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Home My WebLink About20012786 RESOLUTION RE: APPROVE VALE GRANT APPLICATION FOR LONG TERM CARE OMBUDSMAN ADVOCATE/FRIENDLY VISITOR PROGRAM FROM HUMAN SERVICES, AREA AGENCY ON AGING, AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a VALE (Victim Assistance and Law Enforcement) Grant Application for the Long Term Care Ombudsman Advocate/Friendly Visitor Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Services, Area Agency on Aging, to the VALE Board, Nineteenth Judicial District, commencing January 1, 2002, and ending December 31, 2002, with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the VALE (Victim Assistance and Law Enforcement) Grant Application for the Long Term Care Ombudsman Advocate/Friendly Visitor Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Services, Area Agency on Aging, to the VALE Board, Nineteenth Judicial District, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. 2001-2786 HR0072 //5.) VALE GRANT APPLICATION FOR LONG TERM CARE OMBUDSMAN ADVOCATE/FRIENDLY VISITOR PROGRAM PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of October, A.D., 2001. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: �0�t'//v , ``;, I c l %`EXCUSED zzwdGC/ r .` . ‘. J. Geile, Chair Weld County Clerk to the Sfr BY: i // Ij1w,; ' r ° enn Vaad, Plro-Tem Deputy Clerk to the Boar.4 / ' \ A l 1✓ dam► Willis erke APPROV AS TO RM: J vid E. Long my ttorn Robert D. Masden Date of signature: 1O/« 2001-2786 HR0072 a MEMORANDUM PgS(‘ ' O: eFROM: M. J. Geile, Chair, Weld County Board of Commissioners Walter Speckman, Executive Director, * ILA— Department of Human Services COLORADO DATE: September 28, 2001 SUBJECT: Weld County Area Agency on Aging's Long Term Care Ombudsman Advocate/Friendly Visitor Program VALE grant request Enclosed for Board approval is the annual grant application for VALE (Victims Assistance and Law Enforcement Board) assistance. The Weld County Ombudsman program has received VALE funding for the last four years. Our current VALE grant application request is $8,500. This grant has allowed the Ombudsman program to provide elder abuse prevention programs to long term care staff and develop and maintain a volunteer Ombudsman program. If the grant is approved, the funding period will be from January 1, 2002 through December 31, 2002. If you have additional questions, please contact Eva Jewell at 353-3800, extension 3331. 2001-2786 PROJECT DIRECTOR: Eva Jewell TITLE: AAA Director PROJECT: Weld County Long Term Care Ombudsman Advocate/Friendly Visitor Program AGENCY: Weld County Area Agency on Aging ADDRESS: 1551 North 17th Avenue Greeley, CO 80632 BOARD OF COMMISSIONER APPROVAL `Iil�,lF SIGNATURE: Robert D. Masden, Temporary Chair (10/03/2001) Section B: Summary The Weld County Long Term Care Ombudsman Program has been a consumer voice for the elderly residing in nursing homes and personal care boarding homes (assisted living) for more than twenty(20) years. The authority of the local Ombudsman Program comes from the Older American's Act, Colorado Revised Statutes 25-11.5 and the Nursing Home Reform Law of 1987. The Weld County Ombudsman acts as a consumer voice for the concerns of the elderly living in institutions who may have no one else to speak for them. The Ombudsman also receives and resolves questions, issues,problems and complaints made by, for, or on behalf of residents of long term care facilities. Weld County facilities have continued to grow to include six nursing homes and twenty two_personal care boarding homes to respond to the increasing number of frail elders affected with chronic conditions which interfere with their ability to live independently in the community. This number does not include the additional seniors moving into the Weld community already requiring long term care, nor the people who will experience unanticipated changes in their general health status which will require long term care placement. In addition, development plans have been submitted to build an additional nursing home in the Windsor area, construction anticipated to begin in 2002. The V.A.L.E. grant has allowed the Ombudsman Program to increase staff time to keep up with the increasing demand for advocacy on behalf of this very vulnerable population. The assistant position is currently working 16-20 hours per week in the field, visiting nursing homes and personal care boarding homes. By maintaining a constant presence in these facilities, the Assistant Ombudsman has built trusting relationships with residents and staff. The funds have also enabled the program to maintain an abuse prevention and awareness program aimed at Certified Nurse Assistants (C.N.A.'s). This has allowed the Assistant Ombudsman to educate residents and staff about the Ombudsman Program, abuse issues and resident rights, as well as investigation of complaints of abuse and neglect. The success and popularity for the abuse prevention program has escalated. As the market continues to grow, the demand for education for front line staff also increases. Without the V.A.L.E. resource, the program will not be able to continue these imperative services. In addition, it would be impossible to continue and expand our Volunteer Ombudsman Program without the V.A.L.E. grant dollars. Long term care residents face both physical and psychological barriers when it comes to expressing and advocating for their needs. This makes residents more likely to be victimized by care givers. The Ombudsman's role through observation and a frequent presence in the facilities; is to insure that resident rights are being respected, that quality care is administered, and that abuses do not occur. Continued funding of the Assistant Ombudsman will make it possible for the Area Agency on Aging Ombudsman Program to serve the increasing number of vulnerable long term care residents and their families. We are requesting a modest amount of VALE. Board Funds ($8,500) to continue to fund the Assistant Ombudsman position and to increase the expansion of elder abuse education to additional target populations. In 2002 the funds will allow the Assistant Ombudsman to continue her presence of 16-20 hours per week. This will continue the necessary involvement with the "Ensuring an Abuse Free Environment"program and aid in the recruitment and training of volunteers. We believe that our request for a continuation of funding relates to the mandate of early crisis intervention and to provide assistance and support to victims and their families. Section C: Project Concept/Design Overall Issues Being Addressed: The purpose of the Weld County Long Term Care Ombudsman Program is to assist and empower consumers of long term care services by providing information about those services and furnish support in complaint resolution. These issues or complaints may include, but are not limited to access to long term care services, redress of neglectful or abusive care, and information and assistance with civil and human rights. The Long Term Care Ombudsman program is a resident/patient/consumer-centered advocacy program. Long Term Care Ombudsmen have statutory status under the Older Americans Act of 1965 as amended and are required by federal and state law to visit every nursing home monthly and every personal care boarding home quarterly. They also receive, investigate and resolve complaints, identify needs of long term care residents and help establish programs to meet those needs. The Ombudsmen also document and report problems of long term care and help to stimulate and promote improvement of the system. Currently, Weld County has the capacity to occupy 869 nursing home residents and 528 assisted living residents, and the numbers are expected to continuously grow. The recent growth has resulted in an expansion of assisted living facilities. To meet the demand, the assisted living industry is expanding into the rural areas as well as continued expansions in the Greeley area. This additional growth will increase the Ombudsman responsibilities, including all education and technical assistance components, all required visitations, all complaint investigations, and all documentation and reporting. We hope to meet the need by continuing the Assistant Ombudsman position of.50 FTE , funded by this proposal. Due to the increased number of long term care residents Weld County has experienced in the last few years, the demand for Ombudsman services has also increased. Federal funds, through the Older Americans Act, are not keeping up with the growing need for long term care advocates. With limited current resources available to the Area Agency on Aging, it will be impossible to meet the minimum requirements for a visible presence in all of Weld's long term care facilities. In an effort to keep up with the visitations, the training and technical assistance to the facilities will be negatively influenced. Such training is the key to the prevention of practices that diminish the quality of life of residents and in many cases may border on abuse. There is continuing evidence from statements made by regulatory agencies that an informed, educated and empowered community presence in long term care facilities can help to maintain or improve the quality of the facility and thus the quality of the residents' lives. In short, the problem we are trying to resolve is the lack of Ombudsman resources to cover exceptional increases in the growth of long term care services in Weld County. hi 2000, a federal commission concluded that nursing home and assisted living communities were severely understaffed and have made recommendations to enforce stricter and tougher staffing requirements and guidelines. As a result, Governor Bill Owens formed a blue-ribbon panel to review these issues and make recommendations. Recently, this panel has developed a draft for assuring quality health care for Colorado, "A Partnership for Nursing Excellence." Unfortunately, the work to develop solutions is just beginning and those of us who have the responsibility to oversee the care of the elderly must respond to this crisis now. Some of the current recommendations are to increase vocational and educational training to expand and encourage people to enter the elder care health industry, empower current employees to enhance retention and give the patient-care professionals better tools to get their jobs done, and to reduce the numerous elder abuse and neglect incidents. Project Goals: To enhance the ability of the Weld County Long Term Care Ombudsman Program to act as a consumer voice for the concerns of the elderly living in nursing homes and personal care boarding homes. By visiting nursing homes and personal care boarding homes, there is an ongoing process of building trust and rapport with the residents and staff so that instances of mistreatment and elder abuse can be identified and addressed promptly. 1. To enhance the ability of the Weld County Long Term Care Ombudsman Program to receive and resolve questions, issues, problems and complaints on behalf of residents of long term care facilities. 1. To enhance the ability of the Weld County Long Term Care Ombudsman Program to provide community education regarding issues of elder abuse and quality of life for residents in long term care facilities. To strengthen the ongoing elder abuse training program. The current training being used is a program developed by " CARTE," which stands for, " Coalition of Advocates for the Rights of the Infirm Elderly." This educational program is also known as, "Ensuring an Abuse Free Environment" training. CARIE consists of eight training modules that focus on various aspects of elder abuse. The training program will be used to assist with educating staff, residents, and family members regarding victimization. Training and education can be accomplished through CNA conferences or in-services at nursing homes or personal care boarding homes. 2. Currently the CARTE program is being offered to C.N.A.'s (Certified Nursing Assistants). The Weld County Ombudsman Program has discovered the benefits of offering the training to administrative and managerial long term care staff. This additional training for this program has been developed and the Ombudsman Program is currently undergoing the implementation of this training. In addition, the Assistant Ombudsman is planning to add a victim rights and victim assistance portion to the CARTE training program. With this addition to our training, it is expected that each trainee will understand how to assist a victim with reporting a crime, and how to help them apply for victims assistance and compensation. However, due to the lack of adequate staffing, facilities had faced the challenge of enrolling their staff for an all day training. The Weld County Ombudsman program has implemented an abbreviated version of the training to the students who attend the "Ensuring an Abuse Free Environment" training. In addition, the Assistant Ombudsman has been able to address the issues of elder abuse in the earlier stages of C.N.A. training, through the C.N.A. training center. The C.N.A. training center is used specifically for training those who are wanting to become C.N.A.'s. Many of these individuals work in long term care facilities, but have not obtained their licensure. This has allowed the Abuse Prevention Training to be delivered to more students on a bi- monthly basis and has increased awareness and reporting standards to 30-50 students monthly. This has given the Ombudsman Program an opportunity to reach a wide variety of future nursing assistants, which will provide outreach services that are conducive with the Governor's Blue-Ribbon Committee goals. Project Objectives: During this grant period we intend to: 1. Continue the Assistant Ombudsman's presence of 16-20 per week in Weld County long term care facilities, for the purpose of providing a consumer voice for the concerns of elderly living in institutions and to be able to promptly address any instances of mistreatment or abuse. 1. Continue and expand implementation of the "Ensuring an Abuse Free Environment" training (CARTE). 1. Maintain and distend the volunteer program to sustain the current 4 volunteers and to continue to recruit, and train an additional 6 volunteers. Volunteers assist the Ombudsman program for increased visibility with friendly visits. Volunteers are also involved in the CARIE training process. Timetable: Visit 500 long term care residents and investigate 50 complaints by December 31, 2002. This is a continuation request to proceed with the future CARTE training. The continuation of the program to include nurse training through AIMS Community College through January, 2002. The ongoing and enhanced Elder Abuse Prevention Program timetable will be as follows: Develop elaborated training materials to include information pertinent for assisted living staff by January 1, 2002. Implement the enhanced training for assisted living staff into the current training program by March 31, 2002. Develop a suitable training format using the Power Point Program, especially designed for managerial staff by March 31, 2002. Continuous CARTE training to 175 direct line long term care staff along with an increase of 50 administrative and management staff by December 31, 2002. Provide condensed version of Elder Abuse Prevention Training to 350 C.N.A. students through the AIMS Community College Training Center. Heighten volunteer program: • Recruitment and marketing to continue on a monthly basis from January - December, 2002. • Screening and orientation of new volunteers to proceed on a monthly or as needed basis from January to December, 2002. • Training and support to continue on a monthly basis from January to December, 2002. • Expand role of two volunteers to assist with the instruction of the CARIE training by July, 2002. Impact of Crime Program (formerly known as Victim Empathy for Offenders): The purpose of this program is to have offenders experience empathy for victims. • Establish a routine presentation schedule through the Probation office of Weld County. We are currently the sole program that speaks to this group regarding victims of elder abuse. Our next scheduled speaking engagement is October 30, 2001. • Continue to speak on behalf of residents who reside in long term care facilities on a routine basis. Sexual assault intervention and reaction program: Provide sexual assault education program for long term care facilities. Coordinate guest speakers to present on sexual assault prevention and reaction tactics. How Goals and Objectives will be accomplished: Under the guidance of the Lead Ombudsman the Assistant Ombudsman will continue to be assigned a specified number of long term care facilities to visit on a regular basis. Sixteen to twenty hours per week will be allotted for visitation and travel time. The average visit per facility will be one hour, however the visit could take longer if there is a need. During the first three quarters of 2001, the Assistant Ombudsman made visits to 498 residents of long term care facilities and investigated 82 complaints. The Elder Abuse Prevention Program is based on a training module called the CARTE program also known as, "Ensuring an Abuse Free Environment"training. CARTE consists of eight training modules, each focusing on an important aspect of abuse issues including, identifying and recognizing abuse, the possible causes, understanding the complex issues surrounding care- giving, cultural and ethnic perspectives, resident/staff dynamics, ethical and legal issues, how to report abuse and intervention and prevention strategies. The Assistant Ombudsman will continue to train staff and residents at long term care facilities, Aims' Nurse Training Center and monthly scheduled sessions regarding victimization and expand into the nursing programs criteria. The Assistant Ombudsman has designed a condensed version of the CARTE training program, which will continue to be used to meet the changing needs of the long term care facilities in Weld county. Topics discussed include the following types of elderly abuse: physical, emotional, sexual, financial, abandonment, and neglect. Training individuals about elder abuse is very important for several reasons. First, the older adult population is the most vulnerable and frail. Many older adults rely on other people to take care of their activities of daily living and finances. Second, abuse of older adults is under reported. Many states including Colorado do not have mandatory reporting of elder abuse. However, Weld County has experienced an increase in reported incidences. This could be due to education, awareness, and empowerment on abuse issues, but also could indicate a heightened number of abuse occurrences. The Assistant Ombudsman will continue to track the reported number of abuse cases. Third, older adults (especially those 85+) are the fastest growing segment of the population. Anticipated problems in implementing goals and objectives: Currently, the program has four active volunteers, and the Assistant Ombudsman continues to progressively recruit potential dedicated volunteers. Unfortunately, the program has an ongoing challenge to recruit appropriate and reliable volunteers. Staffing issues remain as a major crisis in long term care facilities. For this reason, the Assistant Ombudsman continues to be flexible and open to requests from long term care facilities regarding training programs. If necessary, the developed programs can be modified to meet the needs and schedules of those working in long term care facilities. We do not anticipate any problems of reaching the new goals and objectives for 2002. The Assistant Ombudsman will be able to fulfill the original goals and objectives while enhancing the Volunteer, Sexual Assault training and CARTE programs. Effectiveness Evaluation: To evaluate the effectiveness of the CARIE program, the Assistant Ombudsman will continue to collect data from evaluations that are distributed at the end of the training session. The information gathered will continue to be entered into the data base developed during the 2002 grant cycle. ATTACHMENT A. This data continues to be utilized to determine if the goals and objectives of the program are being met. This information will also be used to enhance and modify the program if needed. The success of the Ombudsman Volunteer Program will be measured by monitoring the number of additional visits, educational sessions and volunteer satisfaction surveys will be evaluated and results entered into a database. In addition to previous years, the results of this year's evaluations highlight how valuable the CARTE training is for staff working in long term care facilities. Program goals as related to the V.A.L.E. statute: This program continuation request most relates to 24-4.2-105, Section 2, part a and part b. Part a addresses provision of service for early crisis intervention. As mentioned earlier, there is evidence that when there is constant and continuing community presence in long term care facilities the potential to improve the quality of life and prevent abuse and exploitation is reduced for the residents. We propose to continue advocate contacts with long term care residents as a preventive move. We know that there may be many barriers to the elderly, particularly those in long term care facilities, to express their particular needs without assistance from others. Some of these barriers are physical due to loss of sight, speech, or hearing. Some barriers are psychological due to a sense of isolation, fear of retaliation, or disorientation. Barriers to self- advocacy can also be related to the lack of information about rights, alternatives, and legal remedies. Part b addresses assistance programs for victims and their families. A key role of the long term care Ombudsman is complaint investigation and complaint resolution. Long term care residents must be assured that the Ombudsman will be able to follow up on their complaints in a timely and professional manner. With the continued increase in long term care beds, the ability of the present Ombudsman to respond appropriately to complaints will be jeopardized. The extension of the friendly visitor/advocate under this proposal will continue our Ombudsman hours insuring that the Lead Ombudsman and the Assistant Ombudsman will be able to respond to residents and their families in a timely and appropriate manner. Case Number 1-Financial Exploitation F This year the Assistant Ombudsman served as an advocate in a case of financial exploitation of an at-risk adult. The resident was a 89 year old female resident, inflicted with Alzheimer's disease. A family friend had taken the resident out of the facility, stating that they were going out to lunch. When the resident returned to the facility it was discovered that the family friend had taken the resident,who has been declared incompetent, to the resident's bank. There they withdrew approximately$41,000 from the resident's account. The money was retrieved by the facility and returned to the resident's guardian. During this process, the Assistant Ombudsman worked closely with the guardian, the facility staff, and Adult Protective Services. Through this network, the Assistant Ombudsman found that there was a history of a family member misusing the resident's money. It has also been alleged that the family member was attempting to use the family friend as a means of gaining access to the resident's life long savings. Case Number 2-Physical Abuse QThis year the Assistant Ombudsman was involved in the case of a male older adult suffering from Alzheimer's disease, who resided in a long term care setting in Weld county. The resident had no history of causing physical harm to other residents. One evening, the resident became very confused and fearful of his roommate. At one point the resident had stated that he had seen the roommate as a stranger who was "killing" his mother. As a result of the resident believing that his roommate had created acts of violence, the resident reacted by physically assaulting his roommate, who also had a diagnosis of Alzheimer's disease. The resident had used his walker as a weapon, causing his roommate to be hospitalized for injuries. The resident was taken to the hospital to undergo psychiatric evaluation. After the evaluations were completed, it was determined that the resident was not mentally capable of intentionally harming another person, and that the incident was not premeditated. Throughout the case the Assistant Ombudsman was in worked closely with the two residents involved, the facility staff, Adult Protective Services, the State Health Department, and the Greeley Police Department. The Assistant Ombudsman advocated for both the resident who committed the crime and the victim. The facility was refusing to allow the perpetrator to return to the facility, stating that the resident has the potential of inflicting harm on other residents. Since the incident was isolated and there was not premeditated evidence, the facility was violating the resident's rights by refusing him services. Due to the involvement of the Assistant Ombudsman, the resident was allowed to return to the facility. It was decided that he would benefit from having a private room, as the resident had a history of becoming fearful when he had a roommate. Section D: Service Information Population and geographic area targeted: Populations targeted are 60 plus elderly residing in nursing homes and personal care boarding homes located in Weld County. Numbers of persons in need of these services: Approximately, 1,400 Weld County residents live in long term care facilities. All of these residents receive services through the Ombudsman program either directly with visitations and complaint resolution or indirectly through training and technical assistance provided to staff to improve the quality of care. By extension, the program also may represent the concerns of relatives and/or friends of long term care residents as long as the concern reflects the concerns of the resident. Continuation of support will make it possible for the Area Agency on Aging Ombudsman Program to continue to serve all of the long term care residents and their families with the same type and degree of services that we currently are providing. Duplication of Services: There is no other program which provides services equivalent to the Ombudsman Program. Community Support, Coordination and Networking: (a) The Weld County Area Agency on Aging's primary goal is to help maintain an individual's independence and dignity in their homes and community by identifying and advocating for their special needs. In order to accomplish this goal our agency works closely with community providers to facilitate a means to obtain needed services quickly and efficiently to the seniors in our community. We have formal agreements with agencies that we fund directly to provide a variety of services to seniors such as: Elder Garden Adult Day Program, Senior Peer Counseling through North Range Behavior Health and In home personal care through RVNA. We have established working relationships with a number or other agencies such as: Greeley Police Department, Sheriffs Office, Adult Protective Services, Weld County Victims Assistance, Social Services of Weld County, local nursing facilities, and local assisted living facilities. These working agreements are verbal only so we are currently in the process of developing written memorandums of understanding with each of the above stated agencies. (b)The Weld County Area Agency on Aging is an active participant in Weld County's Coordinating Committee for Victims of Crime (CCVC). Currently, the active member is Raegan L. Maldonado, Lead Long Term Care Ombudsman. The Lead Long Term Care Ombudsman anticipates further involvement with future subcommittees, as assigned and needed in the CCVC meetings. It is pertinent for Assistant Ombudsman to become involved in this committee and she will be invited to attend the next scheduled CCVC meeting. The Assistant Ombudsman will offer to share information from our"Ensuring an Abuse Free Environment"training with the members of CCVC. In addition, the Lead Ombudsman presented information to the CCVC committee about the Weld County Long Term Care Committee. The Long Term Care Committee is open to all interested community agencies and individuals that provide services to older adults in Weld County. The Long Term Care Committee members are committed to providing community support and services for older adults. The committee provides and excellent forum for networking and learning about current and new services available for older adults. For example, past presentations have included: adult protective services, victims' rights and compensation, (c) The Weld County Area Agency on Aging has been actively involved in TRIAD since its formation in Weld County. Currently, Pete Archuleta, Weld Area Agency on Aging Legal Services Coordination, attends the TRIAD meetings and provides pertinent information from TRIAD to the rest of the Area Agency on Aging staff. The Lead Ombudsman will be attending the "SART" Sexual Assault Resource Team meetings. Crime Victim Compensation Program: (a)The Weld County Area Agency on Aging regularly informs victims about Victim Compensation. For example, during the sexual assault case involving an at-risk adult in 1998, the Ombudsman's office assisted the victim's family in applying for services. The victim's family and the Ombudsman used resources available through Victim Compensation during the time of the trial. Such resources include the Victim Assistance area set up for victims and families at the Weld County courthouse. (b) The Weld County Area Agency on Aging and the Ombudsman program to not foresee any issues that would prevent informing crime victims of the Victim Compensation eligibility requirements and information regarding victims' rights. We would also be able to provide assistance to those individuals who are unable to apply for assistance independently. Staff and Volunteer Training: Our agency continues to take the steps necessary to assure that pertinent staff and volunteers have read and understand the rights afforded to crime victims. (a) Our agency notifies victims about their rights under VRA. (b) To assure that pertinent staff and volunteers are trained on VRA, our agency coordinates training seminars with the Colorado Organization for Victim Assistance (COVA). The last VRA training took place on September 6, 2000 during the Long Term Care Committee meeting. Presenting this information at the Long Term Care Committee allowed other agencies to obtain this important information. Cynthia Geissinger provided the training. COVA indicated that future training would be possible. Cost Savings When an advocate visits a long term care facility and discovers issues that affect the direct health of a resident, the advocate can facilitate and coordinate care with the facility to enhance the resident's plan of care to help reduce the problem from escalating. There are considerable medical savings to the taxpayer(most nursing home residents are on Medicaid) when extreme medical procedures can be avoided. When long term care patients are restrained, not only is it a violation of individual rights,but an opportunity is missed to administer therapies,which can help the patient become more independent. The ombudsman, again, can identify these situations and work with the staff to develop alternate interventions which will respect individual rights and give the patient care that may increase his/her potential to be independent. Dependence costs society. Elder abuse education is invaluable to reduce incidences that occur. When a resident is exposed to an abusive situation the experience can cause not only physical, but also emotional, psychological, and social damage. The resources used to investigate and monitor these incidences are costly and limited, the Ombudsmen become a valuable resource to assist and prevent abuse in long term care facilities. Repercussions from abuse result in expensive and time consuming therapies and utilize valuable resources allocated for the community. The abuse education provided by the funds from this grant help to raise awareness and allow intervention before abuse situations occur. Management Plan The Director of the Weld County Area Agency on Aging will be accountable for the administration of this project. The part time Ombudsman advocate will continue to be trained and supervised on a daily basis by the Lead Ombudsman under the supervision of the Long Term Care Coordinator who reports to the Area Agency on Aging Director. Service Providers Lead and Assistant Ombudsmen along with volunteers will provide the proposed services. The 1998 Weld County Needs Assessment determined that four in ten senior respondents volunteer in the Weld community. Senior Volunteers provide about 17 hours of service a month. Interestingly 19.7 of the current volunteers indicated they would be interested in increasing the number of hours currently volunteering. The respondents stated one of the primary reasons for volunteerism is they feel useful when helping others. In order for the Ombudsman program to continue to meet the needs of the ever-growing long term care population, we must expand the use of volunteers in the program. The Assistant Ombudsman has taken the lead in regard to volunteer recruitment, training and supervising. The increase of Ombudsman presence in all of the long term care facilities may allow intervention to transpire before abuse situations occur. Section D: Efficiency Evaluation of project The Ombudsman Program maintains files that generate monthly, quarterly, and annual reports. Data is kept on numbers of visits, complaints, referrals and technical assistance contacts. The Ombudsman Program developed a database management program in 1999 to track the evaluations from abuse prevention training. ATTACHMENT Data is broken down further to reflect types of interventions, types of complaints, types of facilities, and actions taken. This data is analyzed by the state Ombudsman office to assist in determining the efficiency of the program. In addition, the Ombudsman Program is in the process of developing a post-training survey. This survey will measure the amount of information that those trained have retained. It is anticipated this survey will be given the participants approximately 4-6 months after their training date. We are aware that it may be difficult to reach some of the participants, due to the high amount of turnover in long term care facilities. Therefore, it may be necessary to mail the survey forms to individual homes, rather than long term care settings. At the conclusion of the current grant period, the Ombudsman Program will have provided CARIE training for CNA staff representing all nursing home and a majority of PCBHs in Weld County. In addition, the Assistant Ombudsman will exceed the targeted project objectives of 2002. This is evidenced by the number of contacts made by the end of the third quarter, 496 residents visited and 68 complaints investigated by the Assistant Ombudsman. This would not have been possible without the funds from the V.A.L.E. grant. Cost/ benefit ratio Due to the complexity and uniqueness of the program, the current cost benefit ratio is difficult to determine as we provide a combination of training, technical assistance and direct service to an unlimited number of residents and family members. However, we do know that early intervention by the Ombudsman can prevent costly medical costs that may have resulted due to poor quality of care. Section E: Budget Future funding needs Future funding needs will correlate with how much growth occurs in long term care beds in Weld County. The current growth spurt is statewide and is reflective of the rapid increase in numbers of elderly 75 years of age and older who are frail and in need of some type of long term care. Assisted living continues to be a fast growing industry in all areas of Colorado and the nation. Area Agencies on Aging nationwide are working to bring this to the attention of federal and state governments emphasizing the need for support of the Ombudsman Program. See attached budget Budget Narrative We are requesting $8,500 dollars for a .40 FTE advocate/friendly visitor at $8.50 per hour for 16 hours PER week—$7072. for hourly salary and $566. for fringe (taxes and benefits). 8% travel reimbursement will be at.305 cents per mile for 1,300 miles or $400. dollars. Mileage records will be kept by the advocate for documentation. $262. is requested to cover overhead, supplies and operating expenses. Training is $200 and includes cost to attend ombudsman training sessions in Denver and other local and state training required by the Area Agency on Aging. Atbch►rl2 tt A ENSURING AN ABUSE FREE ENVIRONMENT Training Evaluation We are very interested in having your feedback concerning the training and would appreciate your time in completing this evaluation form. Thank you! 1. The length of the training program was: 1 Too long 2 Too short 3 Just right 2. The material presented was: 1 Easily understandable 2 Understandable 3 Somewhat difficult to understand 4 Very difficult to understand 3. Opportunity given to ask questions or make comments was: 1 Not enough 2 Too much 3 Just right 4. How comfortable did you feel discussing the training topics? 1 Very comfortable 2 Somewhat comfortable 3 A little uneasy 4 Very uneasy 5. Could you relate the material covered to your own experience on the job? 1 Yes 2 No 6. Was the videotape helpful to you? 1 Yes 2 No 7. What is your overall opinion of this training program? 1 Excellent 2 Good 3 Average 4 Inadequate 5 Very poor 8. Would you recommend this training to other nursing home staff? 1 Yes 2 No 9. What did you like BEST about this training? 10. What did you like LEAST about this training? 11. If additional training was offered to CNAs, what topic(s) would be the most beneficial to YOU? LENGTH PRESENTATION OPP.FOR?'S HOW RELATE TO LEVEL OF COMFORTABLE EXPERIENCE UNDERSTANDING WI DISCUSSING ON THE JOB TOPICS 1.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 2.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 3.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 4.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 5.JUST RIGHT UNDERSTAND JUST RIGHT VERY COMF YES 6.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 7.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 8.TOO SHORT EASILY JUST RIGHT VERY COME YES 9.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 10.JUST RIGHT EASILY JUST RIGHT VERY COME YES 11.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 12.JUST RIGHT EASILY JUST RIGHT VERY UNEASY YES 13.JUST RIGHT UNDERSTAND JUST RIGHT VERY COME YES 14.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 15.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 16.JUST RIGHT UNDERSTAND JUST RIGHT VERY COME YES 17.JUST RIGHT EASILY JUST RIGHT VERY COME YES IS.JUST RIGHT EASILY JUST RIGHT VERY COME YES 19.JUST RIGHT UNDERSTAND JUST RIGHT VERY COME YES 20.JUST RIGHT EASILY JUST RIGHT VERY COME YES 21.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 22.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 23.JUST RIGHT EASILY JUST RIGHT VERY COME YES 24.JUST RIGHT EASILY JUST RIGHT VERY COME YES 25.JUST RIGHT EASILY JUST RIGHT VERY COME YES 26.JUST RIGHT EASILY JUST RIGHT VERY COME YES 27.JUST RIGHT EASILY JUST RIGHT VERY COME YES 28.JUST RIGHT EASILY JUST RIGHT VERY COME YES 29.JUST RIGHT EASILY JUST RIGHT VERY COME YES 30.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 31.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 32.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 33.JUST RIGHT EASILY JUST RIGHT SOMEWHAT N/A 34.JUST RIGHT EASILY JUST RIGHT VERY COMF N/A 35.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 36.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 37.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 38.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 39.JUST RIGHT EASILY JUST RIGHT SOMEWHAT YES 40.JUST RIGHT UNDERSTAND JUST RIGHT VERY COMF YES 41.JUST RIGHT UNDERSTAND JUST RIGHT VERY COME YES 42.JUST RIGHT EASILY JUST RIGHT VERY COME YES 43.JUST RIGHT UNDERSTAND JUST RIGHT VERY COME YES 44.JUST RIGHT EASILY JUST RIGHT VERY COME YES 45.JUST RIGHT UNDERSTAND JUST RIGHT VERY COME YES 46.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 47.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 48.JUST RIGHT UNDERSTAND JUST RIGHT VERY COME YES 49.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 50.JUST RIGHT EASILY NOT ENOUGH VERY UNEASY YES 51.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 52.JUST RIGHT EASILY JUST RIGHT VERY COME YES 53.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 54.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 55.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 56.JUST RIGHT EASILY JUST RIGHT VERY COMF NO 57.TOO SHORT EASILY JUST RIGHT VERY COMF YES 58.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 59.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 60.JUST RIGHT EASILY JUST RIGHT SOMEWHAT YES 61.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 62.JUST RIGHT EASILY JUST RIGHT VERY COMF NO 63.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 64.TOO SHORT EASILY JUST RIGHT VERY COMF YES 65.TOO SHORT UNDERSTAND JUST RIGHT VERY COMF YES 66.TOO SHORT UNDERSTAND JUST RIGHT VERY COMF YES 67.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 68.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 69.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 70.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 71.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 72.JUST RIGHT UNDERSTAND JUST RIGHT VERY COME YES 73.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 74.JUST RIGHT EASILY NOT ENOUGH VERY COMF YES 75.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 76.TOO LONG EASILY JUST RIGHT A LITTLE UNEASY YES 77.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 78.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 79.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 80.JUST RIGHT EASILY JUST RIGHT SOMEWHAT YES 81.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 82.JUST RIGHT UNDERSTAND JUST RIGHT VERY COMF YES 83.TOO SHORT EASILY JUST RIGHT VERY COME YES 84.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 85.JUST RIGHT EASILY JUST RIGHT VERY COME YES 86.JUST RIGHT EASILY JUST RIGHT VERY COME YES 87.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 88.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 89.JUST RIGHT EASILY JUST RIGHT SOMEWHAT YES 90.JUST RIGHT EASILY JUST RIGHT SOMEWHAT YES 91.JUST RIGHT EASILY NOT ENOUGH VERY COMF YES 92.JUST RIGHT UNDERSTAND JUST RIGHT VERY COMF YES 93.JUST RIGHT EASILY JUST RIGHT VERY COME YES 94.JUST RIGHT EASILY JUST RIGHT VERY COME YES 95.JUST RIGHT EASILY JUST RIGHT VERY COME YES 96.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 97.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 98.JUST RIGHT UNDERSTAND JUST RIGHT VERY COMF YES 99.JUST RIGHT EASILY JUST RIGHT SOMEWHAT YES 100.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 101.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 102.TOO SHORT UNDERSTAND JUST RIGHT VERY COMF YES 103.JUST RIGHT UNDERSTAND JUST RIGHT VERY COMF YES 104.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 105.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 106.JUST RIGHT EASILY JUST RIGHT VERY COME YES 107.TOO SHORT EASILY JUST RIGHT VERY COMF YES 108.JUST RIGHT EASILY JUST RIGHT VERY COME YES 109.JUST RIGHT EASILY JUST RIGHT VERY COME YES 1 I 0.JUST RIGHT EASILY JUST RIGHT VERY COME YES 111.JUST RIGHT EASILY JUST RIGHT VERY COME YES 112.JUST RIGHT UNDERSTAND NOT ENOUGH SOMEWHAT YES 113.JUST RIGHT EASILY JUST RIGHT SOMEWHAT YES 114.JUST RIGHT EASILY JUST RIGHT VERY COME YES 115.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 116.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 117.JUST RIGHT UNDERSTAND JUST RIGHT VERY COME YES 118.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 119.JUST RIGHT EASILY JUST RIGHT SOMEWHAT YES 120.JUST RIGHT EASILY JUST RIGHT SOMEWHAT YES 121.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 122.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 123.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 124.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 125.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 126.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 127.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 128.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 129.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 130.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 131.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 132.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 133.JUST RIGHT EASILY JUST RIGHT VERY COME YES 134.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 135.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 136.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 137.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 138.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 139.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 140.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 141.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 142.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 143.JUST RIGHT EASILY JUST RIGHT VERY COMF YES I44.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 145.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 146.JUST RIGHT EASILY JUST RIGHT VERY COME YES 147.JUST RIGHT EASILY JUST RIGHT VERY COMF YES 148.JUST RIGHT EASILY JUST RIGHT VERY COME YES 149.JUST RIGHT EASILY JUST RIGHT VERY COME YES 150.JUST RIGHT EASILY JUST RIGHT VERY COME YEWS Video Helpful Overall Opinion Recommend to What did you like What did you like other staff best? least? 1.Yes Excellent Yes It was very Nothing informative, I learned things that I had been unaware and unclear about. 2.Yes Excellent Yes The Ombudsman Nothing made it easy to understand. 3.Yes Good Yes I was able to relate Nothing it to my job. 4.Yes Excellent Yes Short and sweet. Nothing 5.Yes Excellent Yes Easy to follow Nothing along with the instructor. 6.Yes Good Yes Being able to Nothing completely understand what abuse really is and how far it can be looked into. 7.Yes Excellent Yes The information Nothing was useful for my job. 8.Yes Excellent Yes Discussing Nothing difficult situations with other people. 9.Yes Excellent Yes Discussing Nothing Resident abuse. 10.Yes Excellent Yes Discussing Nothing Resident abuse. 11.Yes Good Yes It was easy to Nothing understand 12.Yes Excellent Yes It was easy to Nothing understand 13.Yes Excellent Yes Everything,but Nothing especially resident rights. 14.Yes Excellent Yes Short and Sweet. Nothing 15.Yes Excellent Yes The Ombudsman Nothing made it easy to understand. 16.Yes Good Yes I was able to relate Nothing it to my job. 17.Yes Excellent Yes It was very Nothing informative 18.Yes Good Yes Our hard work was Nothing acknowledged 19.Yes Good Yes Talking about the I liked all of it. elderly,because I enjoy them a lot. 20.Yes Good Yes It was all good. Nothing Video Helpful Overall Opinion Recommend to What did you like What did you like Other Staff? best? least? 21.Yes Excellent Yes A friendly and Not enough time. understanding atmosphere 22.Yes Excellent Yes It let me know Nothing how important I am,and that I have a place to go for help. 23.Yes Excellent Yes Easy to understand Nothing and participate 24.Yes Excellent Yes I enjoyed the Nothing video,which depicted the consequences of inadequate charting. 25.Yes Good Yes We learned that Nothing covering up abuse, whether accidental or purposely, is sometimes worse than the abuse itself. 26.Yes Good Yes It is a reminder to Nothing people that it is a tough job and not just anyone can do the work,and we are here because of the residents. 27.Yes Excellent Yes Learning about Nothing,it was all abuse in the positive. nursing homes. 28.Yes Excellent Yes Residents'Rights Nothing, Bingo everything was just right. 29.Yes Excellent Yes The instructor Nothing 30.Yes Excellent Yes Everything Nothing 31.Yes Excellent Yes Everything Nothing 32.No Good Yes The examples The videos. 33.Yes Excellent Yes Bingo,you got to Nothing participate,wasn't just a lecture. 34.Yes Excellent Yes Everything Nothing 35.Yes Good Yes Bingo Nothing 36.Yes Good Yes Resident Bingo Everything was great. 37.Yes Excellent Yes Being able to Nothing discuss concerns. 38.Yes Good Yes The person Hearing about explained a lot of abuse,who would interesting stuff. every do it!?! 39.Yes Good Yes Learned more Nothing. about stress,and how to handle. 40.Yes Excellent Yes It was interesting. Nothing 41.Yes Excellent Yes Everything Sitting too long. 42.Yes Good Yes Reviewed a lot of I have been over a stories,videos,etc. lot of it before. 43.Yes Good Yes Overall,it was Nothing pretty good! 44.Yes Excellent Yes It covered a lot of Had a lot of slides. information that we go through and deal with on a daily basis. 45.Yes Excellent Yes I liked the Nothing knowledge of the instructor. 46.Yes Excellent Yes The instructor was Nothing good and the presentation was • interesting! 47.Yes Excellent Yes All Nothing 48.Yes Good Yes Gave everyone the No matter how it is opportunity to presented,the questions. information is hard to sit through. 49.Yes Excellent Yes Keep eyes open for Nothing abusive situations. 50.No Good Yes The lunch. Nothing 51.Yes Good Yes The videos. Nothing uw $ i Kza �h 7 ',",-.-„,-;;:s,,,,,,:„„.....,.: h. a r a r �.- w i �x + � .�. �'F. i it --•,‘,14.-:-,'L,4.,',‘ yyfay y£ y/ {c r, •w' " i. �xti r" qz,i PY tl TY ��v�' � ` • �( j. (4,„,,-,4-=,;,,A*-",.. � 1. "xa y t tea .' m 4.-4-,1:2,;,"-,,c:4�V' _.. v. # 3mv, �m. c 'n.4+ ,? K ` � m t ;V x1 `� f9 l , + ; t L `: - o - a' s 4 7::;^.,j eeg4 't �Y % t�e ti h¢ "ar 4 5 F Y7 k 3 y 9 1 g b x�� 3 S �w ' � X :: _i'�s:::: ffi_.. _: , :::: ''. .ti . yc ,.�:€ < --D.11 '4741hy_x4.' �ss rcl :1;''� ,'.°z. .3S.,. .s . en �'d+'*.-.M's ? ag' r' en ' Your resident rights What is an Ombudsman, l'iy a. 2 m 3 iy4LC C�social i yre ��j; y.} 4 A person who protects the civil and & ti +' ]o,exercise your rights as a citizen t�ti n ices ne€ess-ary frig' l t' human rights of elderly perso �" it.-i=,.414-- . : i. P - !«_.., �. ; �� long-term care"facilities ,NQtevances withou[ fear ofreprisal I- Help long-term care staff meet the needs of • TA,Lo be� tn tfS�tual and physical abuse Aproblem solver a �e'' those who use their facilities. and from gnv� II51 physical restraints y h • A resource y a Educate the community, about the long-term • To be discharged of"�fetred only for ' care system. medical reasons, your own welire or that • An obetrkk �gator,of complaints ofothers, or for non paymktt ,t, Identify gaps in services provided report Ombudsman? findings and help achieve equitable solutions. • • To have privacy in care and treatme t and (faQ � to associate and communicate pna, y • eu of nursinghomes'aud _,> with persons.'ti your choice a 7k Advocate for needed improvements in •�q[ .cage boarding homes.. . ,- ,, leg station and policies affecting long-term care. ::, • To participate it religious, soc� colt 'a�; ' mumty activities • Friends and relatives ofresidents • When do you use the Ombud ? To report a problem or co� To_participate m resident council • 'Staff members of facilities ,,-,Vi4 vw za "', tc"lo learn�e about the o orado • '1'o participate in planning your care and Ombudsman Pia ram • The com its nify� a�s r€ treatment - - To request tramm ssi Lance ,,,,\ To seek information about long-term To manage,your personal and care facilities financial affairs yWhat ban the,4nsbu��r, � � '�, '1'.'''' M ��-?.tit >.. ;. :do for you? or questions about... To make choices and independent Providea place where the long-term carer Medial coverage _ decisions resident or family can discuss.a problem or • Resident rights .� receive assistance. Tran�and dischar es • To keep and use personal belongings as 'space permits ' i �f :.-±1 i. tii N, Lt's i �"� x *a ��,,,X R?' s' z V �g - ,Inmhgi �"' h e ' .1'.,„1".e, . n+ } q �� 'b ',,`,1.t. ' �.Lv a Y{' ,. � Q• k Sx., Que Es Un Ombudman +Una Persona Que Protege los derechos humanos de los an ancianos en lugares de cuidado y de asilos de residentes. +Una persona que resuelva problemas y que de consejos +Es como un recurso +Puede investigar las problemas y hacer propias decisiones para cambios Quien Puede Utilizar un Ombudsman +Residentes de Casas de cuidado o asilos +Amigos y miembros de la familia de los residentes +Lo s miembros que son trabajadores del facilida +Y la communidad Que Es Lo Que Ombudsman Puede Hacer Para Usted +Proveer un lugar donde ancianos pueden discutir una problema o recevir assistencia +Ayudar los residentes que reciban el cuidado y los servicios necesarios que les permitan en mantener una mayor bienestar fisico, mental, y social y para mejorar la calidad de vida. +Ay-udar los empleados de los asilos en cumplir las ayudas que los residentes necesitan +Educar la communidad en cuidado de casas y asilos +Identificar servicios que se necitan, reportar deficiencias que se encuentran a ayudar en hacer cambios o dar soluciones para la seguridad y salud de los residentes +Para pedir por asistencia en entrenamiento en cuidado de asilos +Preguntas en como pagar ciertos gastos entre Medicare o Medicaid +Los derechos de los residentes +Altas y transferencias de habitacion o de casa de cuidado Derechos de los Residentes +Ejecutar sus derechos como ciudadano +Dar voz en agravios sin miedo +Usted tiene derecho en mantener a la privacidad cuando llegue visita Y de pasar tiempo privado con sus visitantes +Usted tiene el derecho de que le informen sobre su condicion medica, sus medicinas, y participar en el desarrollo en el plan de cuidado +Derecho de usar su propiedad, la salud, o la seguridad de otros para proteger su propiedad contra el robo +Us ted tiene el derecho de manejar su propio dinero, o de escojer alguien de su confianza para que 10 haga +Derecho de permitirle a usted acceso o sus cuentas bancarias y otros registros financieros. +Derecho de tomar sus propias decisiones o haga hecho arreglos legales para conseguir ayuda. +Derecho en que la casa o asilo no pueden darle de alta except() en caso de emergencia. Weld County Area Agency on Aging �jS1 Wi`Pc. (Llame al numero 970-353-3800 ext. 3323) 5CJ COLORADO Assirtance.Advocacy Anwar:onAging. Page 20•Seniors Marketplace News•Weld County•May 2001 United Nations Proclaims 2001 International Year of Volunteers The 52nd Session of the United Nations General Assembly approved by n � consensus on November 20, 1997 a proposal that the year 2001 be proclaimed the International Year of Volunteers. In keeping with the theme, in . 4 recognizing the important con- tributions volunteers make, we would like to introduce Ms. Min volunteer Ombudsman, to hua Chung. As a student at the address the needs of the elderly University of Northern in Taiwan.Working towards that Colorado, Greeley, working goal by attending the volunteer toward certification in Ombudsman training program, Gerontology, as well as a Doctor becoming certified as a volunteer of Education degree in Physical Ombudsman, and participating Education: Pedagogy, she joined in facility site visits. A "Special the Ombudsman volunteer team. Project" assignment is also being The Ombudsman program, addressed by Ms. Chung. under the umbrella of the Area "We feel privileged to have her Agency on Aging of Weld as part of our volunteer team," County, offers volunteers unique states Kathleen Alvarado, opportunities to utilize and/or Volunteer Coordinator for the develop skills in working with program. For information the aging. regarding the program please Ms. Chung's goal is to contact Kathleen at 353-3800 tailor what has been learned as a Ext: 3314. • t i ' Good ;+ CONTACT a - MARCUS NEWTOn Community editor as\le „.....,....6‘......00)::. •newt@greeleytr GREELEI volunteersalute xrra:r lg* y *, , ''1 ,, "'":„lkit, . ,t , ., , pierce , THE PLACE YOU CALL YOUR HOMETOWN: ";„} " r ' `�s<;t� Greeley. ,'�"" , �t «a �' FAMILY:My husband,Marlin;my three sons who live in Denver,Ed,Mike and Bob; ,„ `� ''' + Y� my daughter,Catherine,who lives in Cali- I " ' /}* - ' ' �,� " k fornia;and 14 grandchildren. ti +`: 14T I , ;, DURING OUR FAMILY z ,'"",*` '� TIME TOGETHER,WE Take part in church activities,garage sales + . ,r :{u,ft''' , " eu.M x ' and attend community «� '($ r; 'C.A °' events.We also visit our R grown children and " +„' ` ' `.r •10 ai rr 4. grandchildren in Denver. t T ; THINGS I ENJOY ` v + (, ,� , h DOING:Selling Avon and getting online on �`ry"S,te' a ' a+ my computer. "xa aW w1r f, " 4,44$` ° ORGANIZATION/AGENCY WHERE I VOL- ; y�,:Ad' , ' ,�, F'� UNTEER:Area Agency on Aging. w . x * !$.114— „f DESCRIBE YOUR VOLUNTEER WORK: I + ,, , visit the residents(of nursing homes)and 3"` `" ° I - ' ' "'v sa note anything that should be brought to the ' ` " A, o attention of the ombudsman. s z * t ,,y, F' s AVERAGE NUMBER OF HOURS VOLUN- ' TEERED EACH MONTH:Eight hours. t w "' `" R HOW LONG HAVE YOU BEEN DOING THIS <" 'J y?A, 'a� "C" Five years. m, ,, ,.,` �„ w. S44„,„,` ,,; `' I FIRST GOT INVOLVED IN VOLUNTEER i c'' .'7,4“, WORK BY:Answering an ad in our church - &/r�af Vk bulletin. l ""(:f ,. . a" Y-.., , I VOLUNTEER BECAUSE:It gets me out. " " t " THE REWARDS OF VOLUNTEERING P o Y r w.+ INCLUDE:The people love to be visited. ,,72",,,,,,si w . +a ^ MY MOST REWARDING EXPERIENCE WAS: 4. ;,, Having a noncommunicating resident say,"I love you." THE CHALLENGES OF VOLUNTEERISM , ARE:Trying not to miss anybody. JIM RYDBOM/jrydbom®greeleytrib.com MY ROLE MODELS ARE:My pastor's wife, ombudsman volunteer Jacqueline Pierce, right, visits with Hazel VanDeusen last Nancy Cline. week at Centennial Health Care in Greeley. IF DREAMS COULD COME TRUE,I WOULD: Win a big lottery and be able to help others people and see what goes on inside an Dorr at United Way of Weld County,814 9th more. organization(instead of just driving by).It St.,or call 353-4300. The recognition pro- MY MESSAGE TO THE COMMUNITY really lifts me up. f ABOUT VOLUNTEERISM IS:This particular —____ gram is a A,p AT&T Brop d the Greeley ndUnited activity makes friends,helpsyou meet new bune,KFKA,AT&T Broadband and P To nominate a volunteer,contact Janet Way, UNC Police Weld County Probation Wendy Rich-Goldschmidt Sheri Mann 501 20 St Kim Novara Greeley, CO 80631 PO BOX 2038 (970) 351-2245 934 9th Ave Greeley, CO 80632 Weld Child Abuse (970) 392-4589 ext. 4914 or 4508 Fax: (970) 351-8696 Coalition, UWWC Email: Judy Kron Sheri.Mann@Judicial.state.co.us PO BOX 1944 Kim.NovaraaJudicial.state.co.us Greeley, CO 80632 (970) 353-4300 ext. 109 Weld County Sheriffs Dept• Weld County DA's Office- Mary McMahon Victim Witness 910 10th Ave Gary Rathke Greeley, CO 80631 Karol Koeltzow (970) 356-4015 ext. 3953 PO BOX 1167 Greeley, CO 80632 Women's Place (970) 356-4010 ext. 4747 or 4748 Maggie Munoz Fax: (970) 352-8023 Sharon Mitchell PO BOX 71 Weld County DA's Office- Greeley, CO 80632 Diversion (970) 351-0476 or(970) 506-2726 Fax: (970) 351-6686-(970) 506-2726 Nancy Haffner PX BOX 1167 Greeley, CO 80632 (970) 356-4010 Weld County DA's Office- Investigation Tony Molocznik PO BOX 1167 Greeley, CO 80632 (970) 356-4010 ext. 4722 AAA Kid's Place Raegan Maldonado Sheryl MacHendrie 1551 North 17th Ave. 814 9m St. Greeley, CO 80631 Greeley, CO 80631 (970) 353-3800 ext. 3324 (970)353-5970 ASAP Partners Emily Tracy Heather Garwood 1300 9"'Ave. #8 Gail Shatz Greeley, CO 80631 Nomie Ketterling (970) 336-0947 1212 8th St. Greeley, CO 80 Colorado Legal Services (970) 351-0700 1 ext 25 Mario Rivera 800 8th Ave#202 SASI Greeley, CO 80631 Anpeytu Raben (970) 353-7554 PO BOX 5135 Greeley, CO 80634 Greelev Police Dept. (970) 506-2738 Diana Bratton Fax: (970) 506-2739 Cecil O'Farrell Email: arabenasurvivorinfor.orq 919 7th St. Greeley, CO 80631 • (970) 350-9657 South Weld Victim (970) 350-9667 Services Fax: (970) 350-9885 Tuesday Fitzgerald Rita man Greelev Transitional38 PO BOX 389 House 400 Grand Ave Lori Romo Platteville, CO 80651 1202 6th St. (970) 785-2245 ext. 400 Greeley, CO 80631 (303) 776-1117 ext. 400 (970) 352-3215 Fax: (970) 785-2476 E-mail: RitaSWVS@aol.com Individual Group Therapy UNC ASAP Services Jennie Bruner Kim Roybal PO BOX 121 824 9`h St. Greeley, CO 80631 Greeley, CO 80631 (970) 351-1490 (970) 353-8171 TRIAD ADVISORY BOARD By- Laws ARTICLE I: NAME The name of this organization shall be the TRIAD Advisory Board of Weld County, Colorado. • • ARTICLE II: PURPOSE TRIAD is a joint venture between the County Sheriffs office,the Chiefs of Police in the County and AARP/RSVP . The purpose of the TRIAD Advisory Board is to further the . goals and objectives of the TRIAD mission. The goal is to reduce the criminal victimization of older persons The TRIAD Advisory Board will oversee the development and implementation of the Weld County SALT councils,initiate programs for the safety of seniors, promote education of seniors on fraud and scams, and provide ongoing training for law enforcement officers on senior issues. ARTICLE III: MEMBERSHIP A. The Advisory Board shall consist of at least twelve members. B. Membership shall include representation from the following: 1. AARP/RSVP 2. Weld County Sheriff office 3. Weld County Chief(s) of Police 4. District Attorney's office 5. Members at large shall be representatives of community and civic organizations, service providers, service clubs, senior agency representatives, and senior citizens. 6. Additional members nominated shall consist of board elected members as vacancies occur. Recommendations/requests for membership shall be made to the membership committee in writing. C. Procedures and terms of membership: I. The regular term of office for members at large shall be three years. 2. Membership shall be staggered so that one third of the members complete their term each year. Term of membership shall begin January 1 and end December 31. 3. Members with three (3) absences within a twelve(12)month period shall be subject to review by the membership committee. ARTICLE VII: COMMITTEES A. Committees of the TRIAD Advisory Board shall be as necessary. B. Standing committees of the TRIAD Advisory Board include: Membership and Finance. C. Committees shall consist of the committee Chairman, at least two Board members and others as interested. D: Special committees or task forces may be appointed by the Board Chairman as - needed. ARTICLE VIII: MEETINGS A. The TRIAD Advisory Board shall meet on the second Monday of each month unless otherwise ordered by the Chairman. B. Special meetings may be called at the request of a Board member with the approval of the Executive Committee. C. A quorum shall consist of one-third of the current membership. A simple majority of the voting members present shall be the voting rule. ARTICLE IX: AMENDMENTS A. Amendments must be presented at a meeting and voted on at the next scheduled meeting. B. Two thirds of the majority of attending members is required to amend. C. Votes may be conducted at any meeting,by mail or by phone. ARTICLE X: DISSOLUTION A. The consent of all Board members is needed to dissolve the TRIAD Advisory Board. B. Disbursement of the assets shall be left to the discretion of the Executive Committee. ARTICLE XI: PREVAILING AUTHORITY All procedures not covered in the by-laws are subject to Robert's,Rules of Order. • Chairman Date Vice Chairman Date 4` Adopted January 10, 2000 012400/TRIAD ByLaws/99.4/cday 4, .,+ 'x •.tin - z s ,'3'r �g ;,g�. m'tYl'}t 5 rys: > wr „�,;'. j yj.s`q^ 5Js?' r f Ls `�".,, .v "! .2 t E i; t � �'•*, ( "AMMO' ., IIJ� I � ��' _ lAitik y `�n�,, ' ' 'i r �v ?�r s`�.St ri .' +fi e Y > I fs y;P^t4�q 1 :C „S it i3"{+' .. i£ .,r',tH Y x . '"" "N"m -.wort:,. FA y -ti, sa ' Y ,,i'.. a '& s 'S. a t :" t .2 x k n4 n, r • £ ,h ti y, v, g1M F r ,�`vsfl. a,. , _ s i� f - per. on iaa Yt*z '' ;t'r, 5 - - 110 - 'J�� k �e-r � --,:„ t,y4!^n t N t 3Y-: Atril - ¥ Nafn@ A�!-r„- itltl 5 s 4a n. . .. .a-?}"ft' '� ykm t 1 - r x f: ,.. "" aX, :..a F- e r uw "�'" - ca^u` r ''a, zoo cOrn ' C a . -t .7-" A arris" Katte Sernor`: a z5u� InAVe �xt � a .3 � akrrlaal c ) no'cc1h7 �, t` .E* < - Ys g::: ,', -. - . :' -r 'x Greeley'COs 8 •w -61(3 ialiy - e `cur 4 "3.-. 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PO B'oxF286 • 58-2772 y Milliken Perl les,�--gel: o-eJo Ft Lupton PD 130 S. McK•inley 356=8225 . Ff l�upton, CO 86644 _ 303-857 708{fax);. Post,Officer Lynne , Oreel`e - Pp 919 St 350=8.822 ` "fpskp@aoC coin $redley CO X531 304_-9/1.7E/Rader) - r _ - .`. z sXb 5 r • v: m.. Reid, Rev ` Area Agency n PQ ppx 18f. - 353=-36QQ Aging re le_y Q80632 3`5'6;8975 (fax) 4. Ruihal,Bernd or r2 .' � t ' f 52-9Q41 .�> Greeley GO 68631 •• E. Smes,"=Lots/ senior, 303 857- (i ' M ..-- Jeaser° ,11 _ Ft Lupton CQ 8Q6Z1 •-.-.1:`,-. `Soltes,;pods _ f9 Offfe PO pox '11674 , E • 858 4Q 1 Q `Greeiey -x8063 TarantinoOr E?ton`1PD ..*..."-*44-1-:,,,,,-t, 454;2212 fraten`I 80615 > iirista, Chief ferry UN 'P Gray fall -6.1--.t.....1:98544--/_:-...--.--; turista enco du £gl,' - - Greeley pQ 8Q63R - - ;Gz ., _ Wacker, 6c nnie AI,zhteimpr's Assoc 710 1 i Ave, Suite 107 392-9202 bi not slat ker re a-1;91:95-.,°orb t reeley pO 80531 853,87 8 (fax? - U Colorado Organization for Victim Assistance 77"---1,- September 7, 2000 Raegan Maldonado Weld County Area Agency on Aging 1551 N. 17th Avenue Gree ley, Colorado 80632 Dear Raegan: Many thanks to you for inviting me to speak to your group yesterday. Enclosed please find the attendance certificates for AAA staff. Please remind everyone that this is NOT a certification, but an attendance certificate. (I have forwarded all others directly to the addresses on the sign-in list.) ( Attached, you will also find a summary of the evaluations. As you can see, most participants gave good reviews. One person indicated that they did not know any more about their role in VRA following the training. Two participants felt the session was too long. Please note the responses to question #14. Some resources for future trainings are: the Victim Witness program at the D.A:s,office (970-356-4010) for info on victim assistance; the Victim Assistance unit at the Greeley Police Dept. (970-350-9657) for info from a law enforcement perspective; Seniors! Inc. (303-300-6933) for info on how seniors react to crime; and the Division of Criminal Justice (303-239-4493) for info on the criminal justice system. that they would like a training about treatment strategies for battered women. Please convey my sincere appreciation to the entire group for their attention, participation, and feedback. Sincerely, Cynthia eissinger, MSW ( Training Coordinator 789 Sherman Street, Suite 670, Denver, CO 80203 (303) 861-1160 • 800 261-2682 • Fax (303) 861-1265 • TTY (303) 861-8315 Area Agency on Aging Betty Jones Board Membership List 1959 26 Ave Greeley, CO 80634 Mary Lou Batman H: 970-353-7295 321 5th Street Box 375 Shirley Ianelli Pierce, CO 80650 7451 Road 49 0:1WPFILESIBOARDIMembers H: 970-834-2415 Hudson, CO 80642 hiplmail and phone list H: 303-536-9243 Don Beierbach Revised 09-27-01 3826 West 8th Street Mary Jones Greeley, CO 80634 30887 Road 88 H: 970-352-5952 Ault, CO 80610 H: 970-656-3652 Mary Pat Eastwood Marlene Stieber 3609 Marigold Street 720 S McKinley Evans, CO 80620 Fort Lupton, CO 80621 W: 970-346-1446 H: 303-857-2337 H: 970-330-3436 John Lee,Manager Don Feldhaus Transit Division 2038 27th Avenue Ct. #4 1000 10th Street Greeley, CO 80634 Greeley, CO 80631 H: 970-330-7522 W: 350-9280 Fax: 970-330-7522 Josie Sanchez Ruth Gartrell PO Box 13 20076 Southgate Ave. Pierce, CO 80650 Lot 2 W: 970-351-2829 LaSalle, CO 80645 H: 970-834-2173 H: 970-737-2942 . Patricia Graham 1638 27th Avenue Greeley, CO 80634 W: 970-351-1559 H: 970-356-1124 Dave Long, Commissioner Centennial Complex Greeley, CO 80631 W: 356-4000 James Holman 28333 WCR 388 Kersey CO 80644 Phone: 351-8677 4 DETAILED PROJECT BUDGET DETAILED PROJECT BUDGET:Include the estimated cost of all resources needed to undertake the project(round off figures to the nearest dollar). This budget page must include all monies available. In-kind services need to be listed o�in the budget narrative,not on this page. TOTAL. VALE VALE a. Personnel(Employees) COST % TOTAL (1)Salaries(list each position with salary rate and percentage of time devoted) EVA JEWELL 45,426 10 . 4542 RAEGAN MALDONADO 29,411 100., 29;411 KATHLEEN ALVARADO .40FTE 7,072 10% 7,072 Subtotal of Personnel I % 41,025 (2)Total FICA,Retirement,Fringe Benefits,etc. I I % 10.256 Total Personnel Costs I$ } %I51,281 I! b. Supplies and Other Operating Expenses(communications,reproduction) SUPPLIES/OPER/OVERHEAD I 242 ! 262 J I I TRATNTN(: I 71)0 1 % 240 I I 1 L %L I ! I I % I I Total Supplies and Operating Expenses I$ I % $ c. Travel(itemize transportation and subsistence) MILEAGE % 400 % Total Travel Costs $ % $ 400 d. Equipment(itemize) I I I I I I %l I I I ! I l %I Total Equipment Costs II$ II %II$ II e. Professional Services(itemize individuals and organizations) I % Total Professional Services Costs I$ % $ TOTAL PROJECT COSTS 1$ I %I$ 52,143 g. Total Project Funding Breakdown (1)VALE Funds $ 8,500 16 ry° (2)Federal Funds $ 43,643 84 % (3)Other Funds TOTAL $ 100% Please explain the source of"Other Funds"In the budget narrative. Long Term Care Home Health Community Certified Nurse Aide Ls/LiTraining Program Hospitals Higher Education Consortium Members Aims Community College September 25, 2001 Health Occupations Department Bonell Good Samaritan Center Centennial Area Health Education To Whom It May Concern: Center,Inc. I am writing this letter in support of the"Ensuring as Abuse Free Colorado Home Care Environment"training, also know as the"C.A.R.I.E."training Fairacres Manor,Inc. program. This training continues to be vital, as there is no other service of this kind offered in Weld County. Kenton Manor LHS Home and Community Care This curriculum provides Certified Nursing Assistants in training Life Care Centers of Greeley and The Bridge withan opportunity to become familiar with the potential of abuse in long term care settings. It also educates them on how to identify Mariner Post Acute Network signs and symptoms of elder abuse, and ultimately how to prevent North Colorado Medical Center abusive situations. Rehabilitation and Visiting Nurse Association I continue to receive an abundance of positive feedback from the The Villa at Greeley,Inc. students who are directly involved in the training. I strongly believe that this early intervention is the key to preventing elder University of Northam Colorado abuse in long term care settings, as man of the students in the Gerontology ProgramY School of Nursing Community Certified Nurse Aide Training Program become employees at long term care facilities in Weld County. I fully recommend that this program be continued, and if possible, offered on a more frequent basis. If you have questions or would like to request further information, please contact me at your convenience. Sincerely, Teresa Masters, RN Program Coordinator Imf 2319 7th Avenue Greeley, CO 80631 ■ 970 - 395 • 1055 l September 25, 2001 Raegan L. Maldonado Weld County Area Agency on Aging 1551 North 17th Avenue PO Box 1805 Greeley, CO 80632 Re: Ensuring an Abuse Free Environment Training, "CARIE" Dear Mrs. Maldonado, At this time I would like to congratulate you and your staff on the continued "Ensuring an Abuse Free Environment Training." The program has brought much needed insight and instructional materials to the Certified Nursing Assistants associated with Hospice of Northern Colorado, Incorporated. Through my experience, it is evident that the Certified Nursing Assistants in Northern Colorado gain valuable knowledge and insight regarding elder abuse through their involvement in CAME training. It is an excellent opportunity for direct care staff to learn about what they can do as individuals to help prevent occurrences of elder abuse in hospitals and long term care settings. In addition, it is a refreshing to know that these valued studies will be provided to managerial staff in long term care settings, and to those of use advocating for patients receiving hospice care. Again, please continue the valued program, and keep up the excellent standards set by your agency. Sincerely, 424&JI LA) Gerald L. Grins, RN Hospice of Northern Colorado,Incorporated 2726 West 11th Street Road Greeley, CO 80634 (970) 352-8487 6 if it lin DEPARTMENT OF SOCIAL SERVICES PO BOX A II GREELEY, CO 80632 111 WEBSITE: www.co.weld.co.us 0 Administration and Public Assistance(970) 352-1551 • Child Support(970) 352-6933 COLORADO Raegan L.Maldonado C/0 Area Agency on Aging PO Box 1805 Greeley, CO 80632 Ms. Maldonado, I am writing in support of the "Ensuring an Abuse Free Environment"training. It is extremely important for Certified Nursing Assistants and other long term care staff who work with at-risk adults to be properly trained in the identification and prevention of elder abuse. As a professional who works with at-risk older adults, it is my recommendation that this program be continued and offered as a continuing training to assist with the effort of reducing abuse of older adults in long term care environments. In addition, it is my recommendation that this program be extended to family members and the community, as education proves to have a positive outcome in regards to elder abuse. Again,this is a valued program that directly has a positive impact on older adults in Weld County. It is vital for the support of this curriculum to continue. Sincerely, C Becky Tra s Adult Protective Services Weld County Hello