HomeMy WebLinkAbout961822.tiff 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,
1997, 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.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 7th day of October, A.D., 1996.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
. I / id%
itt�y: , . FXCIISFII f)ATF (IF SIPNINh (AYF)
t
.��.� . . Barbara J. Kirkmeyer Chair
I861 )* 'Q! ty Clerk to the Board
i��Y°��� �� At-cy,‘� , ' 1 orge,E. Baxter, P o-Te
♦®pn a I�ii i A , A L: II <
-mo♦�w Deputy Clerk the Board _ ������'�
Dal K. Hall
APPROVED AS TO FORM: / - o_>�`c�N
_ Constance L. Harbert ' q
ounty At orney !4bster ��W.
961822
0-C : HS HR0067
Victim's Assistance & Law Enforcement Board
Nineteenth Judicial District
GRANT APPLICATION FORM
I. Project Title Weld County Long Term Care Ombudsman Advocate/Friendly Visitor
Program
II. Lead Agency/Organization Weld County Area Agency on Aging
Contact Person Linda E. Piper. Director Phone 970-353-3800. Ext. 3320
Address 1551 North 17th Avenue. P.O. Box 1805. Greeley. Colorado 80632
III. Amount Requested $6,771
IV. Non-profit Status X (Government) Yes . No In Process
a'—RRaiirsp / l
. KIRKME'ER ( 1/07/96)
13";1 ?a c t a a. of C / ty sion s
,:`M°1 COUNTY CLERK TO THE BOARD
-••:Y:IL 'L.
D PUTY CL: K TO THE BOARD
9611322
Section A: Summary
The Weld County Long Term Care Ombudsman Program has been a consumer voice for
elderly residing in nursing homes and personal care boarding homes for over twenty (20)years.
The authority for the local ombudsman program comes from the Older Americans 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 instituions 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.
Currently, 1,049 persons live in Weld County long term care facilities which include five
established nursing home facilities and 13 personal care boarding homes. A recent trend analysis
shows that by the end of 1998 there will be a 40% increase in the number of long term care beds
in this county. New long term care facilities are being built to respond to the increasing
numbers of very frail elders 75 years of age and older with chronic conditions which interfer with
their ability to live independently in the community.
The problem this proposal addresses is the need to increase ombudsman hours to keep up
with the additional responsibilities and case load that is occuring due to the increase in long term
care bed. With current resources, the Weld County Ombudsman Program will not be able to
meet even the minimum requirements of the position.
We are requesting a modest amount of V.A.L.E. Board funds ($6,771) to hire a part time
friendly visitor/advocate to assist the lead ombudman. This assistant will work 10 hours per
week in the field visiting nursing homes and personal care boarding homes. The purpose of the
visitations will be to keep a continuing and consistent presence in these facilities.
We believe our proposal request relates to the V.A.L.E mandates to address early crisis
intervention and to provide assistance to victims and their families. Long term care residents
face both physical and psychological barriers when it comes to expressing and advocating for
their needs. The ombudsman 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.
This project will make it possible for the Area Agency on Aging Ombudsman Program to
serve all of the long term care residents and their families including coverage for the proposed
new facilities.
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Section B: Project Concept/Design
2. 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.
To enhance the ability of the Weld County Long Term Care Ombudsman Program to provide
community education regarding issues of residents in long-term care facilities.
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.
Project Objectives:
To hire a .25 FTE advocate to assist the Weld County Long Term Care Ombudsman to identify
concerns of residents living in nursing homes and personal care boarding homes and work with
the lead Ombudsman to develop strategies to rectify the concerns. Hire advocate/friendly visitor
by January 20, 1997.
Using a part time advocate, increase visitation and monitoring hours in nursing home and
personal care boarding homes by 8 - 10 hours per week. Visitations to begin by February 20,
1997.
To meet the minimum federal and state requirements for ombudsman visitations to nursing home
on a monthly basis and to personal care boarding homes on a quarterly basis by December 31,
1997.
To increase ability of Ombudsman Program to identify and resolve violations of resident rights
in long term care facilities through increased community presence in the facilities by a trained
advocate by December 31, 1997
3. Problem being addressed:
The purpose of the Weld County Long Term Care Ombudsman Program is to assist consumers
of long—term care services with information about those services and to resolve complaints
related to the provision of the long term care. 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.
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Long term care ombusmen have statutory status under the Older Americans Act of 1965 as
amended and is required by federal and state law, among other duties, to visit every nursing
home on a monthly basis and every personal care boarding home on a quarterly basis within the
planning and service area.
Currently Weld County has 825 nursing home beds and 224 personal care boarding home beds.
Ombudsman activities, including all education and technical assistance components, all required
visitations, and all complaint investigation is handled by one .75 FTE trained and qualified long
term care ombudsman.
A recent trend analysis of projections of future long term care facilities, both nursing homes and
personal care boarding homes,to be built in Weld County in the next two years, shows a 40%
increase in long term care beds for Weld County by the end of 1998. Federal funds through the
Older Americans Act are not keeping up with the demand for ombudsman services. (See
Attachment 2) With current budget constraints, the Area Agency on Aging will not be able
meet the minimum requirements for visitations, technical assistance, and complain investigation.
There is continuing evidence from statements made by regulatory agencies that an informed
community presence in facilities can help to maintain or improve the quality of the facility and
thus the quality of resident's 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 in the next two years.
4. Timetable:
If funded our timetable would be as follows:
• Hire .25 FTE advocate by January 20, 1997.
• Advocate training completed by February 20, 1997.
• Advocate visitations to long term care facilities begin February 24, 1997.
• Training and supervision will be ongoing.
5. How Objectives will be accomplished:
Utilizing the time table described above, a part time advocate will be hired and trained by
February 20, 1997. We will be seeking applicants who are sympathetic and committed to the
needs of the elderly, have good listening, writing, and observational skills, are willing and able to
participate in a formal training program to be qualified as an ombudsman, and capable of
objectively evaluating each situation on it own merit.
The part time advocate/friendly visitor must successfully complete 60 hours of training and
orientation which will cover policies and procedures of the long term care ombudsman program,
aging and institutionalized elderly, residents rights, nursing homes and personal care boarding
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homes, Medicaid and Medicare, roles of licensing and regulatory agencies. adult protection, and
complaint investigation and resolution. Site orientations will also be provided.
Once trained and under the guidance of the lead ombudsman, the advocate will be assigned a
specified number of long term care facilities to visit on a regular basis. Ten 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. The advocate will become acquainted with the
residents by slowly building recognition and trust. The advocate will listen to the residents and
observe their care. When care concerns are noted or an elder resident reports or describes a
concern, the advocate will record and report the incident to the lead ombudsman. The type and
manner of follow—up will be determined by the lead ombudsman.
6. Anticipated problem in implementine eoals and objectives:
We do not anticipate any problems in implementing this extension of our current ombudsman
program. Long term care ombudsman advocacy is not new to this community. This program
has been operational since the late 1970s. The program is well established and well respected in
the community and among the long term care providers. Even though the program performs an
advocate and complaint resolution role; these activities are carried out through education,
mediation, and brokering.
7. Program goals as related to the V.A.L.E. statute:
This program request most relates to 24-4.2-105, Section 2, parts a and b. Part a addresses
provision of service for early crisis intervention. Our proposal, to increase advocate contacts
with long term care residents, is a preventive move. There are many barriers to the elderly,
particularly those in long term care facilities, to express their 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 because of the lack of information about rights, alternatives,
and legal remedies. A trained advocate, with professional supervision will help prevent, in the
long run, incorrect procedures and abuses of resident rights. This preventive approach is even
more critical considering the dramatic increase in long term care beds now on the drawing board
for Weld County.
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 forthcoming increase in long term care beds,the ability of the
present ombudsman to respond appropriately to complaints will be jeopardized.
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Section C: Service Information
8. Population and geographic area targeted:
The population targeted is 60 plus elderly residing in nursing homes and personal care boarding
home located in Weld County.
9. Numbers of persons in need of these services:
Presently 1,050 persons live in Weld County 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 their care. By extension,the Ombudsman 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.
By the end of 1998 the conservative estimate is that there will be an increase of 445 long term
care beds (individuals) or a total of 1,495 —a 40% increase.
This project would make it possible for the Area Agency on Aging Ombudsman Program to
serve all of the long term care residents and their families when appropriate including the
proposed new residents with the same type and degree of services that we currently are
providing.
10. 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 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.
11. and 12. Duplication of Services
There is no other program which provides services equivalent to the ombudsman program for
long term care residents.
13. Cost Savings
When an advocate visits a long term care facility and discovers that a patient has an open sore
which is not being properly cared for, the advocate can work with the facility to implement
procedures that prevent pressure points which irritate the skin in the first place. There is
considerable medical savings to the taxpayer(most nursing home residents are on Medicaid)
when extreme medical procedures can be avoided.
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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 plans of care which will respect individual rights and give the patient care that may
increase his/her potential to be independent. Dependence costs society.
Section D: Efficiency
14. Evaluation of project
The Ombudsman Program maintains files which generate monthly, quarterly, and annual reports.
Data is kept on numbers of visits, complaints, and technical assistance contacts. Data is broken
down further to reflect types of interventions, types of complaints, types of facilities, and actions
taken. This system will be computerized in 1997.
Section E: Budget
15. 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. A
recent Wall Street Journal article described assisted living as the fastest growing industry in the
nation. Area Agencies on Aging nation—wide are working to bring this to the attention of federal
and state governments emphasizing the need for support of the ombudsman program.
16. See attached budget (Attachment I)
17. Budget Narrative
We are requesting $6,771 dollars for a .25 FTE advocate/friendly visitor at $7.50 per hour for 10
hours per week—$3,915 for hourly salary and $392 for FICA. Travel reimbursement will be at
.27 cents per mile for 5,256 miles or $1,314 dollars. Mileage records will be kept by the
advocate for documentation. Overhead is at 10 percent or($650) for supplies and general
administration.Training is $500 and includes costs to attend ombudsman training sessions in
Denver and other local and state training required by the Area Agency on Aging.
The balance of the ombudsman budget($23,782) supports the lead ombudsman(Mindy), her
supervisor (Eva) and mileage and adminstrative overhead.
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ATTACHMENT 1 •
•
VICTIM ASSISTANCE AND LAW ENFORCEMENT BOARD
DETAILED AGENCY BUDGET
16. 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 only in the budget narrative, not on this page.
CATEGORY
TOTAL TOTAL
a. Personnel (Employees)
(11 Salaries (list each cosition with salary rate and percentage of time devoted
Eva 30 513 YR 5 1 . 529
Mindy ( . 75 FTE ) 15, 707"R ' 99 ` 15 , 550
;)1aw Cid 7 50/hr. ( . 25FTE) /YR k 3 .915
/YR k
/YR I k
(
Subtotal of Personnel $20 ,994
(2) FICA, Retirement, Fringe Benefits, etc. 2, 298
Total Personnel tests �I . I $ I S 23 , 292 •
b. Supplies and Other Operating Expenses (communications, reproduction)
Supplies/operating/overhead/ADMIN 2 , 818
Training 500
Total Supplies and Operating Expenses I $ I $ 3 3 1 4
c. Travel (itemize transportation and subsistence)
Mileage/Out of Town Travel/Meals 3 ,943
Total Travel Costs I $ IS 3,943
d. Equipment (itemize)
Total Equipment Costs i $ I $ 0
e. Professional Services (itemize individuals and organizations)
•
Total Professional Services Costs $ I $ 0
f. TOTAL PROJECT COST II $ 30 , 553
g. Total Percent by Source
(1) Federal Funds $ 23 , 782 • 78
(2) VALE Funds $ 6 . 771 99 k
(3) Other Funds $ k
TOTAL $ 30 5SJ 100 %
•Please explain the source of "Other Funds" in the budget narrative.
17. BUDGET NARRATIVE: Explain and justify the project budget and relate the item budgeted to project activities
(use continuation sheets) .
GRVAPPL.VW
9 ►�'. ,t 2
ATTACHMENT 2
Weld County
Long Term Care Beds -Current and Projected Analysis
Current Long Term Care Beds Status:
Nursing Home Beds 825
Personal Care Boarding Home Beds (PCBH) 224
Projections for Future Facilities:
Life Care Center- Construction begins in 1997
120 nursing home beds
60 PCBH
Continuum of Care (Foxhill) - Construction begins in 1997
60 nursing home beds
120 PCBH
Living Centers of America- Construction begins 1997
45 PCBH
Beehive Homes - Opens 1997
20 PCBH
100 bed in 10 separate homes in five years
Feathered Nest - Opens in next 12 months in Fort Lupton and Johnstown
16-20 PCBH
New nursing home beds total: 180
New PCBH beds total: 265
Total Possible Beds by 1998: 1,494 (40% increase)
prepared by:
Weld County Area Agency on Aging
August 1996
C:\WPFILES\GENERAL\BEDS.LTC
96.1.822
ATTACHMENT 3
Area Agency on Aging Advisory Board
Membership List
John Espinosa Suzanne Listemann
105 S. Marjorie Avenue 217 3rd Street
Milliken, CO 80543 Eaton, CO 80615
H: 587-2652 H: 454-2315
Mary Ellen Faules Chic Renfro
1416 l lth Street 450 Barry Street
Greeley, CO 80631 Ft. Lupton, CO 80621
H: 353-0216 W: 351-6121 H: 857-4098
Mary Fox Jim Riesberg
25518 W.C. Rd 40 P.O. Box 2347
Kersey, CO 80644 Greeley, CO 80632
H: 284-6203 W: 352-8394 H: 351-0541 W:
Connie Harbert Peg Scott
Weld County Commissioner 253 Kahil Place
W: 356-4000 Ft. Lupton, CO 80621
H: 857-6767
Shirley Ianelli
7451 Rd 49 Wilbert Wiedeman
Hudson, CO 80642 2700 W. C St. #136
H: 303-536-9243 Greeley, CO 80631
H: 304-9541
Betty Jones
1959 26th Avenue Judy Yamaguchi
Greeley, CO 80631 13141 W.C. Rd 21
H: 353-7295 Platteville, CO 80651H: 785-2440
H: 785-2440
Priscilla Kimboko,PHD
Associate Dean
UNC Graduate School
Greeley, CO 80639
W: 351-2831
John Lee
City of Greeley Public Works
1000 10th Street Revised 9/96 - de
Greeley, CO 80631
W: 350-9280
961.922
A^TACR'!ENT 4
REGION: 2B
NOTIFICATION OF GRANT AWARD TO AREA AGENCY ON AGING
FOR OLDER AMERICANS ACT TITLE III FUNDS
[—Type of Grant or Action Grant Award No.
Region 211
❑ Initial Award 028-88 IFS'1996)
■ Revision of Earlier Grant issued 1229/95
Grant Award Period Name and Address of Grantee
Weld County Department of Human Resources
PO Box 1805
Beginning: 1/1/96 and Endino 12/31196 Greeley,Colorado 80632
COMPUTATION OF AWARDS:
ADMINISTRATION OF THE AREA PLAN PART B SUPPORTIVE SERVICES
Total Approved Budget S 45,155 Fed/State Carryover $ 13,62
Local Share of Cost $ 12.351 Fed/State New Allocation $ 132,435
Federal Share of Cost $ 32,804 Total Part B F/S Award $ 146,127
SERVICES UNDER THE AREA PLAN PART C-1 CONGREGATE MEALS
Total Part B,D&F Budget $ 438.327 Fed/State Carryover . S -
Less B.D,&F Program Income S 79,003 Fed/State New Allocation $ 148,811
Net Part B,D,&F Budget $ 359,327 Total Part C-1 F/S Award $ 148,811
Total C-1 and C-2 Budget $ 365,715 PART C-2 HOME DELIVERED MEALS
Less C-1 &C-2 Program Income $ 166,951 Fed/State Carryover $ -
Net Part C-1 &C-2 Budget $ 198,764 Fed/State New Allocation $ 31,353
Total Services Budget $ 558,091 Total Part C-2 F/S Award $ 31,353
. Local Share of Cost $ 197,275 PART D IN-HOME SERVICES
Fed/State Share of Cost $ 360,816 Fed/State Carryover $ 7.628
Fed/State New Allocation S 4,837
Total Part D F/S Award $ 12,465
PART F HEALTH PROMOTION SERVICES
Fed/State Carryover S 13,902
Fed/State New Allocation $ 8,158
Total Part F F/S Award $ 22,060
TOTAL AWARD FOR SERVICES S 360,816
Except where it is in conflict with this Notification of Grant Award n which case the Notification of Grant Award governs,
the area plan upon which this award is based is an integral part of this grant
(a
APPROVALS: �j (��/�
Barbara McDonnell,Executive Director A weds•
ygna Grant Recipient
Colorado Department of Human Services
1575 Sherman Street / yi
Denver,CO 80203 2?i2, /6 i(/(tr rTh/e !/i/7)( /Cfr /IP
.i'' 1
Date Title ' k.',;22° ;
MEMO
To: Barbara J. Kirkmeyer, Chairman Board of County Commissioners
From: Walter J. Speckman, Executive Director Human Services
Subject: Area Agency on Aging V.A.L.E. Grant
Date: October 3, 1996
Enclosed for Board approval is a grant application from the Area Agency on Aging to the
Victim's Assistance & Law Enforcement Board for $6,671 for the Long Term Care Ombudsman
Program.
The funds are being requested to increase the number of ombudsman hours available to visit
nursing homes and personal care boarding homes to monitor and address residents concerns by
another 10 hours per week.
The need for additional ombudsman hours is being driven by a dramatic increase in nursing
home beds and personal care boarding homes beds in Weld County over the next two years. A
conservative estimate is that the total number of beds will increase 40%.
This grant is a competitive grant. If funded,the program extension would begin January 1, 1997.
Please call Linda E. Piper, Director Area Agency on Aging at 353-3800, extension 3320 if you
have questions.
961822 /iRbbill
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