HomeMy WebLinkAbout972451.tiffRESOLUTION
RE: APPROVE 1998 ANNUAL PLAN FOR 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 the 1998 Annual Plan for Area Agency
on Aging between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services Area Agency
on Aging, and the Colorado Department of Human Services, Division of Aging and Adult
Services, commencing January 1, 1998, and ending December 31, 1998, with further terms and
conditions being as stated in said plan, and
WHEREAS, after review, the Board deems it advisable to approve said plan, 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 1998 Annual Plan for Area Agency on Aging between the
County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Department of Human Services Area Agency on Aging, and the
Colorado Department of Human Services, Division of Aging and Adult Services, be, and hereby
is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said plan.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 24th day of November, A.D., 1997.
BOARD OF COUNTY COMMISSIONERS
WELD CCSUNTY, COLOR O
ATTEST:
Weld Cou
BY
972451
HR0068
Gc.; Ncsr
e
George E.Baxter, Chair
tance L. Harbert, Pro-Tem
STATE OF COLORADO
1998 ANNUAL PLAN
TITLE III - OLDER AMERICANS ACT
Calendar Fiscal Year 1998
Due: November 15, 1997
Colorado Department of Human Services
Division of Aging and Adult Services
The Petroleum Building
110 16th Street, Suite 200
Denver, Colorado 80202
Grantee Organization
Address
Area Agency Name
Address
Weld Cnnnty Bnard of C'nmmiccinnarc
Centennial Building
Greeley, Colorado 80631
Weld County Area Agency on Aging
1551 North 17th Avenue. P.O. Box 1805
Greeley, Colorado 80632
Grant Award Number (FY 1998)
Grant Period From January 1, 1998 To December 31, 1998
Type of Application ■ Initial Application Revision
(5/97)
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STATEMENT OF INTENT
The 1998 Annual Plan is hereby submitted for
Region IIB
Planning and Service Area
for the period January 1, 1998 through December 31, 1998 . It includes
all assurances and plans to be followed by the Weld County Area Agency on Aging
Name of Area Agency on Aging
under provisions of the Older American's Act, as amended, during the period
identified. The Area Agency on Aging identified will assume full responsibility to
develop and administer the Annual Plan in accordance with the requirements of
the Act and related State Policy. In accepting this authority, the Area Agency
on Aging assumes responsibility to promote the development of a
comprehensive and coordinated system of community services and to serve as
the advocate and focal point for older persons in the planning and service area.
The Annual Plan has been developed in accordance with the rules and
regulations specified under the Older American's Act and Staff Manual Volume
10, and is hereby submitted to the Colorado Department of Human Services,
Division of Aging and Adult Services for review and approval.
/1— /3 - 9'7 (Signed)
(Date)
//-/ 3iT (Signed)
(Date) (E cecutive Director, Grantee Organization)
The governing body of the Area Agency on Aging has reviewed and approved
the 1998 Annual Plan.
6.7r )c Q) C . c .e
Aci
irector, A a Agency on Aging)
11-74-97
(Date)
(Signed)
(Title)
George E. Baxter, Chairman
(Chairperson of Governing Board,
County Commissioners, etc.)
ii
(5/97)
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(Date)
ADVISORY COUNCIL REVIEW
The Area Agency on Aging Advisory Council has had the opportunity to review
and comment on the following items in the annual plan. (Comments are
attached.)
1. Statement of intent and justification for transfers budgeted between Parts
B, C-1, and C-2;
2. Statement of intent and justification for use of Part B funds for
Advocacy, Coordination, and/or Program Development;
3. Application for waiver for the Area Agency on Aging to provide
direct services; and
4. Request for waiver of the requirement to award minimum
percentage of funds for required support services (25% for access,
15% for in -home and 3% for legal services).
The Area Agency on Aging Advisory Council has had the opportunity to review
and comment on the 1998 annual plan.
(Signed) (JJ I fj
(Chairperson,
Area Agency on Aging Advisory Council)
(5/97)
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AUDIT ASSURANCE
Single Audit Clause
The audit requirements applicable to area agencies on aging and
subgrantees are set forth in Section 10.480 of Volume 10. All area agencies
on aging and subgrantees shall comply with the requirements for audits as
established by the U.S. Office of Management and Budget Circular Number
A-128 for states and local governments and A-133 for private non-profit
organizations, as amended, for obtaining financial and compliance audits.
The standards to be followed may also be found in the Standards for Audit of
Governmental Organizations, Programs, Activities and Functions issued by
U.S. General Accounting Office, 1988 Revision, or the Guidelines for Audits
of Federal Awards to Non-profit Organizations (April 1989) published by the
Department of Health and Human Services. For purposes of state and local
governmental agencies, the term independent auditor means a state or local
government auditor who meets the independence standards specified in
Government Auditing Standards.
Assurance of Compliance
/7-727- 97
(Signed)
(Date) (Director, Area Agency on Aging)
SELF -ASSESSMENT ASSURANCE
The last completed self -assessment instrument for Region I TB for CY
1996 was found to be in compliance with state regulations. I verify that
relevant documentation is on file at the area agency on aging to indicate
continued compliance.
//- /✓ - 9%
Assurance of Compliance
(Signed)
(Date) (Director, Area Agency on Aging)
i
�c
iv
(5/97)
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TABLE OF CONTENTS
1998 ANNUAL PLAN: January 1, 1998 - December 31, 1998
DUE: November 15. 1997
I. Introduction: Page Number
* Cover Page
* Statement of Intent ii
• Advisory Council Review iii
* Audit and Self -Assessment Assurances iv
• Table of Contents v
II. Executive Summary PAGE ONE
• Summary of all Activities of the AAA for CY 1998
Update of Community Initiatives
III. Overview of Services in 1998 PAGE TEN
• Specific Program by Program Discussion
• Rationale for Funding or Not Funding each Required Service
IV. 1998 Targeting Plan PAGE SIXTEEN
Review of Targeting Objectives
* Evaluation of Targeting in CY 1996
V. Public Input PAGE EIGHTEEN
* Public Meeting(s) Summary
* Program Development and Coordination Review
VI. Waivers (if applicablei NOT APPLICABLE
• Direct Service Provision Waiver
• Waiver of Minimum Percentages Required for Priority Services
VII. Attachments UPDATED MEAL SERVICE CHART
• Form Instructions
V
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SECTION II: EXECUTIVE SUMMARY
A. Overall Direction of the Area Agency on Aging for Fiscal Year 1998
The Weld County Area Agency on Aging has identified three major initiatives for Fiscal Year 1998. First, the Weld
County Area Agency on Aging will enter into an agreement with a qualified entity to conduct a comprehensive
needs assessment with Weld older adults 60 years of age and older. The results of this needs assessment will be
analyzed with the assistance of expertise of area agency staff, area agency advisory board members, and community
agencies. The results of this process will formulate the goals and objectives for the new Four Year Plan and will
guide funding decisions within that plan in the next four years and beyond.
Second. the Weld County Area Agency on Aging will work closely with the Colorado Area Agency on Aging
network and other interested groups to increase communication state-wide with policy makers about the increasing
needs of low income and frail elders in Weld County and throughout the state. Driven by demographic changes,
support for Care givers and services for older adults who are low income and/or frail are most needed. The recent
rapid growth in assisted living facilities particularly along the front range of Colorado is straining the capacity of
the long term care ombudsman program to meet federally mandated monitoring and technical assist to these
facilities. As our population becomes older, services such as home delivered meals and transportation are needed
more than ever to help older adults remain in their homes comfortably and safely. These issues make it imperative
that the Area Agency on Aging increase and improve information to policy makers and planners about how our
aging population impacts all local planning. Additionally and similarly, federal reauthorization of the Older
Americans Act is paramount to insuring that community based programs continue to be available across Weld
County. Education of our federal policy makers about the benefits community based programs under the Older
Americans Act bring to our communities must be continued.
Another major initiative for 1998 will be the implementation of the National Aging Program Information System.
The change to a new data base system for the area agency and its providers will be a major undertaking and is likely
to take most of the year to implement fully. The result will be access to more accurate information about who we
serve and how much service we provide.
In summary, the four major activities of conducting a needs assessment, advocating for the needs of seniors to
policy makers, and implementing a new national reporting system will be an extensive undertaking for the area
agency on aging; particularly in conjunction with carrying out the normal day to day service delivery activities of
the agency and its providers.
B. Community Initiatives Update from Four Year Plan
Transportation Initiative (High Priority)
Lack of transportation was expressed consistently and more often in needs assessments and focus groups than any
other service. Providing demand response and modified demand response transportation service for residents of
a county the size of the State of Connecticut is a massive challenge. The Area Agency on Aging is not prepared
to predict the outcome of efforts to increase and improve transportation to elderly and disabled in rural Weld County
four years from now. However, during the next four years the Area Agency will make transportation service
improvement and expansion a major initiative. Specific actions steps that can reasonably be taken during between
1995 and 1998 are as follows:
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Implement approved City and County transportation consolidation recommendations
• Install transportation computer data base and routing software
• Increase federal transit funding
• Install a 1-800 number for long distance service requests
• Increase route schedule information to the general public
• Implement fee for service
Increase contract service to private sector
1995 Accomplishments:
Joint hiring process in conjunction with the City of Greeley for bus drivers
Transit data base and scheduling software installed, data bases being implemented, staff training in progress
Long distance toll -free numbers approved for use by county Commissioners as service to rural areas
1996 Accomplishments:
• Increased federal transit funding
• Received certification for non -medical Medicaid
• Participated in regional transit planning projects for North Front Range
• Completed Weld County Transit Development Plan (1996-2000) in cooperation with the City of Greeley
Provided 15,194 trips and 59,000 miles of transit to rural Weld County elderly and disabled.
1997 Accomplishments:
PTMS Transportation Software fully operational
Service level to elderly increased slightly
Federal Transit Grant increased
Medical Medicaid certification secured
1998 Goals:
Implement fare system for E & H service
Increase wheelchair services to rural elders
Apply for Section 5309 capital funds in a joint effort with the Colorado Association of Special Transit
Operators
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Information Dissemination Initiative (High Priority)
Lack of information about available services was frequently mentioned as a problem for seniors and their families
in needs assessments and focus groups. During the next four years the Area Agency will revise how information
is disseminated to the public. A comprehensive action plan will be implemented to increase information to the Weld
Community about senior issues and programs that will encompass every aspect of the network of services for the
aging and involve private sector partnerships in the dissemination process. This plan will be developed with
community input and will include but not be limited to the following actions:
• Increase Legal presentations at Senior Aide Stations
• Write Senior Services Column for weekly rural newspapers
• Increase information for Care givers through work place contacts
• Print a standardized outreach handout for rural Senior Coordinators
1995 Accomplishments:
• Eight presentations at senior centers on legal issues impacting elderly
• Five work -site presentations through Family Support Network contract with United Way
1996 Accomplishments:
• Developed central information and referral files for access by all AAA staff.
• Collaborated with publisher of Senior Marketplace News to establish a Weld County monthly edition.
Initiated review of I & R Data Base programs for possible use in Weld County.
Provided staff support to South Weld County Human Services Network Group.
Participated in wide range of informational activities such as local radio interview, speaking engagements, and
booth displays at health and information fairs.
1997 Accomplishments:
• I & R Data Base project abandoned - depending on NAPIS Software to adapt capacity over time.
• Marketplace Newspaper has provided AAA with front page article space for every monthly edition.
• Brochure redesign as per 1997 goal implemented.
• AAA display presence at a variety of senior health fairs throughout 1997 including Senior Games.
• Radio interviews with staff by local radio station about various elderly issues and services.
• Distributed hundreds of pillboxes with Area Agency on Aging phone number imprinted on each.
1998 Goals:
• Print and distribute comprehensive senior housing directory
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Initiate planning for electronic messaging capacity to all rural senior sites
Continue production of senior related issues articles for Senior Marketplace News
Participate in local health and senior information fairs and expositions as appropriate
Increase information to common places where older adults and their families frequent, emphasizing information
to family Care givers.
Housing (High Priority)
Population and economic growth is compounding an already difficult housing market for low income elderly.
During the next four years the Area Agency on Aging will increase involvement with policy makers and housing
specialists. Initiatives for the Four Year Plan period include:
a housing counseling service for seniors in conjunction with the Greeley Housing Development Corporation
(Not a viable goal at this time)
• Technical assistance to Town of Dacono to build a subsidized senior housing project
• A pilot shared housing project (Not a viable goal at this time)
1995 Accomplishments:
• Preliminary meetings with developers for an Assisted Living Project for Tri Town occurred.
1996 Accomplishments:
Signed contract with Coming Home Program to conduct a feasibility study for the Tri Town area of south Weld
County to determine assisted housing needs for these communities.
Secured funding match for the feasibility study in the amount of $3000 from the Weld Housing Authority and
the Tri Town Communities.
Feasibility study completed November. 1996.
1997 Accomplishments:
Coming Home Project did not materialize because needs assessment did not show that project would be
economically feasible at this time.
1998 Goals:
• Coordinate with Weld County Housing Authority and the Tri Town Community to find other senior housing
development opportunities.
Print and distribute comprehensive senior housing directory for Weld County.
Volunteers (High Priority)
Older volunteers will continue to be a vital resource to the community and an integral and necessary part of Area
Agency on Aging programs. Four Year Plan goals included:
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• Increase intergenerational volunteering focusing on the District Six Schools
• Increase number of volunteers in the Senior Nutrition and Ombudsman Programs
• Co-sponsor with United Way and annual workshop on how to recruit and supervise older volunteers.
1995 Accomplishments:
Worked with School District Six Senior Advisory Committee and United Way volunteer Resource Bureau to hold
major volunteer recognition event.
1996 Accomplishments:
Coordinated with RSVP to initiate local rural site volunteer recognitions - four held to date.
Co -sponsored workshop with United Way for non-profit board members, training included responsibilities of
volunteer board members.
Initiated First Annual Area Agency on Aging Volunteer Recognition to honor outstanding seniors and other
community members who have helped improve the lives of seniors.
1997 Accomplishments:
Local rural senior site volunteer recognitions increased.
Volunteer recognition breakfast held in conjunction with Older American's Month
1998 Goals:
Hold second annual Area Agency on Aging Volunteer Recognition to honor outstanding seniors and other com
Provide specific training for Weld senior center sites on recruitment and management of volunteers and
volunteer programs.
Coordinate with National Retired Teacher's Association initiative with Greeley School District #6 to improve
curriculum as it relates to images and knowledge of aging.
Long Term Care
Home health care was listed by key informants as a major concern. Each year a greater percentage of calls to the
Area Agency are about long term care questions. The needs of the most frail elders will continue to be a major
focus of the Area Agency on Aging. Access to information about long term care must increase. Respite alternatives
for Care givers will grow. For the next four years the Area Agency will:
Expand private case management
Increase home health care services for south Weld County
Seek private sector funding to build an assisted living facility
Improve methods of training personal care boarding home staff
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• Offer basic and enhanced elder care packages to local employers as a member of the United Way Family
Support Network
• Provide see money to develop a private sector respite care business
1995 Accomplishments:
Hosted a state medication training for Personal Care Boarding Home Providers.
Presented five Work Family care giving workshops to local employers.
Initiated new contract with NCMC Foundation for in -home respite care services.
1996 Accomplishments:
• Sponsored a Family Empowerment workshop.
• Developed (2) brochures, one for volunteer recruitment.
Initiated re -write of the local personal care boarding home regulations.
• worked with nursing homes and adult protection to develop procedures for resolving delinquent payments to
nursing homes by clients and families.
• Completed study in conjunction with University of Northern Colorado Gerontology Program. Paper entitled
Residents Rights: Knowledge of and Implementation by Nursing Home Staff in Long Term Care Facilities.
• Published CNA Newsletter in conjunction with UNC Gerontology Program.
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1997 Accomplishments:
• Created an Area Wide Nursing Home Resident Council
• Created a three i 3) facility -wide Nursing Home Family Council
Maintained basic required visitation schedule for nursing homes and personal care boarding homes.
Increased number of volunteer ombudsman to four (4).
Secured Victims Assistance Law Enforcement grant funding of $6,777 to support an additional .25 FTE
ombudsman.
Goal Not Accomplished:
• Title III B funding for respite care is being held back until such time that a comprehensive needs assessment
is accomplished and new goals are established in the four year plan to meed respite needs.
1998 Goals:
Work with local. state, and federal entities to determine and plan for future role of area agency and single entry
point with managed care health care programs.
Implement Elder Abuse Protocol Training Program with area long term care facilities.
Coordinate with Colorado Area Health Education (CAHEC), area health care providers, Aims and Front Range
community Colleges, and Regions I, IIA, IIB Area Agency on Aging to hold a First Annual CNA Conference.
Elder Abuse Initiative
The Weld community must be educated about elder abuse. Allocation of federal elder abuse monies to the local
level is necessary to continue and expand this educational initiative during the next four years (allocation to local
level not guaranteed.) With Title VII funding under the Older Americans Act the Area Agency proposes to carry
out the following actions during the Four Year Plan period:
Work with Department of Social Services to establish an Adult Protection Team
Provide elder abuse educational seminars to a wide spectrum of community groups including, service clubs,
town boards, senior centers, and provider agencies.
1995 Accomplishments:
• Secured a concept agreement with local Department of Social Services to establish an Adult Protection Team.
• Sponsored Elder Abuse Workshop in coordination with annual "Spring Fling" senior information fair, 41
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persons in attendance.
1996 Accomplishments:
• Participated on State Elder Fraud Subcommittee of the Coalition of Elder Rights and Adult Protection.
• Wed County Adult Protection Networking Group meeting monthly.
1997 Goals Accomplished:
• Reestablished the volunteer Court Appointed Visitor Program as a function of the Area Agency on Aging.
• Collaborated with the North Colorado Medical Center Seniors Are Special Program's Colorado Trust Grant
on Prevention of Violence Toward Elders - provide training and technical assistance as needed.
Assisted interdisciplinary team to write an Elder Abuse Protocol Manual for Weld service providers - manual
to be implemented in 1998.
1998 Goals:
Utilizing Area Agency on Aging Ombudsman, conduct elder abuse protocol training at all nursing home
facilities and major assisted living facilities.
Nutrition Initiative
Results from a client satisfaction survey of congregate nutrition participants proved that this program is widely
appreciated and beneficial. Nutrition services will continue to be a vital part of the AAA's continuum of care.
Major emphasis during the next four years will be to:
Increase capacity of rural communities to sponsor meal programs without government assistance
Expand home delivered meals service to all rural communities
Develop a volunteer recruitment plan to increase number of participants willing to help serve meals at
congregate sites
Expand from three to eight the number of sites using reusable plates.
Revise reporting procedures to meet new federal reporting guidelines
1996 Accomplishments:
Increased participant suggested donations form $1.75 to $2.00 per meal, increasing project income by $15,000
annually.
Held local volunteer recognitions in Evan, Windsor, Kersey, and Milliken.
Maintained per meal cost with no increase for 1996.
Wrote policies and procedures for application for Congregate Meal Site designation.
• Increased meal service to homebound with a home delivered breakfast program.
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1997 Accomplishments:
Continued to serve nutritious and delicious meals for a reasonable cost sen-ed by local volunteers who are well
trained and committed to the mission of the program.
Opened one new meal site at Greeley Senior Housing using a cooperative model of funding whereby the project
underwrites the full cost of the meals.
1998 Goals:
Complete new registration of all congregate and home delivered meals participants in the NAPIS data base
system as required by Federal and State Older Americans Act Program.
Organize an on going community committee from the towns of Hudson and Keenesburg to develop a means
of bring the congregate meals program and other senior programs to Eastern Weld County.
Health Promotion Initiative
\Veld citizens increasingly are aware of the importance of taking responsibility for their health. During the next four
years the Area Agency will fund creative health promotion programs emphasizing services to rural and minority
populations. Initiatives will include but not be limited for the Four Year Planning Period:
• Annual "Celebrating Healthy Lifestyles" symposium for Hispanic Elders
• Pilot "Healthwise for Life" workshops at three rural senior centers with option to expand depending on
evaluation of outcomes
Eye, dental, and hearing assistance programs for low income elderly
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1995 Accomplishments:
Provided second year of funding for Celebrating Healthy Lifestyles symposium for Weld Hispanic Seniors -
60 Hispanic seniors participating.
Two hundred (200) seniors completed Healthwise for Life classes, a cooperative projects between the Area
Agency on Aging and the weld county Extension Service.
Dental Program funded with Title III, Part F monies, designed assist older adults who do not qualify for other
available dental programs such as the OAP Dental Program.
1996 Accomplishments:
Provided third year of funding for Celebrating Healthy lifestyles symposium - 71 Hispanic seniors
participating.
• Continued Dental Program funding under Title III, Part F.
• Expanded rural Well Adult Clinics to five rural Weld Communities.
• Funded in -home public health screening services in conjunction with Well Adult Clinics.
• Provided additional 54 older adults with Healthwise for Life classes.
1997 Accomplishments:
• Supported funding for "Celebrating Healthy Lifestyles" symposium for Hispanic seniors.
• Provided Part F funding for Senior Dental Program.
Provided Part F funding for rural Well Adult Clinics and in home health screening through public health
department.
1998 Goals:
• Support major Hispanic Elders educational and outreach activity.
• Support Senior Dental Program with supplemental Part F funding
• Make available printed nutrition education materials at all meal sites utilizing materials available through
Nation Consumer Information program and the local extension service.
SECTION III - OVERVIEW OF SERVICES IN 1998
The following description of services is divided into three major categories which delineate general sources of
funding and whether it is a service provided directly or through purchase of services agreements.
SERVICES PROVIDED DIRECTLY BY THE AAA - NOT WITH OAA FUNDS
General Outreach Services:
Outreach is an integral activity of every program. It is an activity that is never ending and must be continually
evaluated to determine effectiveness. The Area Agency on Aging relies heavily on the rural senior aide coordinators
10
to conduct outreach from 21 rural senior stations county wide. Incorporated as the WELDCOS, Inc., the rural
coordinators and their centers are generally supported by their local towns. The role of the Area Agency is to
provide technical assistance. This is provided through a half time advisor, a member of the AAA staff, who is
funded from the federal Community Service Block Grant (CSBG).
Since 1993 the Area Agency on Aging has received a Low Income Energy Assistance (LIEAP) grant specifically
for outreach to isolated seniors. The LIEAP grant supports a bilingual outreach worker and member of the AAA
staff to make contact with 50 seniors each year who have not been recipients of other services. Assistance with
transportation, housing, eye glasses. dental, medications and the Food Supplement Program are also arranged when
needed.
1998 Goal:
• Maintain Area Agency technical assistance to the WELDCOS at .50 FTE.
Multipurpose Senior Centers:
Weld County has 21 senior activity centers including the Greeley Senior Activity Center. The Greeley center is
supported by the City of Greeley and membership fees. The rural centers are supported by the individual towns in
which they are located, with Community Service Block Grant funds, and a general fund allocation from the Board
of County Commissioners which has been set at $12,800 for 1998. Technical support is provided by Area Agency
staff. Community support for the rural centers continues to grow.
In 1997 the Town of Evans opened a new Community and Senior Center. Senior nutrition meals moved to the new
center in December 1997.
1998 Goals:
• Maintain existing technical assistance levels to rural senior centers.
Employment and Training:
The Area Agency on Aging Senior Employment Program is funded under the Job Training Partnership Act Older
Worker Discretionary monies. Funded since 1985, this program will provide employment and training for older
adults annually who are 55 years of age and older. Funding for 1998 from the Colorado Department of Labor is
set at $65,000.
1998 Goals:
Provide training and job placement for 35 older adults 55 years of age and older.
Coordinate training and job placement of older adults with the Title V Green Thumb Program.
Transportation Services:
The management and supervision of the Weld Transportation System is a responsibility of the Area Agency
Director. The Area Agency, therefore, has a direct and integral role in the development of transportation resources.
Needs assessments conducted by the Area Agency in 1994 showed in every instance that transportation is one of
three consistently expressed needs for rural Weld residents.
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City of Greeley residents are served by "The Bus" which is funded and operated by the City of Greeley
Transportation Program. This system provides both fixed route and door to door service. The Weld County
Transportation System provides most rural Weld towns with weekly or bi weekly transportation to larger
commercial areas for shopping and medical appointments. The combined financial support for these two E & D
services is approximately $635,000 annually.
Even so, there are many unmet needs. Many elderly and disabled express the need for more handicapped accessible
service, need for less notification time to receive service, and in the case of rural communities, the need for more
frequent service.
Transportation is not an Older Americans Act funded service even though it is continually expressed as a high
priority need. Due to the relatively small amount of Title III B funds awarded to Weld County and the enormous
amount of money it would take to have a positive impact on this service; the Area Agency believes Title III B funds
are better spent on other needed services. 1998 Goals for this program were outlined on page xx of this
document.
Case Management:
The Area Agency on Aging is the state designated agency for the Options for Long Term Care Program. Th e
program, funded entirely by Medicaid. currently supports five full time and two part time case managers and a
Single Entry Point Coordinator to provide community based long term care services to all ages and disabilities.
Approximately two thirds of the SEP cases are older adults.
1998 Goals:
Purchase computers for every case manager, train all case managers to utilize the SAMS software for
management of cases.
Expand privately funded case management case load.
Information and Assistance:
Information and Assistance is one of the most vital services an Area Agency on Aging can provide. The Weld
County Area Agency on Aging historically has regarded I & A services as an integral component of all AAA related
activities. Specific I & A funding from the Older Americans Act is not allocated for this service.
There is no lack of qualified agencies and personnel to provide information and assistance. The United Way helps
fund a county wide Information and Referral Agency (WIRS). The Area Agency gives training and technical
assistance monthly to a network of rural senior aide coordinators whose principle responsibility is I & A. As many
as 50 provider agencies meet bi-monthly to keep current on programs and services through networking. Lack of
information continues to be a frequently expressed need. 1998 goals are listed under Four Year Plan Initiatives
on page four (4).
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SERVICES PROVIDED THROUGH Title III PURCHASE OF SERVICE AGREEMENTS
Legal Assistance Services:
Legal services for older adults is available in Weld County through the private sector, Colorado Rural Legal
Services, Weld County Legal Services, Inc. and the Area Agency Senior Legal Aide Program. The Area Agency
contracts with a private attorney for case consultation and court time. In turn, the contract attorney provides legal
supervision to a paralegal who is a member of the Area Agency staff.
In 1997, the Senior Legal Aide Program continued to focus on the priority areas of life threatening situations
assistance and advice in applying for public assistance, personal rights issues, and education and information. The
Area Agency Senior Legal Aide Program is able to respond to all legal requests in a timely manner.. Unless home
bound or terminally ill, all other will requests are referred to private attorneys. In 1998 funding for the Senior
Legal Service Program will be maintained at the 1997 level and case files will be maintained on NAPIS data
base software.
In Home Health Care:
One of the most frequently requested services from tabulations of I & R calls to the Area Agency is for home health
care. The availability of home health care services is extensive in Weld County, particularly in the Greeley and
areas surrounding Greeley. Still, for many seniors this is not an affordable service and too frequently not supported
by third party insurers. In 1998, funding will be maintained at the 1997 level for home health and homemaker
aide for persons with no other third party source of support.
Counseling Services - Mental Health
Peer Counseling has been an Area Agency supported service through Title III of the Older Americans Act since
1976. This program counsels over 160 elders throughout the county each year. A trained peer counselor is sent to
the home of an older adult who is experiencing problems such as depression, loneliness, separation from family,
difficulty coping, anxiety or other mental health problems. The Area Agency on Aging believes that in home
counseling is a vital link in the development of a long term care continuum in Weld County. Peer counselors are
instrumental in helping an older person cope with the day to day stresses associated with growing old and frail. The
peer counselor also is a link between the elder and other services. In 1998 funding will be maintained at the 1997
level and increased marketing and outreach for this program will occur.
Adult Day Care
Eldergarden Adult Day Program, Inc. has received funding through a purchase of services agreement with the Area
Agency on Aging since 1985. Adult day care began as a little known and rarely utilized. Several years ago this
program almost closed. Now, the average weekly attendance in Greeley is 35 participants. In 1997, the Fort Lupton
satellite program closed due to the lack of participants. In 1997, Eldergarden received a private donation of $50,000.
The funds will be used to enhance the building fund.
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Needs surveys and anecdotal information support the fact that respite care is an often expressed community need.
Eldergarden is one way for families to have time apart. In 1998, funding will remain the same as 1997 funding
levels.
Home Delivered Meals
Meals on Wheels, Inc. of Weld County has received Older Americans Act Title III. Part C funding since 1997. The
increasing number of very old, very frail elderly in Weld County matches national trends and is a strong indicator
for increased home delivered meals options. In 1998, home delivered meals will be funded at the 1997 level.
Congregate Meals
Approximately 2,800 seniors participate annually in the congregate meal program. Unlike many regions
nationwide; the congregate meal program in Weld County continues to be very successful in most of the 22 rural
communities where this service is provided. In Weld County all meal site activities are handled by volunteers. As
participants become older and more frail; it is more difficult to retain enough volunteers. Younger participants must
be educated about how critical volunteers are to the program. For 1998, goals are listed under the Four Year
Plan Initiatives page nine (9).
Hispanic Elderly Outreach
The Catholic Charities Hispanic Elderly Outreach Program has been funded by the AAA since 1978. Bilingual staff
contact approximately 200 Hispanic elderly each year. In 1997, funding will be at 1996 levels, a grand parenting
support group will be initiated for Hispanic elders, and support services will be provided for seniors at Island Grove
Village.
Disease Prevention and Health Promotion Services:
Two health promotion projects were funded through a Request for Proposal process in 1994. The Hispanic Elderly
Conference, "Promoting Healthy Lifestyles", was very successful and will be refunded for 1998.
Respite Care
A volunteer respite care program has been an Older Americans Act funded service since 1990. Both demographics
and needs assessments indicate this service to be a high need for Weld families in 1995 and many years beyond.
Because of waiting lists and many indicators pointing to the need for greater access for respite care; the Area
Agency supported a new approach to the delivery of respite services in 1995. A proposal by Seniors Are Special
a program of the North Colorado Medical Foundation to provide respite care using paid respite workers was funded
by the Area Agency for the first time in 1995.
This project proved to be unsuccessful. In October 1996 the Area Agency was notified that the Seniors are Special
Respite Program would be dropped by the sponsoring agency, North Colorado Medical Center. The contract will
terminated December 31, 1996. In 1998 the Area Agency on Aging will utilize funding set aside for respite
care to underwrite a comprehensive needs assessment of seniors 60 plus in Weld County. The results of the
assessment will determine the programs to be funded in the next four years; including whether or what type
of respite care will be funded.
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SERVICES PROVIDED DIRECTLY BY AAA WITH OLDER AMERICANS ACT FUNDS
Advocacy, Coordination, and Program Development
These activities are a critical responsibility of the Area Agency on Aging. However, the cost for carrying out these
activities is a component of the AAA administrative budget. In 1998, the Area Agency Director will continue
to devote considerable time to the development of resources in the primary need areas of transportation,
corporate elder care, and housing. Specific educational efforts will be done with local and state elected
officials to advise them of the growth in the senior population, particularly the very old and frail and the need
for increased resources to meet the needs of this population.
Ombudsman Services:
The designated local long term care ombudsman for Weld County is Mindy Rickard of the Area Agency on Aging.
Weld County has 735 nursing home beds and 5 facilities. There are 210 Personal Care Boarding Home beds and
18 facilities operational on the average at any given time. Persons living in nursing homes and personal care
boarding homes are among the most frail and vulnerable of older adults in Weld County.
A priority issue for the future is the projected 40% increase in the number of nursing home and personal care
boarding home beds in Weld County during 1997 and 1998. At present a .75 FTE Ombudsman and two (2) very
part time volunteers will not be able to provide the required visitation and technical assistance for this program. In
1998 the Area Agency on Aging again will seek funding through the Victim's Assistance Law Enforcement
Programand other sources to increase staff ombudsman hours.
Elder Abuse Education:
Much progress has been made in Weld County on elder abuse issues. An adult protection networking team has been
established and meet monthly to review cases and numerous educational workshops and presentations have occurred
throughout the county. In 1998 the Area Agency will continue to coordinate with the North Colorado Medical
Center Seniors are Special Triad Initiative. Such coordination will include access to rural senior center sites
and any other way the AAA network can be utilized to help TRIAD educate the community about elder
abuse and victimization.
Food Supplement Program
The Area Agency initiated an Ensure Food Supplement Program in conjunction with the Weld Food Bank in 1992.
Certification is handled by the AAA and distribution occurs at the food bank. This budget neutral program
continues to grow. In 1995 we changed from Ensure to Sustacal and have begun offering this product very
successfully. In 1998 the Food Supplement Program is projected to serve approximately 150 frail and low
income seniors.
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SECTION IV: TARGETING PLAN
Minority Elders Targeting Plan
Major Title III
Services
Total #
Persons
Served in CY
1996
# Minorities
Projected to
be Served in
CY 1996
# Minorities
Actually
Sen ed in CY
1996
% of Goal
Achieved
% of Total 60+
Pop.
Outreach
265
300
258
86%
1%
Home Health
87
7
14
200%
Negligible
Adult Day
80
6
19
316%
Peer Counseling
98
7
18
257%
Legal
151
12
21
175%
"
Congregate Meals
3040
240
285
118%
1.5%
H. D. Meals
653
52
74
142%
Health Screening
214
17
20
117%
"
Health Education
490
39
81
207%
"
Telephone Reassure 4 1 1 100% "
Case Management 25 2 14 700% "
Dental
3
1
2
200%
"
Respite
8
1
2
200%
"
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Targeting Plan for Low Income
Major Title III
Services
Total #
Persons
Served in CY
1997
#Low
Income
Projected to
be Served in
CY 1997
# Low Income
Actually
Served in CY
1997
% of Goal
Achieved
% of Total 60+
Pop. Served
Outreach
265
132
264
200%
.7%
Home Health
87
43
65
151%
Negligible
Adult Day
80
40
45
112%
Negligible
Peer Counseling
98
49
47
95%
Negligible
Legal
151
75
107
142%
.5%
Congregate Meals
3040
1520
1520
100%
8%
II. D. Meals
653
326
463
142%
2.5%
health Screening
214
107
63
58%
Negligible
Health Education
490
245
348
142%
Negligible
Telephone Reassure
4
2
1
50%
Negligible
Case Management
25
12
21 175%
Negligible
Dental
3
1
3 300%
Negligible
Respite
8
4 5 125% Negligible
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SECTION V: PUBLIC INPUT
A public hearing for the Weld County Area Agency on Aging 1998 Annual Plan was held on November 13,
1997 at the Division of Human Services, 1551 North 17th Avenue. Greeley, Colorado from 9:00 a.m. to 11:00
a.m. The meeting was held in conjunction with the Area Agency on Acting monthly board meeting and there
were 12 persons in attendance.
There was considerable discussion about the Four Year Plan Initiative of "Information Dissemination" and what
progress had been made in this area and where we could continue to improve our efforts. There was support for
redoubling our efforts to reach older adults and their caregivers at more informal points of entry such as doctor's
offices, banks, and other destinations where people could access information.
It was noted that the plan should reflect efforts to coordinate with the National Retired Teacher's Association
Initiate to improve curriculum in local schools to include more positive images of aging. It was also noted that
the plan should not only reflect efforts in FY 1998 to inform policy makers about the need for resources to meet
the increasing needs of older adults and their caregivers; but we need to work on getting the Older Americans
Act Reauthorized.
The Weld County Area Agency on Aging does not. at this time. utilize Part B funds for Advocacy,
Coordination, or Program Development. None of these waivers are an issue with this annual plan.
The Annual Plan was approved with the inclusion of the above described amendments to the plan. The meeting
was adjourned at 11:00 a.m.
SECTION VI: WAIVERS
NOT APPLICABLE
SECTION VII: ATTACHMENTS
NOT APPLICABLE
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972451
TITLE III MEAL SERVICE CHART — Region IIB
E
Total number of days per
week meals are served
C-1 C-2
N
7 I
N
r
r
N.
N
r
N.
n
n
.-
r
r
r
r
r
N.
N.
-
N
N
(7
N
r
r
r
C)
N
r
-
2
r
r
.-
N
r
r
r
r N
r
04
D
Sites which serve
more than one
complete meal per
day"
0
ZZZZZZZ
0
0
0
0
0
0
No
No
0
2
No
0
2222
0
0
0
No
0
22222
0
0
0
0
0
Z
C
Sites which serve 50 % or
more minority clients
C-1 C-2
No
No
0 0
Z Z
No
No
No
0
Z
0
Z
0
Z
ON
0
Zl
0
Z
0
2
0
Z
0
Z
0
2
IYes
0
Z
8
>
O
Z
z
ON
0
Z
No
No
0
Z
INo
0
Z
0
Z
ON
0
Z
No
I No
0
22222>-
0
0
0
0
8
x)-
8
0
2
0
z
B
Sites located in area in
which al least 20% of 60+
population is below the
poverty level
C-1 C-2
X
X
X X
XXXXX
X
X
X
XXX
XXXX
X
X
X,
X
X
X
X
X
XXXX
X
X
X
X
X
X
XXXX
X
X
,x.
A
Site Name/Address
Birchwood Senior Housing
Broadview Senior Housing
Evans Senior Center
Erie Senior Nutrition Site
Gilcrest Senior Nutrition Site
Greeley Manor Senior Housing
Greeley Senior Activity Center
Hill N Park Senior Center
Johnstown Senior Center
Kersey Senior Center
LaSalle Senior Center
Lochbuio Senior Center
Mead Community Center
Milliken Senior Center
Nunn Senior Center
Pierce Senior Center
Platteville Community Center
Rodarte Recreation Center
University Plaza Senior Housing _
Wattenberg Community Center
Windsor Community Center
Lreeley Senior Housing
z
z
y
CO
as
rai
N
N
a
F
O
AAS 260 (7/94)
972451
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