HomeMy WebLinkAboutAgenda - 05-15-2001-8ji/
1.
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: May 15, 2001
Action Agenda
Item No. ~~_
SUBJECT: Master Agin Plan: Approval of Ptiorit~Components and Expenditures
DEPARTMENT: Aging PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
Proposed M.A.P.Budget for FY2001
MAP priorities
INFORMATION CONTACT:
Jeny Passmore, ext 2009
Florence Soltys, Chair, Aging Board
TELEPHONE NUMBERS:
Hillsborough 732-8181 _
Chapel Hill 968-4501
Durham fi88-7331
Mebane 336-227-2031
PURPOSE: To review and approve expenditures for priority components of the County's
Master Aging Plan (M.A.P.) for the current fiscal year.
BACKGROUND: During the FY1999-2000, a Commissioner appointed Task Force prepared a
plan that identified issues related to our aging population, and developed goals and objectives
to address those issues. Following public presentations conducted throughout the community
the County Commissioners adopted, in concept, the Master Aging Plan on March 6, 2001. In~
addition, the Board asked that the MAP Task Force prioritize the various components of the
Plan and identify funding amounts and source that would be necessary to implement each
component.
Last spring when the current year budget was developed, the M.A.P.was not final, and the
funding proposal was unclear. In anticipation of its approval, the Commissioners included a
$60,000 "reserve fund" in the current year budget to address the higher priority components of
the Plan. Attachment 1 is the MAP Task Force list of funding priorities for the remainder of the
current fiscal year.. The recommendations cover priority categories which serve all three
functional groups: the Fit, the Frail and Severely disabled. It is important to note that many of
the components include one-time start-up costs in addition to on going, recurring annual costs.
In addition, the Advisory Board on Aging in April prioritized all objectives each year and also
prioritized the top 20 objectives in the overall MAP (Attachment 2).
FINANCIAL IMPACT: The proposed funding Plan allocates all of the Commissioner approved
"reserve fund" of $60,000. The attached priority list identifies both start-up and recurring annual
costs. MAP funding beyond the current fiscal year will be addressed in future yeas budgets.
RECOMMENDATION(S): The Manager recommends that the Board approve funding the
priority components identified by the Task Force (for a maximum amount of $60,000 currently
reserved in the County's General Fund budget).
1<
Orange County Master Aging Plan
Proposed Expenditures
Priority Components
July 1, 2000 -June 30, 2001
2
The following aze proposed expenditures in the current budget as recommended by the Task Force and
updated by the Advisory Board on ~xging on November 14, 2000. The priority components are listed by
functional groups and goal addressed. Expenditures are. listed as start-up (one time) and annual (recurring).
Tie Genexal Population
Goal I-A': To improve access to services ,information and assistance and
social activities for all older persons in Orange County.
Information and Assistance -Current information about all resources relevant to
older adults and their families should be available, understandable, convenient
and accessible to all older persons and their families. (page 6)
Sta -u Annual Cost
al) Update; redesign and publish the Orange County Community Care Guide
twice per year and evaluate its use. (Cost -design and printing) $1,000 $2,000
Facility Access- Provide two multipurpose focal pint facilities that aze lazge
and highly visible with satellite outreach programs to enable access to services,
activities and information to a11. (page7)
bl) Perform a community survey that will measure the knowledge of and the
effectiveness of programs at senior centers and satellite outreach programs
in meeting the needs of older persons.
(Cost -student intern/volunteers and survey materials) $3,000
b2) Rent space (approx. 4000sf) for. a Central Orange Drop-in Senior Center
until a large multipurpose center is a reality. This is to be done in partnership
with the Friends of the Senior Center and the Town of Hillsborough.
(Cost -space rent) $25,000
Transportation Access- Improve access to public transportation for all economic
strata of older persons. (page 9)
c1) Establish an OPT customer user surveyor a forum that will identify needed
changes to routes, additional service needs ,customer satisfaction issues to
will be completed annually before budget preparation (Cost -materials) $5.00
Goal I-B: To have each older person in Orange County perceived as and
valued far his/her uniqueness.
Education and Societal Attitude -Increase the awazeness and education of the
community about the positive aspects of aging and older persons. (page 10)
Page 1 of 3
Start-un Annual Cost
al) Continue with the development of local television programs and air a
minimum of two programs per month "In Praise of Age" Show,
portraying seniors in a positive light. (cost -materials/supplies). $1,500
The Well-Fit Older Po ulation
Goal II-A: To improve and/or maintain the health status of Orange
County's Well-Fit Seniors for as long as possible.
At-risk _ ealth Promotion- Provide culturally sensitive, quality information
on health promotion and personal preventive health actions to at-risk
populations of older persons. (page 17)
bl) Provide educational materials and/or programs designed to teach older
persons and their cazegivers on effectively using their health care providers
such as "How to Get the Most Out of Your Visit to the Doctor."
(Cast -~-Design & Materials available in English and Spanish) $2,000
Goal II-B: To ensure an adequate supply of affordable, safe and suitable
housing exists for older residents in Orange County.
Housing_(page 19)
al) Complete an assessment of housing needs, quantities, and amenities for
older persons in Orange County for the years 2001-2020.
(Cost - OCHCD-professional contract) ~ $d,000
The oderatel Im a'red Olde Po ulation
Goal III-A: To recognize and support the efforts of informal caregivers
in providing care to older persons in Orange County.
Respite Services (page 23)
bl) Coordinate and provide heavy house cleaning service for clients on
a sliding scale fee. (Cast -outside contracts) $13,500*
cl) Research the need far an adult day program (social and health models) and
design a program based on the results of the research. (Cost materials/intern) $200
c2) Develop a funding plan for the provision of adult day services.
(Cost -materials/intern) $300
Page 2 of 3
Start-un Annual Cost
The Severely Disabled Older_Population
Goal l[V-A: Orange County residents who require long term care services
will have access to a continuum of quality care and will be treated with
dignity and respect.
Lona Term Care Services -Provide appropriate and quality caze that promotes
the health, dignity, and rights of older persons. (page 28)
al) Establish an Orange County Lang Term Caze Roundtable (OCLTCR)
comprised of regulators, advocates, and service providers ,which will work
' to define, address, and resolve issues related to the long term care population. $500
a5) Expand an "Emergency Medical Information Program which provides
personal medical information Packets to seniors accessible to emergency
personnel when needed. (Cast - Design/print packets) $2,000
Goal lv-B: Orange County will be a model county in adhering to or
surpassing federal and state guidelines (e.g.1987 OB1ZA) which address
residcnts' rights, quality of care,. and quality of life in long term care facilities.
uali of Care Provision -Estab 'sh count mechanisms for mai t ' d
improving_the quality of long term facilities. (pale 32)
$500
a2) Present "business of excellence awards", endorsed by the County
Commissioners, to long term caze facilities that meet and /or surpass federal
and state guidelines. (Cost -marketing; awards, etc) - - $1,500
Planning. Administration and Coordination of Aging Services
Goal VI-A: To improve the efficiency and effectiveness of Orange County's
administration and funding of aging services now and in the future.
a3) Provide administrative support to the new Orange County Long Term Care
Roundtable. (Cost- materials/supplies) $500
Added $1500 on 11/14/00 Subtotal $15,000 $45,000
Grand Total - $60,000
H:/MAP/MAPbud2001 a.doc
Page 3 of 3
,t
The To MAP Issues/gb'ectives in the Overall Plan
RANK MAP Code/Pop./Year
1 GoallA-b2 -General
Year: 2001-2005
2 Goal IA-bS- General
Year: 2001--2002
3 Goal IA-bfi -General
Year:2001-2002
4 Goal IA-b1 -General
Year:2000-2001
S Goal IIA-a9 -Well-fit
Year: 2001-2002
6 Gaal IIA,a3 -well-fit
Year:2001-2004
7 Goal IIB-a1 -Well-fit
Year: 2000-2001
Issue/Objective -
Facility Access- Rent space (4000 sf) for a new Central Orange
Drop-in Senior Center until there is a large county center.
Facility_Access~ubmit funding proposals for the construction
of a new Southern and Central Orange Senior Centers.
Facili Access-Locate land and design the Central Orange
Senior Center with co-location idea with day care and housing.
Facility Access-Pertorm a community survey to measure the
eff®ctiveness and awareness of Senior Centers.
Maintenance of Well-fit Health Status- Recruit retired volunteer
health professionals who can expand health services.
Maintenance of Well-fit Health Status-Continue the
development of strategies to make at-risk groups aware of
potential health/wellness services.
Housin :Ensure ade uate su I -Complete an assessment
of Senior housing needs, quantities and amenities thru 2020.
8 Goal IIB-a5 -Well-fit Housin :Ensure ade uate su I -- Formulate strategy to
Year:2002-2003 increase # of available & affordable housing units for seniors.
9 Goal IiB-a6/a7 -Well-fit Housing: Ensure adequate supply -Reduce the # of housing
Year: 2002-2003 units that lack plumbing & kitchen facilities ~ heating.
10 Goal IVA-a1 severely Disabled Lon Term Care: Access to uali care - Establish a Long
Year: 2000-2001 Term Care Roundtable that will work on resolving issues.
11 GoaIIIA-c1/c2- Moderate Impair Care fiver & Famil Su ort: Da Care -Research need and
Year:2000-2001 develop a funding plan for adult day care program.
12 Gaal IIIA-c3 -Moderate Impair Care fiver $~ Famil Su art: Da Care -Implement adult day
Year:2001-2004 (sociallhealth) program
13 Goal IVA-b1 severely Disabled Lon Term Care: ccess to u li care support legislation to
Year: 2000-2001 increase dental access (mobile unit) services in LTC facilities.
14 Goal NA=b2 severely Disabled Long Term Care: Access to quality care -Procure grant monies
Year: 2000-2004 to obtain/operate a dental access mobile unit In Orange county
1S Goal IIIA-b1 -Moderate Impair Care aver ~ Famil Su ort: Home care -Provide heavy house
Year:2000-2004 cleaning service for clients once a month on sliding fee basis.
16 Goal IIIA-b3 -Moderate Impair Care fiver 8< Famil Su ort: Home care -Expand existing in-
Year:2001-2004 home respite services.
17 Goal IC,a1 -General Mental Health/Emotional Well-bein -Conduct and evaluate
Year:2001-2002 impact of one mental health group program for older persons
18 Goal IC-b3 -General Mental Health/Emotional Well-bein -0ffer a senior center
Year:2003-2004 service that meets the needs of individuals who are not
independent, but to not need day care.
19 Goal IA-c3- General Trans nation Access -Implement (OPT,TTA,E_Z Rider) a plan
Year:2001-2004 for a seamless para-transit within and outside the county.
20 Goal IA-c5 -General Transportation Access -Provide transportation from senior
Year:2001-2004 housing to senior centers far existing opportunities.
The Orange. County Advisory Board on Aging in Apri1,2001 prioritized the Master Aging
Plan objectives regardless of which year they occurredin the overall plan. The Aging
Board ranked below the most important issues (the highest -#1 receiving the most votes)
followed by specific objectives receiving two or more votes. The MAP code is provided
along with the target population to be served and the year of the plan.
ri.
6
RANK MAP Code/Pop./Year .Issue/Objective
21 Goal IVB-a3 severely Disabled Long Term Care: Maintenance of quality of care- Advocate for
Year: 2001-2005 state grading system for LTC facilities similar to the five star
for child care.
22 Goal NB-a8-Severely Disabled Lang Term Care: Maintenance_af quality of care -Implement
Year: 2003--2004 county quality of life standards that LTC providers must meet
or be subject to county penalties.-
23 Goal IA-a1 -General Information 8, Assistance Access-Update, redesign and publish
Year:2000-2004 county community care guide twice per year and evaluat® use.
24 Goal IA-a2 -General Information & Assistance Access- Distribute copies of the
Year:2000-2004 Community Care Guide. to service providers and monitor use.
25 Goal IIIA-d4 -Moderate Impair Caregiver & Family support: Home care- Provide counseling
Year: 2002-2005 and education s®rvices for caregivers in order to reduce stress
and improve home care.
26 Goal IB=a1 -General .. Education and Societal Attitudes-Continue to development and
Year:2000-2004 air local TV programs (CH *) on positive seniors and aging.
27 Goal IIIA-a1 -Moderate Impair Caregiver 8 Family Support: Home/Institutional Care-Offer
Year:2001-2004 sufficient ~ affordable training of certified nursing assistants
(CNA's)/ personal care aid®s (PCA's).
Prepared by, Jerry M. Passmore, Secretary
O.C. Advisory Board on Aging
May7, 2001
FN:MAP/tapMAPranking 1.doc
Page 2 of 2