckUp staff and Pierce County Senior Information and Assistance to ensure that website information includes acomprehensive overview of services available to Native American andPuyallup Tribal members.

Website information was not updated as planned. ALTC has maderecent progress in reestablishing professional contacts with tribalprogram staff and efforts to improve outreach, coordination andinformation exchange between the Aging and Disability ResourceCenter (ADRC) and the Puyallup Tribe will continue in 2008.

4. Increase collaboration in the area of protecting vulnerable adults. Shareresources and videos that increase recognition of elder abuse. Invite aPuyallup Tribe representative to serve on the Coalition for the EffectiveProtection of Vulnerable Adults group.

ALTC has initiated contact with the Puyallup Tribe Helping HandsProject, a community program addressing mental health, substanceabuse and family violence issues. Coordination efforts will be ongoing in2008.


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5. Provide outreach to the Puyallup Tribal Mealsite, Indian Health ServicesClinic and the Tahoma Indian Center to increase awareness of senior services and establish key contacts.

Provided three educational presentations to Puyallup Tribe programsconcerning Safe Medication Use, Aging and Disability Resource Center,and the Long Term Care Ombudsman program.

Puyallup Tribal Health Authority staff attended the ALTC sponsored"Making the Link" presentations, designed to provide key medicalproviders with information regarding the availability of ALTC and other aging network services.

6. Participate in Puyallup Tribal cultural events (annual Pow Wow, etc.) to

provide information and establish ALTCs presence as an interestedcommunity supporter.

ALTC Board member representatives attended the Puyallup TribeHelping Hands community dinner.

7. Annually update ALTC mailing lists to include key Puyallup Tribal and other Indian organizations serving elders in Pierce County.

Key Puyallup Tribal program contacts are now receiving the monthlyADRC E-Newsletter.


Through collaboration with the American Red Cross, ALTC was the recipientof a $10,000 grant from the Puyallup Tribe to meet the emergency needs of ALTC Case Management clients.

Coordinated to provide fresh, local produce boxes provided through the Senior Farmers Market Nutrition Program to be distributed by the Puyallup TribalHealth Authority to qualifying Native people.

Coordinated with the Puyallup Tribe and the Tacoma-Pierce County HealthDepartment to co-sponsor a workshop for seniors and aging networkprofessionals on West Nile Virus.


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Compiled informational materials needed for a grant application at the requestof Tribal grant writers.


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MEETING NEEDS IN RURAL PIERCE COUNTY

Objectives & Accomplishments: 2006 2007 Area Plan Upd ate

1. Expand Senior Information and Assistance (I & A) outreach efforts in ruralPierce County.

Aging & Disability Resource Center (ADRC) staff continue to providecommunity education and outreach on programs and resources, anddistribute informational materials in rural Pierce County. In 2006, ADRCprovided information / education to an estimated 835 recipients atapproximately 18 rural community events.

ADRC actively participates in the 55 and Moving On communityoutreach project organized by the Pierce County Sheriffs Department.Events are organized to bring service information and resources to older adults living in senior communities throughout Pierce County, frequentlyin rural / outlying areas.

2. Increase the capacity of Senior I & A to serve rural areas by developing acorps of volunteers equipped to provide assistance and referral toappropriate resources.

ADRC provided training and technical assistance to organizers and

volunteers of the Mustard Seed Project to increase the communitysability to provide information and assistance to senior residents of theKey Peninsula.

See related Objectives and Accomplishments under the Information &Assistance issue area.

3. In collaboration with community partners, plan and advocate for thedevelopment of transportation options for rural communities that lack fixedroute public transportation.

See related Objectives and Accomplishments under the Transportationissue area.

4. Assist affordable housing developers--by partnering, offering letters of support, etc.--in their efforts to increase the supply of housing for older anddisabled adults in rural Pierce County.


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Actively participated in the Mustard Seed Project, a grass-roots effortaimed at creating an elder-friendly Key Peninsula. Activities included acommunity needs assessment, asset mapping and taskforce work toaddress a variety of needs, including housing and supportive services.

5. Convene listening sessions with stakeholders and seniors from ruralareas of the county to discuss needs, service gaps, and local resourcesboth formal and informalthat provide assistance.

Participated in the meetings and activities of the Rural HealthCollaborative of Eatonville, providing resource information and technicalassistance as requested.

Conducted a focus group addressing the needs of elders living in rural

areas in preparation for the 2008 2011 Area Plan.Rural advocates participated in both Healthy Aging Planning teams heldin preparation for the 2008 2011 Area Plan.

See #4 above regarding Mustard Seed Project.


Continued to provide funding to the Diabetes Association of Pierce County tosupport diabetes education classes in rural / outlying communities.

Approved funding to support the expansion of Stay Active & Independent for Life (SAIL) falls prevention class sites in at least three new locations.Services are currently planned for the Key Peninsula and Mid-County areas.Implementation will continue into 2008.


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INFORMATION AND ASSISTANCE


1. Develop a strategic outreach plan targeted to families, physicians, interfaithcommunity staff, and providers who serve ethnic elders that will increasereferrals to Senior I&A (now known as the Aging and Disability ResourceCenter ADRC).

ALTC continues to coordinate the annual Making the Link presentationseach Fall, for the purpose of providing information and resourcesregarding ALTC and other aging network programs to key health careproviders and allied professionals. Targeted invitees have expanded toinclude pharmacists, dentists and hospital social work staff.

ALTC Aging and Disability Resource Center (ADRC) received a nationalAging Achievement Award from the National Association of AreaAgencies on Aging in recognition of outstanding efforts in providingcommunity education about the Medicare Prescription Drug Program. In2006 alone, ALTC provided information / education regarding the newMedicare benefit to an estimated 4,000 recipients at approximately 82presentations and events.

2. Continue to participate in 10-20 community educational events each year,which target older adults and aging network service providers.

ADRC continues to be involved in well over 20 community educationalevents per year, in addition to numerous smaller presentations tocommunity groups and service agencies. In 2006, ADRC participated inapproximately 106 events and presentations, providing education to anestimated 6,413 recipients. Topics include pharmacy education,Medicare Prescription Drug benefit, long term care, etc.

ADRC regularly contacts callers to ensure services to which they werereferred were received. Activities to implement regular client satisfactionsurveys of persons accessing ADRC services are planned in 2008.


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3. Develop a list serve of individuals/agencies serving as information focalpoints for older adults and adults with disabilities. Provide monthly or morefrequent updates on new resources, changes and other hot topics.

ALTC continues to develop and expand the monthly ADRC E-newsletter, including recipients and topics covered. Activities around theADRC E-newsletter will continue throughout 2008 - 2011.

4. Research the benefits of obtaining Alliance of Information & ReferralSystems (AIRS) certification for the Senior I&A program, and takenecessary steps to complete requirements for the certification process.

One ADRC staff member completed AIRS certification during thisperiod. ALTC will continue to work toward full AIRS certification of the

ADRC program and all ADRC staff during 2008 2011.

5. Continue to provide representation on the WIN-211 Committee andparticipate in local planning efforts to implement 2-1-1.

ALTC coordinates closely with and has established a Memorandum of Understanding with the United Way 2-1-1 HelpLine, the regional 2-1-1call center serving Pierce County. Additionally, 2-1-1 HelpLine staff actively participates in the ADRC Community Forums regarding theongoing development of the ADRC program.

6. Expand present monthly Senior I&A articles, (printed in the Senior Scenenewspaper) to weekly newspapers distributed in Pierce County.

This objective will continue throughout the 2008 2011 Area Planperiod.

7. Develop and implement an Aging and Disability Resource Center (ADRC)

to serve as a visible place where people can obtain information, counselingand access needed long term care services.

ALTC was selected as the recipient of federal grant funds to implementa pilot ADRC in Washington State. Development of this program isongoing during 2008 2011.


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The local AARP Information Center folded during the 2006 2007 timeperiod. Information volunteers from this program are now regularlyvolunteering for the ADRC.

8. Collaborate with the Rainier Communications Center to produce publicservice announcements and public access programming which focus onincreasing calls to Senior I&A.

Rainier Communications developed a Public Service Announcementregarding the Medicare Prescription Drug (Part D) benefit, which airedon Pierce Countys government cable access channel. The PSA wasalso shared with Comcast for viewing on other cable channels.

9. Continually update and expand the www.PierceADRC.org website(formerly www.PierceSeniorInfo.org) and explore the potential of a resource

chat room to assist professionals in problem solving difficult situations.With the implementation of the ADRC, the former Senior Information andAssistance website was redesigned. Ongoing efforts to improve andexpand the ADRC web presence are planned during 2008.

10. Continue to promote the use of www.BenefitsCheckUp.org at all locallibraries and senior centers. Recruit and train volunteers to assist older adults who are unable to access the Internet.

ADRC staff now has capacity to utilize a remote screening tool for in-home Benefits CheckUp surveys and at special event demonstrations.

ALTC is now a sponsor of the Statewide Health Insurance BenefitsAdvisors (SHIBA) program for Pierce County. The SHIBA staff andvolunteers work closely with the ADRC to assist clients in accessingavailable benefits.

Promotion of www.BenefitsCheckUp.org at local libraries, senior

centers, residential facilities and via faith communities will continuethroughout 2008 2011.

11. Continue to coordinate with Pierce County Libraries to ensure that amplesupplies of key long-term care resource guides are available and in visiblelocations in all branches. Provide library personnel serving homeboundresidents with senior information packets.


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ALTC provided a letter of support for the Pierce County Library Systemand will serve as a partner in a grant funded project that will enablePierce County libraries to expand services to older adults. Work towardthis objective will continue in 2008.

12. Recruit and place one AmeriCorps Vista Volunteer within the Senior Information and Assistance team. Focus will be on enhancing the Senior I&A presence in rural areas, community outreach and education regardingMedicare Part D, and emergency preparedness for older adults.

One AmeriCorps Vista Volunteer was placed in the ADRC team,providing community outreach and education as planned.


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HOUSING AND SUPPORTIVE SERVICES


1. Coordinate SCSA-funded Household Helper Program (HHP) serving sixlow-income housing sites in Tacoma and Pierce County, and expandservices to other locations if funding becomes available.

As of June 2007, Household Helper services were available at 13locations and were authorized for 81 clients.

2. In collaboration with Franke Tobey Jones, the Tacoma-Pierce CountyHealth Department, and Tacoma Housing Authority, research fundingsources to continue household assistance and health promotion servicesfor residents of THAs senior apartment buildings.

The HUD grant application submitted in late 2005 was not awarded.Other sources of funding were not pursued to support the continuation of health promotion services, however, Household Helper services werereinstated and expanded by ALTC under contract with a new provider,Catholic Community Services.

3. Coordinate with the Interfaith Care Team Ministry, Volunteer Chore, andSenior Companion programs to fill service gaps (e.g., transportation, lighthousework, companionship) for ALTC case management clients.

ALTC continues to provide funding to the Volunteer Chore and Senior Companion programs to provide volunteer transportation services toclients referred by the ALTC Case Management program.

4. Participate in Section 8 At-Risk Team meetings with representatives of theCity of Tacoma, Tacoma Housing Authority, and HUD to monitor the supplyof affordable housing.

The Section 8 At-Risk Team meetings were not reconvened in 2006 -2007. ALTC will continue to monitor the issue and advocate asappropriate for affordable housing.


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5. Provide information and assistance to senior and disabled adulthomeowners regarding property tax exemptions, reverse mortgages, andother avenues for managing housing expenses.

Aging & Disability Resource Center (ADRC) web site information aboutreverse mortgages, property tax exemptions, and other means of managing housing expenses were updated as needed.

ADRC continues to provide community education and outreachregarding housing and long term care options. In 2006, education wasprovided to an estimated 510 recipients at approximately elevendifferent events.

6. Provide reliable home improvement/modification information to older and

disabled consumers and educate them about ways to avoid unscrupulouscontractors and fraudulent schemes.

Senior Information & Assistance (now Aging & Disability ResourceCenter) staff continued to provide community education on frauds,scams and identity theft, reaching approximately 500 recipients per year.

Approximately 200 older adults, individuals with disabilities and serviceprofessionals received information about a variety of frauds and scamsat the Pierce County Scam Jam event. Information on homeimprovement scams was available from the ADRC, state Labor &Industries and the state Attorney Generals Consumer ProtectionDivision.

7. Coordinate with Pierce County Community Services' Housing Program toserve residents in need of home modifications that will enable them to agein place.

ALTC Case Management continues to refer eligible clients to the Pierce

County Community Services home modification services program asneeded.


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ALTC assisted with information dissemination for the Paint Tacoma /Pierce County Beautiful programs annual application process andvolunteer recruitment effort through the ADRC E-newsletter, website andmonthly service provider networking meetings. ALTC CaseManagement continues to refer eligible clients to the program.


Provided a letter of support for TACIDs HUD-funded supportive housing grantapplication, which if funded would provide case management and housingassistance for disabled homeless men with co-occurring mental health /substance abuse disorders.

Coordinated a meeting with Pierce County Planning & Land Services todiscuss future planning for aging-ready / livable communities as it relates tohousing and the built environment.

Actively participated in the Mustard Seed Project, a grass-roots effort aimed atcreating an elder-friendly Key Peninsula. Activities included a communityneeds assessment, asset mapping and taskforce work to address a variety of needs, including housing and supportive services.

Applied and was selected to become a demonstration site for the ViableFutures Toolkit a planning tool sponsored by the JustPartners: SustainableCommunities for All Ages project.

Coordinated a presentation on the SNAP for Seniors website for the monthlyHealth, Long Term Care and Aging Providers monthly networking meeting.SNAP for Seniors is an online search tool to assist consumers and serviceprofessionals locate housing and residential care options for older adults. TheADRC website was also updated to include a link to this service.

The ALTC Manager was interviewed for a March 2007 Tacoma News Tribunearticle highlighting the need for and lack of affordable senior housing in thePierce County area.


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ALTC was requested to provide resources and technical assistance to thePuyallup Tribe regarding the planned development of assisted living /supportive housing for tribal members. This activity will be ongoing in 2008.


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PHYSICAL & EMOTIONAL HEALTH AND WELL-BEING

Objectives & Accomplishments: 2006-2007 Area Plan Update

1. Expand the mature adult walking program to other communities throughoutPierce County.

In collaboration with the AdvantAge Initiative group, ALTC beganplanning efforts to implement a new Walking School Busintergenerational walking program in Puyallup.

Coordinated presentations on the Remembering When falls prevention/ fire safety program and the Stay Active & Independent for Life (SAIL)

program to be presented at the monthly Health, Long Term Care andAging Providers monthly networking meetings.

Hosted a two-hour workshop on falls prevention for informal / familycaregivers.

Collaborated with the Northwest Orthopaedic Institute and the PierceCounty Falls Prevention Coalition to host a Falls Prevention AwarenessDay.

Collaborated with the Tacoma-Pierce County Health Department andthe Pierce County Falls Prevention Coalition to promote the Lets WalkPierce County Senior and Community event.

Approved funding to support the expansion of no-fee SAIL class sites inat least three new locations. Implementation will continue into 2008.

2. Increase coordination with local parks and recreation programs to increasewellness / health promotion opportunities for older adults.

Planned and co-sponsored the Pierce County Senior WellnessConference, a half-day event aimed at promoting the development of wellness activities at local community / senior centers.


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Coordinated a meeting with the Director of Pierce County Parks &Recreation to explore ways in which the two agencies could collaboratearound community / senior center services.

Continued to participate as a member of the Pierce County FallsPrevention Coalition and to disseminate the Stay Fit activity guide toincrease awareness of available physical activity / wellness programs.

Representatives from Pierce County and City of Lakewood Parks &Recreation departments actively participated in the Healthy AgingPlanning team meetings hosted by ALTC. Points of contact have nowbeen identified for possible future collaborative efforts.

3. Plan for the transition of the HUD/ROSS-funded wellness/health promotionservices following the termination of federal grant funds. Research and

apply for other funding to support continuation of currently providedservices.

A HUD/ROSS grant application submitted in late 2005 was not awarded.ALTC did not pursue other funding.

4. Advocate to maintain, and seek increases of, Senior Farmers MarketNutrition Program (SFMNP) funding.

The Pierce County Council awarded additional funds in both 2006 and2007, which enabled ALTC to expand SFMNP services to designatedrural senior centers and adults with disabilities.

Collaborated with the Pierce Conservation District and Sasaki Farms toprovide fresh produce box deliveries to eligible seniors and individualswith disabilities.

ALTC received approximately $12,000 additional SFMNP funds as theresult of an increase in state funding allocated for 2007.


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5. Collaborate with Rainier Media Center to develop a public access televisionprogram focused on senior wellness / healthy aging.

Rainier Communications developed a Public Service Announcementregarding the Medicare Prescription Drug (Part D) benefit, which airedon Pierce Countys government cable access channel. The PSA wasalso shared with Comcast for viewing on other cable channels.

6. Collaborate with the Centers for Medicare and Medicaid Services, SocialSecurity Administration and Statewide Health Insurance Benefit Advisors(SHIBA) to educate Pierce County beneficiaries regarding the newMedicare Prescription Drug program.

ALTC received a national Aging Achievement Award from the NationalAssociation of Area Agencies on Aging in recognition of outstanding

efforts in providing community education about the MedicarePrescription Drug Program. In 2006 alone, ALTC provided information /education to an estimated 4,000 recipients at approximately 82presentations and events.

Hosted a Medicare RX Sign-Up Day at 14 high schools throughoutPierce County. ALTC trained high school students to provide one-on-one assistance to enable approximately 150 seniors to enroll in theMedicare Prescription Drug Program.

Coordinated a presentation by Centers for Medicare and MedicaidServices regarding Medicare updates to be presented to the monthlyHealth, Long Term Care and Aging Providers monthly networking group.

Continue to serve as a SHIBA sponsor, recruiting and training volunteersto provide information and education regarding Medicare benefits.

7. Research and apply for funding to support older adult substance abusetreatment services.

Through a partnership with the state Department of Alcohol andSubstance Abuse (DASA) and Pierce County Chemical Dependency,funding was provided to support a contracted Chemical Dependencyspecialist to provide in-home counseling and treatment services to older adults and individuals with disabilities being served by ALTC CaseManagement.


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This service was available until May 2007, when the contracted agencywas no longer able to support the project. At this time, the status of projectfunding for the future is unknown.

8. Coordinate with aging, mental health and chemical dependencyorganizations to co-sponsor a multidisciplinary training addressing older adult mental health and substance abuse issues.

In partnership with the Pierce County Chemical Dependency program,ALTC planned and co-sponsored Bridging the Gap, a day-longinterdisciplinary training event for professionals serving older adults withco-occurring substance abuse and/or mental health diagnoses.

9. Coordinate and convene a Vulnerable Adult Abuse Review Team to

provide a multi-disciplinary approach on local criminal cases.ALTC provided recommendations to the Crystal Judson Family JusticeCenter pertaining to the development of expanded domestic violenceservices for older adults.

10. Explore areas in which ALTC Case Management can reduce Medicaidcosts and improve health outcomes through the implementation of medicalsavings projects.

In 2005, ALTC implemented the Limited Mobility Pilot Project a specialcase management project designed to reduce Medicaid costsassociated with state-funded in-home care clients with limited mobility.As the result of the success of this effort, DSHS Aging & DisabilityServices Administration expanded the focus of the project to include awider number of clients with chronic illnesses and added other AreaAgencies on Aging to implement the renamed Intensive Chronic CareCase Management project.

During early 2007, ALTC has provided Area Agency on Agingrepresentation to the states Roads to Community Living demonstrationproject planning group. The goal of this project is to assist eligibleindividuals currently residing in state-funded institutional settings toreturn to community living through intensive transition planning andongoing social service supports.


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11. Advocate at the State and Federal levels to strengthen policies and lawsregarding the protection of vulnerable adults.

Advocated for the passage of State legislation in support of protectingvulnerable adults, including increased criminal penalties for crimesagainst vulnerable adults, assistance for identity theft victims and

implementation of a public guardianship program.

Continued to advocate with the Washington State Congressionaldelegation in support of the proposed Federal Elder Justice Act.


Health / Wellness Education:

Continued to provide funding to the Diabetes Association of Pierce County tosupport diabetes education classes in rural / outlying communities.

Coordinated presentations to the Health, Long Term Care and AgingProviders monthly networking group addressing diabetes self care, oral healthcare for seniors and adult vaccinations for flu and pneumonia.

Initiated a new partnership agreement with the Northwest Physicians Networkto implement an evidenced-based chronic disease self- managementeducation program in the community.

Participated on the Improving Adult Immunizations in Washington StateWorkgroup, a joint project of DSHS Aging & Disability Services Administrationand the state Department of Health. The goal of this workgroup is todisseminate information on adult flu and pneumonia vaccines and increasethe number of adults receiving vaccinations.

Nutrition:

Collaborated with Catholic Community Services to plan and implement a newsenior mealsite service targeting African-American elders residing in theUpper Tacoma neighborhood. Planning efforts included the development of ten nutritionally-sound Southern cuisine menu options.


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Vulnerable Adult Abuse / Exploitation:

Co-wrote an article on Financial Exploitation of vulnerable adults with

2008 ALTC Draft Area Plan

Documents

Transcript of 2008 ALTC Draft Area Plan