HomeMy WebLinkAbout20191316.tiffRESOLUTION
RE: APPROVE FOUR-YEAR PLAN FOR AREA AGENCY ON AGING (TITLE III AND VII)
FOR FEDERAL FISCAL YEARS 2020-2023 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 Four -Year Plan for Area Agency on
Aging (Title III and VII) for Federal Fiscal Years 2020-2023 from 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, to the Colorado Department of Human
Services, Aging Services Unit, commencing July 1, 2019, and ending June 30, 2023, 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 Four -Year Plan for Area Agency on Aging (Title III and VII) for Federal
Fiscal Years 2020-2023 from 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, to the Colorado Department of Human Services, Aging Services Unit, 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 3rd day of April, A.D., 2019.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, LORADO '
ATTEST: datitio j a: ok
Weld County Clerk to the Board
ounty Attorney
Date of signature: y-a'lQ
O
!tG
arbara Kirkmeyr, Chair
Mike Freeman, P -Tem
C v
can P. Conway
Steve Moreno
2019-1316
H R0090
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: March 20, 2019
TO: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: Department of Human Services' Area Agency on
Aging (AAA) Four Year Plan
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Department's Area Agency on Aging's (AAA) Four -Year Plan for
Fiscal Year 2020-2023. The AAA Four -Year Plan for fiscal year 2020-2023 will help guide the AAA
staff and Weld County Advisory Board in the provision of services and support to seniors of Weld
County. The plan has been reviewed and approved by the Advisory Board. The plan includes: public
input, demographics, an overview of the Community Assessment Survey of Older Adults (CASOA),
current and future Older Americans Act (OAA) programs, specific program questions, primary target
population for services, community trends, community input, and key strategies and programs to be
funded over the upcoming planning period. These programs include:
a. Information and Assistance and Aging and Disability Resources for Colorado
b. Outreach Services (Minority Outreach Program and Case Management Services)
c. Transportation Services
d. In -Home Services (Homemaker and Personal Care Services and Peer Counseling Services)
e. Legal Assistance Services
f. Ombudsman Services
g. Disease Prevention and Health Promotion Services and Evidence Based Programs
h. Congregate Nutrition Services
i. Home -Delivered Nutrition Services
J•
National Family Caregiver Support Program
k. Other Optional Support Services (Dental, Vision and Hearing Program, Visually Impaired
Service Program, and Chore Program)
2019-1316
Pass -Around Memorandum; March 20, 2019 — Not in CMS
413
Page I
HRcci o
PRIVILEGED AND CONFIDENTIAL
The OOA and Senior Services funding level for Federal Fiscal Year 2019 is $2,472,603.11. The funding
for FY 2020 has not yet been determined.
I do not recommend a Work Session. I recommend approval and submission of the plan.
Approve
Recommendation Work Session
Schedule
Sean P. Conway
Mike Freeman, Pro-Tem
Scott K. James
Barbara Kirkmeyer, Chair
Steve Moreno
Other/Comments:
Pass -Around Memorandum; March 20, 2019 — Not in CMS Page 2
Weld County Area Agency on Aging
Assistance Advocacy Answers on Aging
TABLE OF CONTENTS
SECTION I: EXECUTIVE SUMMARY 1
SECTION II: PUBLIC INPUT 2
Older Adult Focus Groups 2
Service Provider Focus Groups 4
Public Hearing 5
SECTION III: DEMOGRAPHICS 5
SECTION IV: COMMUNITY ASSESSMENT SURVEY OF OLDER ADULTS (CASOA) 12
Overall Community Quality: 12
Community and Belonging: 13
Community Information. 13
Productive Activities• 13
Health and Wellness• 14
Community Design and Land Use15
SECTION V: CURRENT AND FUTURE AREA AGENCY ON AGING PROGRAMS AND VOLUNTEERS 15
Older Americans Act Core Services 16
Information and Assistance (I & A) and Aging and Disability Resources for Colorado (ADRC) 16
Outreach Services 17
Case Management Services for At- Risk Older Adults 17
Transportation Services 18
In -Home Services 18
Legal Assistance Services 19
Ombudsman Services 21
Disease Prevention and Health Promotion Services and Evidence -Based Programs 22
Nutrition Services 23
National Family Caregiver Support Program 25
Older Americans Act Optional Services 26
Dental, Vision, and Hearing Program (DVH) and Visually Impaired Service Program 26
Chore Program 26
Other programs: Not funded by the Older Americans Act or State Funds for Older Adults 27
Colorado Options for Long -Term Care Program (OLTC) or Single -Entry Point (SEP) 27
Adult Protective Services 27
Colorado Choice Transitions (CCT) 27
i
SECTION VI: QUESTIONS 27
Core Services 27
Ombudsman and Legal Assistance 29
Other Services 30
Targeting and Outreach 30
Innovation and Expansion of Services 32
SECTION VII: TITLE III/VI COORDINATION 35
SECTION VIII: ATTACHMENTS 36
Attachment A: Direct Service Waiver Request 36
Attachment B: Senior Nutrition Site Locations 38
Attachment C: Community Focal Points and Senior Centers 44
Attachment D: Regional Advisory Council Membership 47
Attachment E: Statement of Intent 48
Attachment F: Focus Group Schedule 49
Attachment G: Focus Group Questions for Older Adults 50
Attachment H: Focus Group Questions for Service Providers 51
ii
SECTION I: EXECUTIVE SUMMARY
The Weld County Area Agency on Aging Four -Year Plan for State Fiscal Years 2019-2023
(July 1, 2019 to June 30, 2023) will help guide the Area Agency on Aging staff and Area
Agency on Aging's Advisory Board in providing services and support to Weld County older
adults. The plan will be reviewed annually, and adjustments will be made to reflect changes
and new opportunities in the coming years. Any significant adjustments to the Plan that may be
needed during the planning period will be approved by the Area Agency on Aging staff, the
Area Agency on Aging Advisory Board, the Board of County Commissioners and the Colorado
Department of Human Services, State Unit on Aging.
The Plan is presented in eight sections: the executive summary, the results of input received
from community members who participated in focus groups, 60+demographics, highlights of
information gleaned from the community assessment survey, a review of current and future
Older Americans programs and the use of volunteers, specific program and planning
questions; "coordination," and an attachment section. The planning document follows the
template developed by the Colorado Department of Human Services, State Unit on Aging.
As described in Section II, public input was acquired from survey data and from focus groups.
The questions that were presented to the groups were designed to help guide us in our four-
year planning process.
The demographic section (Section III) of the Plan provides a general overview of the
demographic changes within the region. Weld County, like the rest of Colorado, is
experiencing a change in the aging population. Between 2018 and 2025, Weld County will
experience a 26% growth in 65 to 74 -year -old individuals and a 38% growth in the 85+ age
group. This growth will have a significant impact on how the Older Americans Act (OAA)
service provisions are implemented and will dramatically affect the community overall.
In Section IV, results from the CASOA survey is presented and implications of the data are
analyzed. In 2018, the Colorado Association of Area Agencies on Aging applied and received
a grant from the NextFifty Initiative. This grant allowed the sixteen Colorado Area Agencies on
Aging to individually contract with the National Research Center in Boulder, Colorado to
complete a state-wide Community Assessment Survey for Older Adults (CASOA) and a
region -specific survey report. The Weld Area Agency on Aging requested additional reports for
the Carbon Valley and Erie areas. The Four -Year Plan highlights the key findings in Weld
County and in the Erie and Carbon Valley areas. The full reports are available on the Weld
County Area Agency on Aging (AAA) website www.weldaaa.orq.
Section V provides a detailed overview of the current and future programs and use of
volunteers for all programs that will be provided by, or through, the Weld County AAA over the
next four years. The section also addresses current and future initiatives for each program
area and, when appropriate, discusses the use of volunteers.
The question section (Section VI) of the Plan addresses such topics as: program barriers and
monitoring, waitlist management, the Ombudsman and legal programs, targeting and outreach,
and innovation and program expansion. Each question was addressed based on historical
1
program practice, knowledge of the AAA system, Older Americans Act regulatory
requirements, and current and future agency initiatives.
Section VII does not apply to Weld County since we do not have a Title VI Native American
program in our region.
Attachments in Section VIII include the direct service waiver requests, which outlines the
programs that are managed within the AAA verses being managed by a community
contractor/provider. All programs that are managed internally must be approved by the Weld
County Area Agency on Aging Advisory Board, the general public through a public hearing
process and the Colorado Department of Human Services, State Unit on Aging. The additional
attachments address the location of all Senior Nutrition meal sites, the community focal points
and senior centers, Area Agency on Aging Advisory Board membership, the statement of
intent, and additional focus group information, and demographics.
SECTION II: PUBLIC INPUT
The Weld County Area Agency on Aging (AAA) offered multiple occasions for consumers to
share the strengths and needs of older adults in Weld County. The Area Agency on Aging
Advisory Board members and the AAA staff members played a significant role in gathering
information through the focus group process.
During July and August 2018, twelve focus groups were held throughout Weld County. Ten of
the focus groups were dedicated to obtaining feedback from older adults and two focus groups
(one held in Firestone and the other in Greeley) provided an opportunity for senior -service
providers from the community to provide information about how their efforts are perceived by
the seniors. The questions asked at the service providers focus groups are found in
Attachment G and H. A total of 201 individuals attended the groups geared to older adults and
25 attended the two service provider focus groups. In addition, a public hearing was advertised
and held to provide the public an opportunity to provide feedback on this Four -Year Plan.
Older Adult Focus Groups
The purpose of the ten older adult focus groups was to reach out to seniors and obtain
feedback regarding their thoughts about their own aging journey, their current use of
supportive services, potential future service needs, information and access to senior service,
individual community strengths regarding senior services, innovative senior programs and their
future residential plans. All focus members were asked the same 10 questions (Attachment G).
We found, across the older adult focus groups, that participants shared many of the same
positive aspects of growing older. Responses ranged from having less day-to-day stress, time
to explore other interests, and increased interaction with family and friends, to getting to know
themselves better and yes having wisdom! The challenges of aging ranged from health
concerns, loss of independence, financial concerns, and fear of not being able to drive. Some
indicated feeling alone, many times due to the death of a spouse. We were also interested in
finding out what services the participants were currently using. Those most often mentioned
were services related to heavy housework, yard care, general home maintenance, and
transportation. When asked what services they thought they might need in the next 4-5 years,
2
many simply repeated those they were currently using. Transportation assistance, whether
provided by family, friends, or service providers, was a particular concern as respondents
noted their need to access services, get to doctor appointments, and be able to go shopping
for food. Other responses mentioned access to long-term care facilities, such as assisted
living, to simply downsizing their existing home to something smaller with less maintenance.
We were pleased to see that many seniors are successful in locating and accessing senior
services, but we are concerned that many seniors indicate that they do not know where to go
for information about available services and how to connect with them.
We asked the participants how they currently access senior -related information. The top two
answers were word of mouth and from their local senior center/community center. The next
sources were traditional print media such as newspaper, newsletters, brochures, and other
senior information guides such as the AAA's HelpSource and the Blue Book. Other answers
included AAA presentations at senior and community centers, physicians, churches, phone
book, etc.
We followed this question up with how they would like to access and receive information about
aging services and resources in the future. We were hoping that this would give us direction in
our marketing and outreach efforts. What we found was that many participants still look for
information in print form, whether it is in the newspaper, magazine, brochures, or flyers. Some
did indicate that they use the internet to access service information. The large majority rely on
word of mouth. This information could be coming from friends, family members, senior centers,
and, at times, professionals.
Because community engagement plays an important part in a person's quality of life, we were
interested in knowing what positive things the participants' saw happening in their community.
Several of them indicated they were pleased with their senior/community centers and the
services, such as a senior nutrition meal program, linked with those centers. Other comments
noted access to libraries, walking trails, churches, community cleanup events, movies, farmers
markets, tai chi classes, etc. The community activities and the interest in engagement did not
seem to differ between rural and more urban communities.
Recommendations for how communities could be more responsive to senior needs varied from
having a dedicated senior center rather than only a general community center, to providing
additional senior housing, having access to more and improved transportation options, getting
assistance with yard maintenance, computer and smart phone classes, more wellness classes,
and, local resource fairs.
The last question asked where the older adult focus group participants saw themselves living
five years in the future. It was no surprise that most participants stated that they would be living
in their current home. Interestingly this response was consistent with what was reflected in the
2018 Community Assessment Survey. When respondents were asked the likelihood of them
remaining in the community throughout their retirement, 83% indicated it was somewhat or
very likely. A few seniors stated that they see themselves moving closer to family or
downsizing and moving into a senior apartment complex. Since staying in their own home was
the overwhelming goal of most seniors, the focus group facilitators encouraged the participants
to look at their current home with a critical eye and determine if the home will need thoughtful
modifications for them to live safely and comfortably in their home now and in the future.
3
Service Pr vider Focus Groups
For the two service provider focus groups, representatives from all Weld County organizations
and businesses that provide senior services were invited to attend focus groups held in
Firestone and in Greeley. °articipants at both service provider focus groups were given the
same set of questions (Attachment H). We were interested in knowing how older adults were
made aware of the services that are provided, what service gaps they feel exist in the
community, what improvements in the service network they would like to see, whom they feel
is being underserved and why, innovative services they would like to see developed, and any
additional thoughts and/or ideas that we did not ask about.
The service provider focus groups in Greeley and Firestone were well attended and very
interactive. As we heard from the older adult focus group participants and also from 2018
CASOA survey, many seniors are unaware of the plethora of senior services available in the
community. In addition, most are unsure of where to go to obtain the service information. So,
we were especially interested in learning from the service providers about their marketing
techniques and how they think seniors learn about their services. The responses were not
clear cut. Some providers advertise their services in the newspaper and on the radio, others
reached out to key hospital staff, physicians, the faith -based community, other health care
providers, and others indicated they use social media and a business website. They also
stated that they try to reach out directly to the potential client and to the senior's family
members. No one seemed to have the answer, but all agreed that getting the information to
seniors who need services is challenging.
The service providers were asked about their views regarding what gaps exist in senior
services currently offered in the community and what improvements could be made within the
current network of services. cene important theme coming out of the discussion was the
providers' concern that seniors and their families/friends found it difficult to access information
about service options. In part, they attributed this issue to the confusing processes that exist to
access entitlement and other government programs due to the cumbersome application
processes and confusing regultions. The service providers also thought there should to be
greater collaboration between agencies and providers so that seniors and family/friends do not
get lost in the system. They also were concerned that there are too few professionals in the
network providing impartial information and assistance, and that intensive case management
scrvices are lacking. Other issues discussed related to lack of transportation services
throughout the county, limited number of Medicaid beds in assisted living, limited affordable
and accessible housing options for all seniors throughout the county, lack a of adult day care
services, a general lack of consistent livable community planning in all cities and towns in the
county, limited services to rural seniors, and gaps in services for seniors who live alone.
Providers wero also asked who they thought were the underserved senior. Seniors who live in
rural areas, seniors who have Alzheimer's or other forms of dementia, isolated and lonely
seniors, and seniors who fall in the "Utah Gap" (term used to describe individuals who make
too much money or have too many resources to qualify for assistance but do not have enough
money to purchase services), non-English speaking seniors, and seniors who need
transportation on the weekends were mentioned most frequently.
4
We also asked the participants to dream and share what innovative programs or services they
would like to see. Their ideas included a more robust Aging and Disability Resources for
Colorado (ADRC) program, an enhanced Project Connect Event that reaches out to
homebound seniors, an event focusing on senior information and resources, a transportation
"urgent care team," and the implementation of a Livable Communities concept throughout the
county.
At the conclusion of the focus group, we asked the participants what additional questions we
should have asked. The group stated that we should have asked more questions concerning
homelessness, the concept of reframing aging, and the possible need for additional health
promotion and prevention programs.
Public
ES'
gain
The public hearing was held in the Weld County Department of Human Services, during the
Weld County Area Agency on Aging Advisory Board meeting on March 20, 2019, at 9:15 a.m.
The public hearing was made public through a press release to the Greeley Tribune Beyond
60 Page, the leading newspaper in Weld County. A total of twelve individuals attended the
meeting. At the public hearing, the plan was reviewed, highlighting the programs funded and
managed either by internal staff or through contracted community providers. Direct waiver
information was discussed and approved.
SECTI ii : IJ SG AHWWS
Weld County, located in the northern part of the state, is the third largest county in Colorado
covering 3,987 square miles. The county is home to 304,435 people, 50,935 who are 60+
years old (Table 1 2017 Population Estimates American Community Survey of the U.S. Bureau
so the Census). Weld County, like the rest of Colorado, is experiencing a change in the aging
population. As noted in Table 2, Weld County will be seeing a 26% growth in 65 to 74 -year -old
individuals and a 38% growth rate in the 85+ year- old group between 2018 to 2025. Table 3
provides an overall comparison of the 60+ population growth when compared to the overall
population growth anticipated over the next four years. This overall change in population will
have a significant impact on the type and scope of services that the AAA and the community at
large must address.
Table 1
2017 Final Population Estimates for Weld County
-- _--
'
60+—
50,935
—
14,12.4:.
--.
75+
-
'
Poverty
60+
3,683.
I Ethnic
Minority
60+
9,180
,,
Rural 6p+
Low Income
10,967
(185%)
60+
17%
Population
total
of
the
28%
Senior
Population
of
the
8%
Senior
Population
of
the
80
of
Population
the
Senior
30%
Senior
Population
of
the
22°/0
of
Population
the
Senior
Source: American Community Survey of the U.S. Bureau of the Census
County Pr jecte P
•
Table 2
pulatbon Chan ire by Age Group 2018 to 2025
5
Projected Population Change by Age roup-, 2018 to 2025
400000
350000
300000
250000
200000
150000
100000
50000
0
AU ages;
0to17
16 to 24
>-25to54
55 to 64
24 '°
17 %;
65 to 74
23 fl
29 %
13 %
85 & over
38
15 20 25
Percent Change
40
Source: Colorado State Demographer, Department of Local Affairs
55324
Table 3
Projected Age 60-100 verses Total Population
p
jecte
323765
Year 2019
333149
57562
Year 2020
yes6 T taA P
59800
u
343956
Year 2021
E1 Ages 60+ B3Weld County All Ages
fl
355073
62032
Year 2022
Source: Colorado State Demographer, Department of Local Affairs
The AAA strives to reach and address the needs of the most at -risk older adults in our region.
One indicator of risk that we pay special attention to is poverty. We have mapped the location
6
of older adults in the county based on 1 and 2 times the poverty level and the location of our
senior nutrition sites throughout Weld County.
- 4 - vat tea .,` -
Id.,County Percent of Individuals 65 Years and1Overwith Income Less Than 1.0 Federal Pove
BERTHOU0
MEAD
PIERCE----
SEVERANCE
WINDSOR
EATON
GILCREST
P LATT EV IL LE
FORT LUPTON
• BRIGHTON
L SALLE
LOCHBUIE
_HUDSON
KERSEY
KEEN ESBURG
65 and Over Less Than Al
Times Poverty Level
0.00%
0.01%-
cs 10.01 %
20.01%
ED 30.01%
40.01%
50.01%
60.01%
- 70.01%
10.00%
- 20.00%
- 30.00%
- 40.00%
- 50.00%
- 60.00%
-70.00%
- 100.00%
Senior Nutrition Sites
This product has been developed solely for internal use only by "Weld County. The GIS database, applications, and data in the product is subject to constant change and the accuracy and completeness cannot be and is not guaranteed.
The designation of lots or parcels or land uses in the database does not imply that the lots or parcels were legally created or that the land uses comply wth applicable State or Local law. UNDER NO CIRCUMSTANCE SHALL ANY PART THE
PRODUCT BE USED FOR FINAL DESIGN PURPOSES. WELD COUNTY MAKES NO WARRANTIES OR GUARANTEES. EITHER EXPRESSED OR IMPLIED AS TO THE COMPLETENESS. ACCURAC Y. OR CORRECTNESS OF SUCH
PRODUCT, NOR ACCEPTS ANY LIABILITY, ARISING FROM ANY INCORRECT. INCOMPLETE OR MISLEADING INFORMATION CONTAINED THEREIN. sours& uS.CensusBureau -2017ACS5-Yearsunmarytie seg56
7
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kli eg .WitlitZeiPTSAler art, ftikisia i iviF1'tib , 55:.'i`'iiversaPiz rainii t i itiebleti d1I�L'aitiMMAMED
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8
Many of the nutrition sites are located near or within the higher poverty areas. On addition to
providing meals several times a week, nutrition sites offer additional senior resources/services,
social support, and provide criticI information regarding senior services in the community.
Since we know age is another risk factor, we have identified where the 65+ older adults reside
within our county. Understanding where seniors arc growing old in our community will help with
the development of future programming and targeting opportunities.
FIRESTONE
GIL.CFEST
FORT 1:UPT€ IN
HUDSON
KrENESL'IJR
Senior Nutrition Sites
% of Total Population > 60
4:97% - &85%
8.86% - 12,27%
11' 25% - 14,95%
14.96% _
18.09% - 21.66%
21.67% - 25,98%
v.tsn -
1
This product has been developed solely for internal use only by Weld County. The GIS database, applications, and data n the product Is subject to constant change and the accuracy and completeness cannot be and is not guaranteed.
The designation of lots or parcels or land uses in the database does not imply that the tats or parcels were legally created or that the land uses comply with applicable Sate or Local law, UNDER NO CIRCUMSTANCE SHALL ANY PART THE
PRODUCT BE USED FOR FINAL DESIGN PURPOSES. WELD COUNTY MAKES NO WARRANTIES OR GUARANTEES, EITHER EXPRESSED OR IMPLIED AS TO THE COMPLETENESS, ACCURACY, OR CORRECTNESS OF SUCH
PRODUCT, NOR ACCEPTS ANY LIABILITY. ARISING FROM ANY INCORRECT. INCOMPLETE OR MISLEADING INFORMATION CONTAINED THEREIN.
9
Weld County Senior NutritionSites
NIA
AERESToNE .....
Senior Nutrition Sites
of Total Population > 75
0.00% - 0.73%
0.74% - 1.75%
1.76% - 2.75%
2.76%--3.74%
3.75% - 5.32%
5.33% - 7.24%
7.25% - 9.98%
This product has been developed solely far internal use only by Weld Counts. The GIS database, applications, and data in the product is subject to constant change and the accuracy and completeness cannot be and is not guaranteed.
The designation of lots or parcels or land uses in the database does not imply that the lots or parcels were legally created or that the land uses comply with applicable State or Local law UNDER NO CIRCUMSTANCE SHALL ANY PART THE
PRODUCT BE USED FOR FINAL DESIGN PURPOSES. WELD COUNTY MAKES NO WARRANTIES OR GUARANTEES. EITHER EXPRESSED OR IMPLIED AS TO THE COMPLETENESS, ACCURACY, OR CORRECTNESS OF SUCH
PRODUCT NOR ACCEPTS ANY LIABILITY, ARISING FROM ANY INCORRECT, INCOMPLETE OR MISLEADING INFORMATION CONTAINED THEREIN.
10
RFRICH ION
•
Minority % of Population
65 and Over
0.00% - 2.19%
2.20% - 5.54%
5.55% - 9.89%
9.90% 13.96%
13.97% - 17.91%
__ 27.61% - 43.10%
43.11% - 60.80%
t a.
. X0.81%-89.14%
'Weld Coun
This product has been developed solely for internal use only by Weld County. The GIS database, applications, and data in the product is subject to constant change and the accuracy and completeness cannot be and is not guaranteed.
The designation of lots or parcels or land uses in the database does not imply that the lots or parcels were legally created or that the land uses comply with applicable State or Local law. UNDER NO CIRCUMSTANCE SHALL ANY PART THE
PRODUCT BE USED FOR FINAL DESIGN PURPOSES. WELD COUNTY MAKES NO WARRANTIES OR GUARANTEES, EITHER EXPRESSED OR IMPLIED AS TO THE COMPLETENESS, ACCURACY, OR CORRECTNESS OF SUCH
PRODUCT, NOR ACCEPTS ANY LIABILITY,ARISING FROM ANY INCORRECT, INCOMPLETE OP MISLEADING INFORMATION CONTAINED THEREIN. source: us. Census Bureau -2017ACS 5YearSummary MleSeg2and 3
ill
SECTION IV: COMMUNITY ASSESSMENT SURVEY OF OLDER ADULTS (CASOA)
In summer 2018, a statewide Community Assessment Survey of Older Adults (CASOA) was
completed by the National Research Center of Boulder Colorado. This is the second Colorado
statewide older adult survey to be completed by the National Research Center in the last 18
years. Each AAA received a custom report that focused on responses from participates in their
catchment area. The Weld AAA requested additional reports for the Carbon Valley and Erie
areas. Carbon Valley and Erie are two areas that are rapidly growing in population and we
were interested to see if their needs varied significantly from the rest of the county.
The overall objectives of the survey were to:
• Identify community strengths in serving older adults.
• Articulate the specific needs of older adults in the community.
• Estimate contributions made by older adults in the community.
• Determine the connection that older adults have to their community.
The survey was mailed on May 25, 2018, to a random selection of 1,900 older adult
households in Weld County. A total of 346 individuals completed and returned the survey. This
return rate provided an overall response rate of 19%, with a margin of error of plus or minus
5% around any given percent and three points around any given average rating for the entire
sample. The 2018 report compared findings with the 2010 survey, where the same questions
were asked. The differences between the two survey years are considered statistically
significant if the variance is seven percent or greater when percentage points are provided and
four points or greater when reference is to an average rating. We are also able to compare the
2018 data with a national sample based on a National Research Center (NRC) dataset that
collates responses to CASOA, and related surveys, administered in other communities. This
NRC national sample allows Colorado responses to be compared against national
benchmarks.
The findings of the report were arranged in six community dimensions. Each dimension
explored the senior's rating of the community, participation in community activities, and
potential problems faced by older adults in relation to each dimension:
• Overall Community Quality
• Community and Belonging
• Community Information
• Productive Activities
• Health and Wellness
• Community Design and Land use
The key findings for all of Weld County, Carbon Valley, and Erie for each of the six dimensions
are listed below:
Overall Community Quality:
• Most of Weld County's older residents, including those in Carbon Valley and Erie, gave
high ratings to the community as a place to live.
• Seven in 10 older adults would recommend Weld County to others. Carbon Valley and
Erie respondents also recommended their community to others.
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• About half of the respondents had lived in the community for more than 20 years and
over 8 in 10 planned to stay in the community throughout their retirement. Carbon
Valley and Erie seniors have lived in the community for fewer years but over three
quarters of all seniors see themselves staying in their community.
• Weld County, Carbon Valley and Erie older residents tended to rate aspects of Overall
Community similarly to how that item was rated in other communities across the nation.
Community and Belonging:
• About two-thirds of respondents reported "excellent" or "good" overall feelings of safety,
but 8% to 30% indicated they had experienced safety problems related to being a victim
of crime, abuse, fraud, or discrimination. In Carbon Valley and Erie almost 9 in 10
seniors reported excellent or good overall feelings of safety. In Carbon Valley between
5% and 16% of seniors experienced safety problems related to being a victim of crime,
abuse, or fraud while 20% experienced some form of age -related discrimination.
Between 2% and 6% of Erie seniors had experienced safety issues and 27%
experienced age -related discrimination.
• In Weld County overall, more than 5 in 10 older residents rated the sense of community
as "excellent" or "good." Similar ratings were provided for the county's neighborliness
and valuing of older residents. Interestingly, Carbon Valley seniors rated their
community higher on these topics than did Weld seniors generally and seniors in other
parts of the country. Erie seniors also rated their community high in both areas.
• When compared to other communities in the United States, older residents in Weld
County, Carbon Valley, and Erie provided similar ratings for aspects of Community and
Belonging.
Community Information:
• About half of survey respondents in Weld County reported being "somewhat" or "very"
informed about services and activities available to older adults in their community. That
proportion is similar to the percentage reported nationwide. Carbon Valley and Erie
seniors responded in a similar manner.
• Four in 10 older adults gave "excellent" or "good" ratings regarding the availability of
information about older adult resources and financial or legal planning services. Similar
responses were given by Carbon Valley and Erie residents
• About two-thirds of respondents had problems knowing what services were available
and feeling like their voice was heard in the community. Similar responses were given
by Carbon Valley and Erie residents.
• About 4 in 10 reported having problems with finding meaningful volunteer work, a rate
that was similar in Weld County (and in Carbon Valley and Erie separately) to other
communities in the United States.
Productive Activities:
• About three-quarters of older adults felt they had "excellent" or "good" opportunities to
volunteer, but only about one-third participated in some kind of volunteer work --a
volunteer rate similar to other communities in the United States. Erie's reported
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volunteer rate was higher than Carbon Valley's and higher than the overall average in
Weld.
• About 2 in 10 respondents had used a senior center in the community, which was
similar to the reported senior center use in other communities. Similar percentages were
found in Carbon Valley and Erie.
• About half of seniors in Weld and in both Carbon Valley and Erie said that they had at
least "minor" problems having interesting social events or activities to attend.
• Two-thirds of older residents rated the recreation opportunities in Weld County as
"excellent" or "good." Participation in recreational and personal enrichment activities
tended to be similar in Weld County to other communities. Percentages of "excellent"
and "good" responses were slightly higher in Carbon Valley and Erie.
• About half of older residents in Weld County said they were caregivers. Respondents
averaged between 10 and 15 hours per week providing care for children, adults, and
older adults. The number of hours of caregiver time was slightly lower in Carbon Valley
and in Erie compared to the Weld County average.
• At least 17% of older adults in Weld County felt physically, emotionally or financially
burdened by their caregiving. In Carbon Valley between 12% and 20% of respondents
reported feeling caregiver burden versus 2% of the Erie respondents.
• Two-thirds of respondents were fully retired and 4 in 10 respondents experienced at
least minor problems with having enough money to meet daily expenses or in dealing
with financial planning issues. Carbon Valley and Erie reported similar results.
• The value of paid (part- and full-time work) and unpaid (volunteering, providing care)
contributions by older adults in Weld County totaled about $974 million in a 12 -month
period.
Health and Wellness:
• The proportions of older residents reporting problems with doing heavy or intense
housework (63%), maintaining their yards (51%), and staying physically fit (63%) were
similar in Weld County when compared to elsewhere in the country. Carbon Valley and
Erie results were similar. It was interesting to note Erie respondents reported fewer
problems with maintaining a healthy diet.
• About 3 in 10 older residents felt there was "excellent" or "good" availability of mental
health care in Weld County while about 8 in 10 rated their overall mental
health/emotional wellbeing as "excellent" or "good." It is important to note only 17% of
the Carbon Valley respondents felt there were "excellent" or "good" mental health
services available in their community.
• The most commonly cited mental health issues included feeling bored and feeling
depressed, while the least cited issues included figuring out which medications to take
and when. These mental health problems experienced by older adults tended to be
similar to the problems experienced by older adults in other communities. The 2018
findings indicate, when compared to the 2010 Weld County survey results, that older
adults in Weld County are expressing an increase in feeling depressed, feeling lonely or
isolated and having fewer friends and family to rely upon.
• Compared to other communities across the nation, older adults rated the availability of
preventive health services in Weld County similar to the availability of these services
found elsewhere. Carbon Valley's responders indicated that seniors are seeing an
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improvement of preventive services in their community when compared to the 2010
survey.
• Half of older adults reported at least minor problems with having adequate information
about or dealing with, public programs such as Social Security, Medicare, and Medicaid.
Carbon Valley and Erie respondents gave similar responses to this question.
• One in five respondents reported spending time in a hospital, while about one-third had
fallen and injured themselves in the 12 months prior to the survey. Falls and
hospitalizations also occurred at similar rates in Weld County as in other communities.
Carbon Valley seniors did show an increase in falls when compared to the 2010 survey
results.
• At least 14% of older adults reported at least minor problems with aspects of
independent living, including about one-third who reported having problems with
performing regular activities, including walking, eating and preparing meals.
Community Design and Land Use:
• Respondents were generally pleased with the ease of getting to the places they usually
visit. The ease of car travel and the ease of walking received the most positive
responses with almost 6 in 10 rating each as "excellent" or "good."
• About 2 in 10 respondents felt they had "excellent" or "good" availability of affordable,
quality housing, while about one -quarter rated the variety of housing options this way.
Carbon Valley and Erie respondents also reported issues locating available affordable
quality housing and experiencing a limited variety of housing options. Carbon Valley's
rating has shown significant decline from the 2010 survey. Erie's ratings are also below
their peers from across the country.
• One -quarter of older adults experienced problems with having safe and affordable
transportation available or having housing to suit their needs. Fewer (11%) reported
issues with having enough food to eat (11%). Daily living problems tended to be similar
in Weld County when compared to other communities across the nation. Carbon Valley
and Erie seniors expressed similar concerns in all three areas.
• Eight in 10 older residents rated their overall quality of life as "excellent" or "good," a
similar rating in Weld County when compared to other communities in the United States.
Carbon Valley and Erie seniors responded in a similar manner.
SECTION V: CURRENT AND FUTURE AREA AGENCY ON AGING PROGRAMS AND
VOLUNTEERS
This section provides an overview of the core and optional programs that we anticipate funding
over this four-year planning period. We will also identify where and how we are using
volunteers to either enhance the services provided or show that volunteers are vital to the
delivery of services. The services and priority planning for the Weld County Area Agency on
Aging (AAA) was guided by the information obtained from senior groups, individual seniors,
volunteers, professionals, AAA staff, and the Area Agency on Aging Advisory Board, as well as
by the requirements under the Older Americans Act.
Every four years the Weld County AAA releases a Request for Proposal (RFP) for all major
program areas that are not provided directly by internal staff. For this bidding cycle, the RFP
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was released by the Weld County Department of Human Resources in February 2019. The bid
proposal outlined the expectations, goals, and objectives of the specific programs the AAA was
interested in funding. Once the proposals were received from interested bidders, they were
reviewed by a subcommittee of the Weld County Area Agency on Aging Advisory Board. The
subcommittee will present their findings and recommendations to the Area Agency on Aging
Advisory Board in April 2019. The Weld County Board of County Commissioners will review
the bids in May 2019 and, upon on their approval, provider contracts will be written, signed,
and sent through the county contract process.
Below is a detailed outline of the service areas that will be funded during this four-year
planning period. Programs that are available through the Weld County AAA but are not funded
by the Older Americans Act are also included in the plan but are clearly identified as programs
funded through other funding streams.
Volunteers are used in several program areas listed below in order to enhance or increase the
volume of services provided. The AAA encourages the use of volunteers by all contracted
providers, and in the AAA internal programs, as long as the volunteers are adequately
supervised, trained, and meet the requirements of the program.
Older Americans Act Core Services
Information and Assistance (I & A) and Aging and Disability Resources for Colorado (ADRC)
The AAA will continue to ensure that all older adults have reasonable and convenient access
to information and assistance regarding key services. As outlined in the 2018 CASOA and
from the formal focus groups, Weld County older adults have expressed a lack of knowledge
regarding access to information and assistance.
To increase reasonable and convenient access to information and assistance about services,
the AAA will:
• increase numbers of internal staff providing information and referral services.
Volunteers are not currently used in this program.
• add a rotating schedule of community face time with internal staff to include community
focal points, senior centers, independent living centers, and community events.
• continue to provide training and assistance to the senior coordinators (WELDCOs) who
are located throughout Weld County. The senior coordinators are well known to seniors
in their communities and can provide information and assistance to seniors in a cost-
effective and timely manner. The senior coordinators are either employees of the
towns/cities they represent or are dedicated volunteers.
• continue to disseminate information and assistance to the community through multiple
forms of media including: the quarterly AAA newsletter, the 50+ Marketplace News, the
Greeley Tribune (the Beyond 60, Active Living page), the Senior Nutrition quarterly
newsletter, local rural weekly publications, local radio stations, agency service
directories, agency program brochures, the Department of Human Services' website,
Facebook, other potential social media, etc.
• continue to form strong community partnerships with various agencies and
organizations to offer workshops and trainings available to the public on topics that
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address current senior issues or needs such as Senior Law Day, Project Connect, a
Shred Event with AARP, a caregiver appreciation day event, and is actively assisting in
the planning of other county -wide resource events and fairs.
• maintain a presence at community networking meetings such as the Northern Colorado
Coalition looking at hospital admission rates and networking groups that focus solely on
the issues of older adults.
• continue undergoing a rebranding effort to include a new marketing logo, a bigger online
presence, and expansion of the HelpSource Program and Resource Guide that will
increase visibility of the agency and general information and assistance.
• continue to support the efforts of the ADRC as it provides Options Counseling to nursing
home residents that are interested in transitioning back into the community. The AAA
will continue to explore partnership opportunities over the next four years as the long-
term care system restructuring continues to evolve.
• explore additional funding streams- including the possibility of accessing Medicaid
funding through the Federal Financial Participation process. This is being explored with
the Department of Health Care Policy and Financing and the Department of Human
Services.
Outreach Services
The Weld County AAA will ensure that outreach efforts are conducted throughout Weld County
to identify older persons and to inform them of the availability of services by:
• maintaining the Minority Outreach Program. This service is currently being provided
through a contractual agreement with a community provider. The contractor's
responsibility will be to identify isolated and at -risk minority seniors and provide
information and assistance regarding community services to enable the seniors to
remain independent in the community. A specific focus will be on seniors residing in
hard to reach and poverty areas in Weld County. Volunteers are currently being used on
a limited basis in this program.
• training the WELDCO coordinators, which is a 501c3 organization whose members are
senior center coordinators providing services within senior/community centers
throughout Weld County, on outreach techniques and providing incentives for local
communities under the leadership of their rural senior programs to identify and maintain
continuous contact with all seniors with emphasis on the oldest, most frail, and/or
impoverished.
• providing technical assistance on the services available to seniors in Weld County to a
wide range of community leaders, including church leaders, service clubs, elected
officials, and key personnel in other volunteer organizations.
Case Management Services for At- Risk Older Adults
Due to increasing numbers of at -risk seniors struggling to remain safely independent in the
community, and to address the issue of limited case management service availability in Weld
County, the AAA will continue to fund a non-profit case management services provider. This
need was identified and discussed during the Provider Focus Groups in July and August of
2018.
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• Maintain the Case Management Program: identify at- risk older adults who need short
or long-term case management. This service is designed to help older adults remain as
independent as possible in the community by providing and facilitating access to
community- based supportive services.
• Volunteers are not being used in this program due to the scope of services provided.
Transportation Services
The AAA will continue to fund transportation services. The 2018 CASOA survey indicated that
(26%) of older adults have experienced at least a minor problem accessing safe and affordable
transportation. This is not significantly different from the 2010 CASOA survey that identified
25% of seniors as having experienced at least a minor problem accessing safe and affordable
transportation. Thirty percent (30%) of the 75+ responders stated that not being able to drive
was at least a minor problem. As the senior population continues to increase (specifically the
85+), service needs will rise and there will be an even greater need for a variety of
transportation services throughout the county.
At the time this Plan is being written, transportation service is being provided through a
contractual agreement with a non-profit community service provider. The contractor provides
rides to seniors using volunteer drivers. The challenge this contracting agency faces is the
increasing demands for services and the need for additional volunteers throughout Weld
County. Over the last several years, the provider has expanded their volunteer team outside of
the Greeley/Evans area, with an emphasis in the southern regions of the county. The overall
success of this program is primarily contingent on the ability to attract and maintain a robust
volunteer staff. No current traditional transit system exists in the county that has the potential
of reaching older adults in all parts of the county.
The Weld County community receives additional transit services from a variety of entities:
• The City of Greeley/Evans provides transportation services (fixed route and paratransit
services) within the cities of Greeley and Evans.
• Individual senior centers/recreation centers and long-term care facilities provide limited
transit services either through their own vans or volunteer drivers. Also, Envision, the
community center board, provides transit services to older adults with developmental
disabilities.
• Traditional taxi companies and rideshare companies such as Uber and Lyft are present
in parts of Weld County.
In -Home Services
The AAA will provide homemaker/personal care and mental health in -home services through
contractual agreements with non-profit community providers. The 2018 CASOA found that
43% of the respondents reported at least a minor problem with feeling depressed. Thirty-six
percent indicated that they needed assistance with performing regular activities including
walking, eating, and preparing meals. Finally, 63% stated that they are having at least minor
issues with heavy or intense housekeeping. We believe the following services are designed to
give older adults access to a variety of homemaker/personal care provider services through a
voucher program and the ability to access mental health services in an innovative and effective
avenue:
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• Maintain homemaker and personal care services to frail older adults who have no
other source of third -party reimbursement for such services through a person -centered
voucher program. The AAA has transitioned funding for homemaker and personal care
services from a single contracted program to an internal voucher program that contracts
with multiple provider agencies. This effort has expanded AAA's reach to older adults
throughout the county. Unique partnerships with agencies, for example in north Adams
County, that can serve southern Weld County residents has proven to be quite
successful. The program will continue to work with multiple provider agencies within and
outside of the county to increase availability of services to older adults residing in even
the most isolated and rural parts of the county.
• Future additions to the homemaker/personal care voucher program may include a grab
bar installation program, assistance in accessing medical alert systems, and an
evidence -based prescription review program.
• Maintain funding for in -home one-on-one peer counseling services to at- risk seniors.
Providing counseling in a home setting, versus office or mental health center, has been
very successful with the senior population who often hesitate to access mental health
services. This service addresses issues related to loneliness, isolation and loss, and
other life changes that impact many seniors.
• Due to the nature of the services being provided, volunteers are not being used in either
of the in -home service programs.
Legal Assistance Services
The AAA will continue to fund Legal Services through a contractual agreement with a non-
profit legal services provider. According to the 2018 CASOA, 39% of the responders indicated
that they experienced at least a minor problem with legal issues. To address these needs, the
contractor will provide services that are aligned with the scope of services and priorities,
outlined below. The priorities and scope of services will be reviewed annually by internal staff,
the provider, and state staff during the program audit process, and formally every four years
during the four-year planning process. To ensure that the provider is providing services that
address the identified priorities, the provider will complete the Legal Services Tracking form.
This form outlines the units of services given, the type legal issues addressed, the type of
services given to address the identified legal issue and a list of services they were unable to
provide and why. The AAA will review this information monthly and report the cumulative
quarterly information to the State Unit on Aging. Due to the confidentiality issues related to this
service, no volunteers are used.
The following are the priorities that guide the Legal Program:
• Public Assistance Benefits
Provide legal assistance and advice in applying for and determination of eligibility for
public assistance benefits, including but not limited to Long -Term Care Medicaid,
Medicare Savings Plans, Old Age Pension, the Low -Income Energy Assistance
Program (LEAP), and Supplement Nutrition Assistance Program (SNAP). This will
include providing advice and information on specifics of Medicaid Programs and
payment of long-term care, including Medicaid Qualifications, Medicaid Coverage,
Spousal Protection (Community Spouse Resource Allowance, Monthly Income
Protection) and Medicaid Estate Recovery. Assistance will consist of advice and/or
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administrative representation for overpayments, reductions, termination or denial of
Public Assistance Benefits. The Legal Services Provider will provide in -person
representation before an administrative tribunal to appeal the reduction, termination, or
denial of a senior client's long-term care Medicaid.
• Consumer Matters
Provide legal advice, negotiation and brief service regarding debt collections, breach of
contract, garnishments, utility shut -offs, and other contract disputes. Services may
consist of assisting senior clients in preparing for self -representation, including, but not
limited to: Small Claims Court, objections to garnishments, interrogatories, etc.
• Housing Issues
Provide legal advice, negotiation, and brief service on matters related to landlord -
tenant -renting and subsidized housing.
• Powers of Attorney and Living Wills
Provide assistance with document preparation of General Durable Power of Attorney,
Medical Durable Power of Attorney, and Living Wills.
Additional services beyond the basic priorities include:
• Community Education
Provide community legal education presentations as requested from Weld County
senior centers, Weld County senior housing complexes, and long-term care facilities on
legal topics of interest to senior clients. Those topics might include preventative
measures against consumer fraud, consumer debt issues, housing issues, advanced
directives for healthcare, financial powers of attorney, and related issues.
• Community Outreach
Provide legal assistance and meet the needs of senior clients unable to travel. This will
include visits to rural sites (e.g., senior centers, senior housing complexes, nutrition
sites, etc.) and to institutionalized, isolated and homebound older adult residents of
Weld County as needed. This can be accomplished by phone, e-mail, on-line resources,
or in the client's home. Assistance will include the capacity to reach minority senior
clients by providing legal assistance in Spanish.
• Administrative Duties
The legal services provider shall ensure service quality and maintain professional
standards by providing the following:
1. Establish a system of filing, record keeping, system for conflicts checks, docket
control, and updating case activities.
2. Provide for the supervision of legal workers by an attorney.
3. Establish a system of review to evaluate the quality of legal work, determine what
pertinent issues have been identified, to assure the timely handling of cases, to
ensure that clients are involved in establishing case objectives, and that the client
is kept informed of developments in the case.
4. Track unduplicated clients on a quarterly basis including units of services, types
of cases, and demographics.
5. Document those senior clients the legal service provider is unable to represent
and the reason why they cannot be served.
6. Give appropriate resources and referrals.
7. Provide training for legal workers based on responsibilities and skills.
8. Ensure the confidences of clients are preserved from unauthorized disclosure.
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Ombudsman Services
The AAA will continue to maintain the Ombudsman Program internally. The Lead Ombudsman
reports to the AAA Division Manager and will have all the authority vested by the federal Older
Americans Act and State of Colorado Statutes to carry out the activities of a Long -Term Care
Ombudsman. Oversight will include nine (737 beds) Weld County nursing homes and twenty-
six (761 beds) assisted living facilities. The community will be seeing several new facilities
(private pay nursing home and memory care) coming online in the next year and will increase
the bed count by at least 150 beds. Due to this anticipated growth, the Ombudsman Program
is planning on adding an additional full-time Ombudsman in July 2019.
The Ombudsman staff will continue to participate in all required training sponsored by the
State Long -Term Care Ombudsman Program, or other approved training that will help meet
the annual training requirements for certification. The Ombudsman Program uses volunteers
on a very limited basis due to the sensitive and confidential nature of the program and the high
level of supervision required. When utilized, volunteers receive all required ombudsman
training.
Results from the 2018 CASOA showed that 28% of those surveyed felt that they have good or
excellent accessibility to long-term care options that are open and accepting toward people of
diverse backgrounds. And 38% felt that they were "very" or "somewhat" informed about their
long-term care options (i.e. nursing homes, home care). In response to those low percentages,
the Long -Term Care Ombudsman Program will explore ways to educate the community about
the types of long-term care options available in Weld County.
The Ombudsman Program continues to see an increased number of residents in nursing
homes and assisted living facilities, who are impacted by mental health issues and traumatic
brain injury. These residents are frequently a challenge for staff. There is a need for
appropriate training and support for staff and family, as well as having more mental health
services and other related services for residents. Cases involving these individuals are often
challenging for the Ombudsman Program to resolve and require extensive staff time. Also,
residents who display difficult or high -risk behaviors, regardless of diagnosis in facilities,
frequently are faced with transfer and/or discharge issues. The Ombudsman Program
advocates for these residents, but when their behaviors are extreme and are a threat to other
residents, the Ombudsman Program is placed in a precarious position. Limited residential
options for the resident places a burden on nursing homes, assisted living facilities, as well as
hospital systems. The Ombudsman Program will continue to work closely with facility staff, the
State Long -Term Care Ombudsman's office, the Ombudsman network, Adult Protective
Services, and local community providers to address this issue.
The Long -Term Care Ombudsman Program priorities include:
• Investigate Long-term Care complaints and concerns
• Maintain accurate documentation in PeerPlace
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• Encourage facilities to develop and maintain appropriate Emergency Preparedness
plans. This includes discussing actual emergency plans, policies and procedures,
communication plans and staff training with the management teams at area facilities.
• Maintain involvement with resident, family and dietary councils.
• Maintain awareness of staffing challenges in facilities.
• Monitor and respond to Involuntary discharge notices.
• Monitor Person -centered education within facilities.
• Assist with contract issues related to services provided by facilities.
• Monitor issues related to mental health and traumatic brain injury residents of LTC
facilities
• Provide Long-term Care information to the community at large.
• Educate staff, the aging network, and the public on the referral procedures to the
Ombudsman Program and Adult Protection.
• Maintain membership on the Weld County Adult Protection Networking Team.
• Participate in community victim advocacy groups.
• Continue involvement with the Weld County Long -Term Care Bio-Ethics Committee.
• Collaborate with local nurse aide programs, such as those at UNC and Aims
Community College.
Disease Prevention and Health Promotion Services and Evidence -Based Programs
The Disease Prevention and Health Promotion Services and Evidence -Based Program will
remain an internal program. The program has been marketed to the community as Weld
Aging Well. The program has undergone a reorganization and is now coordinated by a full-
time employee dedicated to offering more workshops and evidence -based wellness classes to
older adults.
With the increase in staff time dedicated to health promotion services, our goal is to increase
the overall number and types of classes offered to older adults in a variety of settings across
the county. Classes that are currently being provided are:
• A Matter of Balance
• Stanford's Chronic Disease Self -Management Program and Diabetes Self -Management
• Powerful Tools for Caregivers
• Strong Women
• Tai Chi: Moving for Better Balance
• Stress Busters
• Tomando Control de su Salud
The 2018 CASOA shows that 35% of the respondents have fallen and sustained an injury at
least once in the 12 months prior to the survey. In response to this need, the AAA will explore
opportunities that could expand our reach during the fall prevention awareness week event
and will continue to explore the possibility of forming a robust fall prevention coalition.
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Evidence -based program that are being explored in the next four years are:
• Healthy Moves for Aging Well (targeting homebound client)
• Aging Mastery
• Financial Wellness
• HomeMeds
• Walk with Ease
The Weld Aging Well program can only grow if we are successful in recruitment and retention
of our volunteers. We currently have 25 volunteers who have very diverse education and
professional backgrounds. It is critical that we take excellent care of our wonderful volunteers
and provide support, acknowledgement and guidance, if retention and growth are our goals!
Nutrition Services
The Weld County AAA will assure the provision of the congregate and home delivered meal
programs in Weld County. The congregate program will remain an internally managed program
using contractors for two key program activities. The AAA will continue to fund the home -
delivered program through a contractual agreement with a non-profit home delivered meal
provider.
Congregate Meal Program - The Friendly Fork
The congregate meal program (The Friendly Fork) is an internally managed program. The
staff consists of one -full time supervisor, a part-time registered dietitian, a part-time warehouse
manager, and an administrative assistant. Our service area is nearly 4,000 square miles and is
both urban and rural in nature. To meet the needs of our senior population, twenty-three (23)
congregate meal sites were established. These sites were carefully chosen to give access to
seniors throughout Weld County, paying special attention to the locations of our targeted
populations. The congregate sites are in a variety of settings including low-income housing,
senior centers, recreation centers, town halls, and community buildings.
The program is very reliant on dedicated and skilled volunteers. The Friendly Fork volunteer
staff include a meal site coordinator, registration desk staff, individual kitchen workers, and
greeters. All the volunteers are equally important, and most of the volunteers are cross -
trained, so they can work in many of the positions. Each meal site requires a minimum of five
volunteers, but the larger sites require up to 10. As of 2018, the Friendly Fork has
approximately 300 volunteers who have been trained on program policy and procedures, food
safety and sanitation, customer service, and a variety of other pertinent topics.
Many years ago, the MA decided it was not cost efficient to manage and staff a kitchen and
therefore decided to contract food purchasing and meal preparation with existing providers in
the community. The University of Northern Colorado has been our sole provider for over 35
years. The delivery of food to the meal sites has always been provided by a professional
transportation company, rather than by volunteers. In addition, it is important to note that due
to our successful partnership with our local communities, all meal site locations are provided at
no cost to the program.
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In the last four-year plan, it was noted that the program was seeing a downturn in the number
of seniors attending the nutrition program, a theme that appeared to be occurring across the
country. We are excited to report that in 2017-18 the data shows an increase in the number of
clients and meals served. Based on our current 2018-19 meal and participation numbers the
program should once again grow. We attribute this growth to offering evening meals at
targeted sites, having new menus, increasing our nutrition counseling, improved educational
opportunities, the addition of salad bars, a rebranding of the program to be called the Friendly
Fork, and advertising and marketing to new clients.
To keep the program viable and relevant to seniors over the next four years we plan to:
• Market the nutrition program across the county to attract new customers to the program.
• Maintain a financial contract with the University of Northern Colorado or like provider to
prepare hot meals for the congregate meal program.
• Maintain a financial contract with a community provider to deliver food from the meal
provider to the designated meal sites.
• Maintain a positive relationship with the Weld County Department of Public Health and
Environment.
• Maintain nutrition education and counseling services to all congregate senior nutrition
participants through educational presentations and written material and offer counseling
services to all participants, targeting those participants who are nutritionally at risk.
• Maintain and support the AAA staff who will continue to provide the required oversight
needed to ensure that the program meets federal, state and local regulations and
guidelines.
• Improve supportive services at the senior nutrition sites.
• Explore adding new nutrition sites and increasing the number of days meals are served
at existing sites.
• Explore adding an additional evening meal site during the summer.
• Offer senior nutrition counseling and education to seniors who are not participants of the
senior nutrition program.
Home -Delivered Meals Program
The AAA will continue to fund home -delivered meals through a contractual agreement with a
non-profit home -delivery meal provider. Nationally and locally the aging network is anticipating
an increased need for home -delivered meals due to the growing number of adults 85 years
and older. Historically, the local community provider has used volunteers extensively in their
program. Almost all the client meals are delivered by a fleet of volunteers. Staff will cover
routes if a volunteer is unavailable.
To maintain the program as it is currently structured, the following must occur:
• Maintain a financial contract with Meals on Wheels or like provider to provide home -
delivered meals to Weld County seniors.
• Maintain nutrition education and counseling services to all home -delivered senior
nutrition participants by providing participants with educational material and offer
counseling services to all participants, targeting those participants who are nutritionally
at risk. These services will be provided by a registered dietitian.
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• Explore expanding home delivered service to parts of the county that are currently not
served.
• Explore the possibility of providing an evidence -based wellness program geared to
homebound seniors who participate in the home -delivered program through the AAA's
Weld Aging Weld Program.
National Family Caregiver Support Program
The AAA will continue to internally manage the National Family Caregiver Support Program.
The program provides enhanced information and assistance to caregivers, periodic training
and workshops, as well as respite voucher program services. According to the 2018 CASOA,
one in five Weld County older adults feel burdened by their caregiving responsibilities and
provide about 12 hours of care each week on average. As our 85+ population continues to
grow, we anticipate the request for services will increase. Over the last five years, we have
seen an increase in the number of caregivers that still work and an increasing number of
children caregivers. In State FY18, 55% of all voucher caregiver clients, were spouse
caregivers and 42% were children caregivers. In State FY19 to date, 63% are spouse
caregivers and 35% children caregivers. Eighty percent (80%) of the program's caregivers use
non -agency -based respite services. We believe the reason for this trend is related to the cost
of formal service providers and the caregiver and recipient's comfort level with a known and
preferred informal provider.
The program continues to offer evidence -based programs such as Powerful Tools and Stress
Busters. These classes, taught by internal staff and trained community volunteers (see
numbers of volunteers in the Disease Prevention and Health Promotion Services and
Evidence -Based Programs section), are held in a variety of locations throughout the county.
These classes, as well as our other evidence -based classes, frequently attract individuals who
might otherwise have not reached out the AAA. Several Area Agency on Aging Advisory Board
members attended these classes and later became volunteer instructors! The Caregiver
Appreciation Day, a collaborative event with several community network providers, has been
an annual event for many years and will continue to be offered if attendance and interest
remain steady.
Over the last several years we have seen an increase in the number of younger grandparents
raising grandchildren that sadly do not meet the age requirements of the Older Americans Act.
Many of these grandparents are experiencing very complex and diverse challenges with their
grandchildren. These situations frequently result in referrals to North Range Behavioral, family
law attorneys, and similar agencies. AAA staff and the AAA Grandparents Raising
Grandchildren Committee members will continue to monitor the trend and evaluate the AAA's
continued role with this program.
To maintain the program as it is currently structured, the following must occur:
• Maintain the consumer -directed caregiver voucher program structure and process.
• Explore additional caregiver evidence -based classes.
• Maintain strong ties to the caregiver community provider network.
• Explore the need for specific services for older grandparents who are raising their
grandchildren.
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Older Americans Act Optional Services
Dental, Vision, and Hearing Program (DVH) and Visually Impaired Service Program
The AAA will continue to manage the Dental, Vision, and Hearing Program (DVH) internally.
The program is a consumer -directed voucher program that allows the older adult to select the
provider of their choice. Over the years, the AAA has effectively streamlined the process and
reduced internal paperwork which has allowed for greater consumer contact and assistance.
We have also been successful in encouraging some providers to give reduced rates to our
clients.
Most of the clients we serve do not have private dental or vision insurance. Clients who receive
Medicaid do have limited dental coverage but finding a Medicaid provider in Weld County can
be a challenge. Other dental assistance programs, such as the Colorado Dental Health
Program for Low -Income Seniors have few accessible providers in Weld County. The
administrative time needed to explore payer of last resort options has added delays in clients
accessing services. Volunteers are not used in either of the programs in this section.
Since 2015 the Visually Impaired Service Program has been funded by State General Funds
and implemented by the AAAs and/or their subcontractors. The program was designed to
provide services to older adults who are blind or visually impaired. The designated funds can
be used to purchase assistive technology, visual aids, and adaptive aids. The funds cannot be
used to purchase eyeglasses or cover the cost of eye examinations. The program is managed
by the same coordinator that oversees the Dental, Vision, and Hearing Program. The staff
works closely with agencies such as the Curtis Strong Center, Ensight Skills Center, and
Connections for Independent Living Vision After 55 Program, Audio Information Network, and
the Greeley/Evans Lions Club to connect clients with the most appropriate services and/or
equipment. These funds help increase the number of services that we can provide to clients
who have specialized equipment and service needs. The shortcoming of this funding source is
that it does not allow the AAA to charge an administrative fee for the management and
coordination of the program.
Chore Program
The Chore Service Program will continue to be managed internally. The Chore program is
managed by the same coordinator who oversees the Caregiver Voucher program. The
program is a consumer directed voucher program that allows the older adult to select the chore
provider of their choice. The chore services are designed to help frail seniors stay safe and
independent at home. The chore services that may be included are lawn maintenance, snow
removal, fall or spring yard clean up, and heavy housework. The 2018 CASOA found that
overall 63% of seniors interviewed indicated at least a minor problem doing heavy or intense
housework, 51% indicated at least a minor problem maintaining the yard work, and 45% stated
that they had at least a minor problem maintaining their house. Across the board, the seniors
who most frequently stated that they had at least a minor problem were 75 years+. We
anticipate that we are going to see an increasing need in chore services over the next four
years as the 75+ senior numbers continue to grow. Volunteers are not used in this program.
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Other programs: Not funded by the Older Americans Act or State Funds for Older
Adults
Colorado Options for Long -Term Care Program (OLTC) or Single -Entry Point (SEP)
Options for Long -Term Care Program provides community -based long-term care
options and case management services to persons qualifying for specific Medicaid
waivers and state programs. Maintaining the Options for Long -Term Care Program
within the AAA increases the likelihood that clients (many who are the most disabled,
frail, and low-income in the community) are referred correctly and quickly to the
appropriate program or service. This program has continued to see growth over the
years, and we anticipate a steady increase over the next four years.
Adult Protective Services
The Adult Protective Services Program (APS) moved under the umbrella of the AAA in
2013 to streamline adult services within the Department of Human Services. The
purpose of APS is to support and protect at -risk adults from self -neglect or mistreatment
by investigating allegations, advocating for clients and, when needed, arranging for
services to stop or prevent harm by using the least restrictive intervention and
respecting the client's self-determination. The APS team is growing in number to reflect
the increased number of at -risk adults in our community.
Colorado Choice Transitions (CCT)
Staff members of the Aging and Disability Resources for Colorado have participated in
in the Colorado Choice Transition project by providing Options Counseling for residents
of long-term care facilities who have indicated formally that they would like to leave the
institutional setting and return to a less restrictive living situation within the community.
Due to the funding changes that have occurred related to the project, it is unclear what
our role will be in the next four years. We will remain open to continuing our partnership
with the Colorado Department of Health Care Policy and Financing and look forward to
exploring other program opportunities.
SECTION VI: QUESTIONS
Core Services
1. Which Core Services are funded by the Area Agency on Aging (AAA)?
See Section V for detailed information on all Core and Optional Services.
2. In your region, are there any situations, not including funding, that are barriers to
innovation within the core Older Americans Act programs (OAA)? If yes, please elaborate
and be as specific as possible.
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The Older Americans Act does allow some flexibility and innovation within the Core Program
areas. Creativity and innovation can be easily seen when you compare core programs across the
state and national AAA network. The National Association of Area Agencies on Aging (n4a) does
a wonderful job supporting Innovations and Achievement by acknowledging, awarding, and
promoting outstanding programming in the AAA network at the annual n4a conferences. N4a also
disseminates information about the award -winning programs so that other AAAs can learn about
opportunities that might work for them.
Program innovation can be stymied when AAA programs are unable to meet the Federal
requirements or the State's interpretation of the Federal regulations. Restrictions can also occur
depending on where a AAA is located (within a county government, a council of governments, or
a standalone 501c3). Weld AAA is located within Weld County government. In our setting, we
must seek approval for major changes in our programs and for any staffing increases or
decreases. We must also obtain approval if we want to seek other funding opportunities. All
contractual relationships must be formally approved by the Board of County Commissioners.
Prior to requesting approval for program changes or enhancements, the AAA leadership and staff
must determine if the innovative program can be supported either internally or through a
community partner. If adequate funds are available, who will be served, and how will we
determine program effectiveness, cost efficiencies, and client satisfaction?
We have revamped several of our core programs and optional programs by implementing a
voucher approach to increase client choice and service availability. These changes have
successfully created a larger provider network and formed new and exciting relationships. Clients
have also appreciated having greater choice in providers.
Many of our programs are heavily reliant upon volunteers. Locating, training and managing
volunteers can be challenging. When developing or expanding programs that are volunteer
based, we must make sure that we have a process in place that can effectively locate a strong
volunteer team and have the administrative time to provide training, oversight and ongoing
recruitment.
3. What is your current process for monitoring providers and what plans do you have to
update it and improve over the next 4 years?
Currently, all community providers submit a monthly invoice by the 10th of the month for services
provided in the previous month. Once the invoices have been received, the AAA Quality
Assurance Specialist reviews the information provided to assure that the information on the
invoice matches the data in PeerPlace as well as meets other requirements such as units
requested, required cash or in -kind match, overall program costs, etc. The AAA Division Head
also reviews the invoices and signs off on each invoice. The invoices are then given to the
Department's fiscal office where the fiscal staff reviews the information again and if correct, will in
a timely manner, pay the provider.
Annually the AAA conducts a formal onsite review of every community contractor. Each
contractor must complete the AAA onsite evaluation form and return the completed form to the
AAA prior to the onsite visit. The AAA onsite evaluation team consists of the AAA Division Head,
the Community Outreach Manager, the AAA Quality Assurance Specialist, a member of the Weld
Department of Human Service's fiscal team, and several Area Agency on Aging Advisory Board
members. For the onsite visit to be productive, key contractor staff members are requested to be
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present at the onsite visit. During the onsite visit, the evaluation form is reviewed, and additional
information is obtained if need. Policies and/or procedures, program issues/concerns, need
trends and other relevant topics are discussed. The goal of the on -site visit is to ensure that all
contractors are providing appropriate services in a manner that meets both the AAA's and the
State Unit on Aging's regulatory expectations but also that they are meeting the expectations of
the clients.
The AAA has recently enhanced the duties of an existing AAA staff member (job description and
job title change) to help focus on quality assurance, for both internal and external programs
throughout the fiscal year. This will help identify issues or concerns or any difficulty implementing
new regulations prior to the AAA or the State Unit on Aging onsite evaluations.
4. What services currently have a waitlist? What is the process for monitoring the waitlist
and how are individuals prioritize to receive services?
This question is a bit difficult to answer since the waitlists fluctuate given the time of year and
funding availability. Historically, we have seniors on waitlists for the following internal voucher
programs:
• Chore services
• Caregiver Respite services
• In -Home (homemaker and personal care) services
• Dental, Vision, and Hearing services
Contracted Services that have had periodic waitlists:
• Transportation
• Home delivered meals
All providers have a written policy and procedure in place that guides how they monitor and
prioritize individuals on the waitlist. For all internal programs, we monitor the waitlists minimally
every six months and we use the state approved prioritization worksheet to help guide our
prioritization process. All waitlist information is gathered from internal and external program areas
and reported in CBRES monthly and reviewed quarterly for accuracy.
Ombudsman and Legal Assistance
5. What long-term care issues will your AAA's local Ombudsman Program give priority
to as a systems' advocate during the next four years?
See Section V Ombudsman
6. In addition to resident council meetings, family council meetings, and training to
facility staff, what other activities will the local Ombudsman participate in during the
next four years to educate the community regarding ombudsman services?
The Weld County Ombudsman staff will continue to be involved with networking and working
committees. These committees include Aging and Disability Resources for Colorado, Options
for Long -Term Care Committee, Weld County Bio-Ethics Committee, Weld County Senior
Services Network, Weld County Coordinating Committee for Victims of Crime, and other future
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appropriate committees. For example, the Ombudsman Program staff will explore becoming
involved in the Aims Community College Board. The staff will also provide information and
assistance regarding the program by doing presentations at local colleges, participating on
panels, workshops and attending other appropriate community and agency events.
7. Specifically, what legal issues will be given priority for receiving representation for
the Legal Assistance Program during the next four years? How will the AAA ensure that
the local Legal Assistance provider is able and willing to provide representation to
these issues?
See Section V Legal Assistance
8. How will the AAA ensure that the legal advice from the local Legal Assistance
Provider is able to provide the representation for these issues?
During the Request for Proposal process, we clearly outline priorities and scope of services.
We also are assured that the services will be provided by, or supervised by, an attorney or
attorneys who are able to address the legal issues/concerns appropriately. We will also verify
that services are provided in the manner requested during our annual onsite evaluation
process.
Other Services
9. What evidence -based health promotion or disease prevention programs does the
AAA currently provide and plan to provide during the period of the Area Plan?
See Section V Disease Prevention and Health Promotion and Evidence -Based Programs
10. In addition, to funding received through the Older Americans Act and the State
Funding for Senior Services (SFSS), what other funds are received by the AAA to
provide services for older Adults (e.g. Senior Health Insurance Assistance, Colorado
Choice Transitions, etc.)?
See Section V Other programs
Targeting and Outreach
11. What are some successes the AAA has used that improved access and utilization of
services by individuals who are at greatest social and or economic need?
Historically, we have sought to open senior nutrition sites in a variety of settings throughout the
county. Several of our sites are located within low-income housing and in rural communities.
We continue to explore expanding days (including evening meals) and site locations to
increase our accessibility.
We have been able to expand our evidence -based wellness program, Weld Aging Well, in the
rural areas of our county. Half of the classes that were offered in 2018 were outside of the
Greeley/Evans area. The number and types of evidence -based classes are slated to increase
over the next year. Due to the success of our wellness program and our desire for continued
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growth, the Wellness Coordinator position was restructured in late 2018 and will be focusing
only on wellness projects.
We have also worked diligently to reach seniors throughout Weld County through both our
traditional core programs as well as through our multiple voucher programs. We have
successfully reached seniors in all parts of the county by increasing the number of contractors
in our in -home (homemaker and personal care) voucher program and by allowing clients to
choose their own provider in voucher programs such as our Chore, Caregiver Respite, and the
Dental, Vision, and Hearing program. We also have successfully contracted with community
non -profits whose primary mission is to reach out to seniors who are in social and economic
need
For years we have required that all contractors/providers who provide direct services to older
adults, actively market to and report on the number of at -risk clients served. This request is
formally included in all appropriate provider contracts and is included in the formal Request for
Proposals process every four years.
12. What strategies will the AAA use to raise awareness of the services provided and
increase the number of services provided and the number of unduplicated clients over
the four years of the Area Plan?
Our goal is to connect and serve all seniors who are eligible and could benefit from OAA
services. We have and will continue to market our services to our community members in
sundry of ways.
The following information outlines our current and future marketing and outreach efforts:
• Maintain our informative and user-friendly Weld AAA website.
• Distribute the updated AAA HelpSource Resource Guide (available both in hard copy
and on the AAA Website) www.weldaaa.orq
• Maintain the weekly AAA senior -focused page called Beyond 60 Active Living in the
Greeley Tribune (the page contains short articles and information concerning the senior
nutrition meal program and other educational and social events geared to older adults).
• Distribute our newly updated free quarterly agency newsletter.
• Continue to submit senior -related articles in the 50+ Marketplace News, a free
publication available throughout Weld County and continue to seek other media
opportunities.
• Participate in a variety of community events geared to older adults.
• Partner with institutions of high learning (University of Northern Colorado and Aims
Community College) and hospital systems (Banner and UC Health).
• Continue to support and fund programs that have shown to be successful in reaching
out and serving our target population.
• Explore increasing the number of meal days at current senior nutrition meal sites.
• Increase the number of Long -Term Care Ombudsman staff.
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• Increase awareness of senior resources by increasing the physical presence of our
ADRC staff at senior nutrition sites, food banks, book mobile, low-income housing sites
and other potential locations in the county.
• Continue to work with United Way of Weld County's Collective Impact Initiative.
Innovation and Expansion of Services
13. What type of innovations is the AAA planning to try during the next four years to
improve the quality and availability of services provided or funded by the AAA?
The AAA is always open to looking at enhancing existing services or exploring new service
opportunities that will help meet the mission of the agency. Below are projects that we are
either actively working on or exploring.
• Due to the success we have seen in the Weld Aging Well program, as was noted in
Section V, we now have a full-time staff member dedicated to the wellness program. We
will continue to offer new evidence and wellness -based programs to Weld County
seniors. We have also invested in marketing efforts that effectively informs the
community of our available program options. We will continue to explore non-traditional
partnerships that will help us expand our program availability to locations throughout the
county.
https://www.weldgov.com/UserFiles/Servers/Server 6/File/Departments/Human%20Ser
vices/Area%20Aoencv%20on%20Aginq%20(AAA)/Weld%20Aoinq%20Well/Brochures/
WeldAgingWell-2019ProoramGuide1.pdf
• Over the last couple of years, the Senior Nutrition Program has offered evening meals
during the summer months. The evening meals have been favorably received and we
have attracted new clients, as well as regular attendees. We find that many individuals
enjoy the opportunity to share an evening meal with others. The menu for summer of
2019 has been developed and seniors will be offered new and exciting meals!
• Currently, the AAA is supporting and working with a local community partner to apply for
participation in the Colorado Dental Health Care Program for Low -Income Seniors. This
provider, if approved, will have several locations in urban and rural areas. This expansion
will help address the high demand for dental service for low-income older adults in
Northern Colorado.
• The AAA is currently engaged in the United Way of Weld County's Collective Impact
Initiative. United Way is exploring a new process of funding their identified priority
areas. Older Adults and Healthy Aging is one of United Ways four community focus
areas. The other priority areas address early childhood, youth development and
homelessness/household stability. Following is a summary of the collective impact
process as was provided by United Way of Weld County to all community partners and
interested community members.
The collective impact process is most successful when all interested partners are
working together to achieve a shared goal and when key stakeholders embrace
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specific, well-defined roles. The backbone, convener and facilitator, and lead
volunteers are key players in the Collective Impact initiatives.
Backbone (United Way of Weld County): Backbone organizations pursue six common
activities to support and facilitate collective impact. These activities help to distinguish
this work from other types of collaborative efforts. Over the lifecycle of an initiative, they:
1. Guide vision and strategy
2. Support aligned activities
3. Establish shared measurement practices
4. Build public will
5. Advance policy
6. Mobilize funding
Convener and Facilitator (Weld County Area Agency on Aging): These are the
experts in the field. They are passionate, well -versed in the targeted issue, and have a
relationship with most, if not all, of the other partners doing work in the field. They are
frequently a neutral partner and/or have such a broad scope of work that they can
contribute in meaningful ways in several key areas of work. In partnership with the
backbone stakeholder and lead volunteers, they help develop agendas and ensure that
work is happening between meetings. They help to keep the group motivated and
always have an eye on driving the work forward and ensuring that progress is being
made.
Lead Volunteers (Julie Cozad, community member and former Weld County
Commissioner and Ron Heil, Area Agency on Aging Advisory Board member):
The job of lead volunteers is to help those at the table focus on the big, broad picture.
Lead volunteers are not employed at partner non-profit agencies, but instead are
community leaders that are passionate about the identified topic or issue. They may be
board members or volunteers for the organizations involved and are there to help guide
the work and connect it to the broader community. They are the strongest advocates
and people the backbone can reference when trying to build public will.
The Collective Impact Initiative for Older Adults and Healthy Aging (Collective Impact
Group) started in June 2018. A significant number of interested community providers
and service agencies attended the meeting. The group received an orientation to the
Collective Impact process and the roles attendees could play. They were also informed
of existing and future reports such as the Strategic Action Planning Group on Aging,
initial plan from November 2016 and the 2018 Community Assessment Survey for Older
Adults that would be completed by late fall of 2018 for all the AAA regions in the state,
that would be helpful in the impact process.
The November 2018 meeting of the Collective Impact Group focused on the CASOA
results. After a robust discussion, the group tentatively agreed to use the 6 domains
identified in the CASOA to help guide the collective impact process. During the January
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2019 meeting, the facilitator (United Way) reviewed the domains more thoroughly to
help guide the participants in exploring key issues, needs, concerns and opportunities
that were identified in the CASOA. Monthly meetings are planned throughout the winter
and spring and the goal is to have a proposed project that will be presented to the
United Way Board of Directors late spring for approval and funding.
This process is exciting on many levels. As a AAA, we are very encouraged that United
Way made the decision to include senior issues in their funding priorities. We are
extremely interested in seeing the outcome of this non-traditional funding and planning
strategy and what the AAA's role will be in the future with this initiative and the final
recommended project.
Due to the overall population growth, economic changes, and increased housing
demands in Weld County, the availability of affordable and accessible housing has
become a major concern for many people in our community. Homeless numbers have
increased in Weld County; a contributing factor is the limited amount of affordable and
accessible housing. While the number of individuals and families experiencing
homelessness can be difficult to ascertain, more recent Point -in -Time counts of people
experiencing homelessness in Weld County have found 300+ people living out-of-
doors/in cars or in emergency shelters. This and other surveying have shown that Weld
County's number of chronically homeless individuals and families has increased over
the past five years. Given that the 60+ population is rapidly growing in Weld County, we
can assume that the number of homeless who are 60+ is also increasing.
Weld's Way Home, a collaboration of 25+ organizations led by United Way of Weld
County, is working to address homelessness and household instability through an
application of the Housing First method. Housing First focuses on rehousing people
experiencing homelessness in non -time -limited homes as quickly as possible, then
providing supportive services as is needed/wanted by the resident. Once in a safe and
secure housing situation, it has been shown that individuals are more receptive to
utilizing and benefitting from support services that will help them reach their
personalized life goals. A key part of Housing First is assessing people for increased
vulnerability from continuing to live without a permanent home, and for this task, Weld
County agencies use the VI-SPDAT (Vulnerability Index - Service Prioritization Decision
Assistance Tool). Once assessed, those experiencing homelessness are prioritized for
a return to housing based on their vulnerability score.
For many years, the homeless serving agencies that partner through Weld's Way Home
have assisted older adults experiencing homelessness with basic needs such as
overnight sheltering, obtaining identification, meals, and more. For instance, during the
current 2018-2019 cold weather, 20% of the guests staying at the Housing Navigation
Center cold weather overnight shelter have been age 55 or older. Additionally, since its
founding in February 2016, the Northern Colorado Continuum of Care Coordinated
Assessment and Housing Placement System has helped dozens of older adults move
into and maintain their housing. While it is intolerable that anyone aged 60+ should lose
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their housing and find it necessary to live out of doors or in a vehicle, the homelessness
response and homelessness prevention system in Weld County is available to assist
older adults in this most difficult of circumstances.
During the upcoming 4 -year plan period, the AAA is interested in understanding the
homelessness issue as it impacts older adults in Weld County and exploring what role,
if any, the AAA may have in the homelessness and/or affordable and accessible
housing arena.
14. What plans, if any do you have to measure the effectiveness, efficiency, outcomes of
your programs and services?
Client satisfaction surveys are completed for all contracted and internal services (except for the
Information and Assistance program). For evidence -based wellness programs, formal and
informal fidelity visits are conducted to monitor to assure that the standard of the classes is
maintained. For many of the classes pre- and post -assessments are completed to identify
changes in behavior and health status.
We are always evaluating and reviewing our internal program processes to assure that we are
as efficient and effective as possible. The Senior Nutrition program staff will explore
implementing the LEAN strategy in 2019-2020 to evaluate and streamline the senior nutrition
program and site operations.
We remain open to new means to measure effectiveness, efficiency, and outcomes for all of
programs and services. We will continue to attend conferences and workshops that may
present new methods and/or idea that address all these key issues.
SECTION VII: TITLE III/VI COORDINATION
This section does not apply to Weld AAA since we do not have the Title VI Native Americans
program in our region.
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SECTION VIII: ATTACHMENTS
Attachment A: Direct Service Waiver Request
We hereby request approval of a Waiver to provide the direct services listed below.
1. Chore Program
2. Congregate Meal Program
3. Evidence -Based Wellness Programs
4. In -Home Services -Homemaker and Personal Care
5. Information and Assistance
6. Material Aid: Dental and Vision, and Hearing Program
7. National Family Caregiver Program
Direct Service Waiver Request: Program Information
Direct Service Program: Chore Program
Organizational Structure and Delivery System:
The Chore Program has been housed within the Weld County AAA since its inception. The
Chore Program is managed by the Caregiver Coordinator, who also manages the National
Family Caregiver Program. The Chore Program is a voucher program that allows the client to
use the vendor of their choice.
Direct Service Program: Congregate Meal Program
Organizational Structure and Delivery System:
The Congregate Meal Program has been housed in part within the AAA since 1980. The
manager of the program, a registered dietitian, and additional administrative staff coordinate
the program. The Weld County AAA purchases all prepared meals from the University of
Northern Colorado and the meal transportation service is provided by another community -
based provider. There are twenty-three (23) meal sites located throughout Weld County in a
variety of community settings. A team of volunteers facilitates the meal service at each meal
site. See a full description of the program within the Four -Year Plan document.
Direct Service Program: Evidence -Based Wellness Programs
Organizational Structure and Delivery System:
The Evidence -Based Wellness Program has been managed internally since the designation of
Part D of the Older Americans Act. The program is managed by the Wellness Coordinator who
oversees the program and volunteers. The Weld County AAA currently offers multiple
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evidence -based programs under the name Weld Aging Well. The programs are: A Matter of
Balance, Stanford's Chronic Disease Self -Management Program and Diabetes Self -
Management Program, Powerful Tools for Caregivers, the Strong Women Program, Tai Chi:
Moving for Better Balance, Stress Busters, and Tomando Control de su Salud.
Direct Services Program: In -Home Services: Homemaker and Personal Care Program
Organizational Structure and Delivery System:
Historically, the Homemaker and Personal care program was provided by one community
home health care provider. In the last two years, the AAA moved away from a one provider
program system to a voucher program. An internal staff member, the Community Services
Coordinator, coordinates the program and completes all client evaluations, approvals, the
invoice process, etc. Clients are provided a list of approved home health care agencies from
which they can obtain services. Each of the home health care agencies has a contract with the
AAA. Currently nine agencies are participating in the program.
Direct Service Program: Information and Assistance/ Aging and Disability Resources for
Colorado
Organizational Structure and Delivery System:
The Information and Assistance (I&A) Program has been managed internally since its
inception over ten years ago. These positions are funded by State Funds. The Information and
Assistance Coordinator (full time) and two additional staff members (approximately 50% of
their time) provide l&A services. All program staff are supervised by the Community Outreach
Manager. In addition to l&A, the full-time staff member also coordinates the Aging and
Disability Resources for Colorado (ADRC), as well as, the Grandparents Raising
Grandchildren Program under Part E.
Direct Service Program: Material Aid (Dental, Vision, and Hearing Program) and Visually
Impaired Program
Organizational Structure and Delivery System:
The Community Resources Coordinator manages the Dental, Vision, and Hearing Program
and the Visually Impaired Program. Both programs are run as a voucher program, which
allows the client to use a vendor of their choice. The Dental, Vision, and Hearing Program has
been an internal program for over fifteen years. The Visually Impaired Program was added in
FY 15 and for efficiency was added to the duties of the Community Resources Coordinator.
The Community Resources Coordinator also provides Information and Assistance services.
Direct Service Program: National Family Caregiver
Organizational Structure and Delivery System:
The National Family Caregiver Program has been managed internally since the initial funding
of Part E of the Older Americans Act. The Caregiver Coordinator manages the voucher respite
program and provides information and assistance to caregivers. This coordinator also
manages the Chore Voucher Program.
37
Attachment B: Senior Nutrition Site Locations
Site Name/Address
Meal Site Coordinator
Phone/Fax/Email Address
Which
Program(S)
Operate Out
of This Site?
Is This Site A
Central or
Commissary
Kitchen?
Are Meals
Prepared
on Site?
If Meals Are
Not
Prepared on
Site Where
Are They
Transported
From?
Which Meal Is Served/Delivered
Each Day?
Days of
The
Week
C-1
Meals
Are
Served
Days of
The Week
C-2 Meals
Are
Delivered
N/A for
Weld
C-1
C-2
YES
NO
YES
NO
BREAKFAST
LUNCH
DINNER
Birchwood Apartments
X
X
X
UNC
X
M, W, F
2830 W 27th St Lane
Greeley, CO 80634
Elizabeth Renfro
970-308-7859
Fax: n/a
Email: n/a
Broadview Apartments
X
X
X
UNC
X
T, Th
2915 W. 8th St
Greeley, CO 80634
Frances McKay
970-356-5864
Fax: n/a
Email: n/a
Carbon Valley Recreation
Center
X
X
X
UNC
X
T, Th
701 5th St
Frederick, CO 80550
Lee Athmann
303-833-3660
Fax: 303-833-7068
athmannlj@yahoo.com
Eaton Area Community
Center
X
X
X
UNC
X
W
38
1675 3r° St
Eaton, CO 80615
Bryan Kentfield
970-454-1070
Fax: n/a
bryankentfield@eaprd.com
Erie Recreation Center
X
X
X
UNC
X
Th
450 Powers St
Erie, CO 80516
Cindy Hickman
303-926-2795
Fax: 303-828-0661
chickman@erieco.gov
Evans Community Center
X
X
X
UNC
X
T, F
1100 37th St
Evans, CO 80620
Dorothy Hoff
970-475-1132
Fax: 970-330-3472
bgrauberger@ci.evans.co.us
Fort Lupton Recreation
Center
X
X
X
UNC
X
M
203 S. Harrison Ave
Fort Lupton, CO 80621
Laura Kudma
303-857-4200 x 186
Fax: 303-857-6421
ikudrna@fortlupton.org
Greeley Manor
X
X
X
UNC
X
M, W, F
1000 13th St
Greeley, CO 80631
Gail Cooper
970-356-5489
Fax: n/a
39
Email: n/a
Greeley Active Adult Center
X
X
X
UNC
X
M, W
Dinner in
the
summer
1010 8th St
Greeley, CO 80631
Doris Gilreath
970-350-9440
Fax: 970-350-9898
Tiffany.skoglund@greeleygov.com
Greeley Senior Housing
X
X
X
UNC
X
M,Th
1717 30th St
Greeley, CO 80631
Rita Blatter
970-395-0822
Fax: n/a
Email: n/a
Hill N Park
X
X
X
UNC
X
W
4205 Yosemite Drive
Greeley, CO 80634
Sharon Strausser
970-330-8619
Fax: n/a
seniors2222@gmail.com
Johnstown Community
Center
X
X
X
UNC
X
W
101 W. Charlotte
Johnstown, CO 80534
Shirley Newsom-Gamez
970-587-5251
Fax: 970-587-0141
sgamez@bajabb.com
Kersey Senior Center
X
X
X
UNC
X
T, Th
415 1 St
Kersey, CO 80644
40
Adella Andrijeski
970-352-8394
Fax: 970-353-2197
recreation@ci.kersey.co.us
LaSalle Community Center
X
X
X
UNC
X
T
Proposed
additional
meal for
Thu
101 Todd Ave
LaSalle, CO 80645
Victoria Perez
970-284-0900
Fax: 970-2846483
vperez@lasalletown.com
Lochbuie Senior Center
X
X
X
UNC
X
T
501 Willow Drive
Lochbuie, CO 80603
Nancy Kauffroath
303-659-8262
Fax: 303-659-8979
afterglows501 @skybeam.com
Mead Community Center
X
X
X
UNC
X
Th
441 3rd St
Mead, CO 80542
Janet
Torres
970-535-4477
Fax: 535-0548
curriecaboose@gmail.com
Milliken Community Center
X
X
X
UNC
X
M, F
1101 Broad St
Milliken, CO 80543
Kathy Kindsfather
970-660-5040
Fax: 970-587-2678
41
klaindsfatheri@millikenco.gov
Nunn Senior Center
X
X
X
UNC
X
Th
775 3rd St
Nunn, CO 80648
Cheryl Vogel
970-897-2459
Fax: 970-897-2459
cherylvogel@yahoo.com
Pierce Senior Center
X
X
X
UNC
X
Th
Proposed
additional
meal M or
T
221 Main Ave
Pierce, CO 80650
Dixie Hansen
970-834-2655
Fax: n/a
dhbh415@msn.com
Platteville Senior Center
X
X
X
UNC
X
M
508 Reynolds
Platteville, CO 80651
Dinner in
the
summer
Christy Landry
970-785-2245 x 1106
Fax: 970-785-2476
dandry@plattevillegov.org
Rodarte Center
X
X
X
UNC
X
Th
920 A St
Greeley, CO 80631
Vicky Medina
970-350-9430
Fax: n/a
Email: n/a
Wattenberg Community
Building
X
X
X
UNC
X
T
42
1917 Grace Ave
Fort Lupton, CO 80621
John Venegas
303-854-8349
Fax: 303-857-6421
Ivwasc@yahoo.com
Windsor Community Center
X
X
X
UNC
X
W, F
Proposed
additional
meal on
T
250 N. 11th St
Windsor, CO 80550
Jay Eckhardt
970-674-3500
Fax: 970-674-3535
jeckhardt@windsorgov.com
43
Attachment C: Community Focal Points and Senior Centers
CHECK IF FACILITY IS:
CHECK IF LOCATION SERVES:
CENTER NAME
ADDRESS, CITY, ZIP CODE
PHONE NUMBER CONTACT
EMAIL
A
FOCAL
POINT
A
SENIOR
CENTER
FUNDED
THROUGH
TITLE III -B
PREDOMINANTLY
LOW-INCOME
ELDERLY
PREDOMINANTLY
LOW-INCOME
MINORITY ELDERLY
1.
Ault Senior Center
x
PO Box 1338
Ault, CO 80610
970-834-1325
Pat Farmer
Email:n/a
2.
Carbon Valley Recreation Center
x
x
701 5th St
Frederick, CO 80550
303-833-3660
Alex Cox
Acoxl cvord.com
3.
Erie Community Center
x
x
4450 Powers Street
Erie, CO 80516
303-926-2795
Cindy Hickman
chickman(a>terieco.00v
4
Evans Community Center
x
x
1100 37th Street
Evans, CO 80620
970-339-5344 x 132
Dorothy Hoff
bgrauberger@ci.evans.co.us
5
Ft. Lupton Community Center
x
x
203 S Harrison Avenue
Ft. Lupton, CO 80621
303-857-4200 x 112
Linda Kudrna
Ikudrna(difortluoton.orq
6.
Greeley Active Adult Center
x
x
1010 6th Street
Greeley, CO 80631
970-350-9440
Tiffany Skoglund
tiffanv.skoglundt Greelevaov.com
44
7,
Hill N Park
x
x
4205 Yosemite Place
Greeley, CO 80634
970-330-8619
Sharon Strausser
seniors2222Ca omail.com
8.
Johnstown Community Center
x
101 W Charlotte
Johnsontown, CO 80534
970-587-5251
Shirley Newsom-Gamez
sgamezabalabb.com
9.
Kersey Senior Center
x
415 1st Street
Kersey, CO 80644
970-352-8394
Adella Andrijeski
recreationeci.kersev.co.us
10.
LaSalle Community Center
x
101 Todd Avenue
LaSalle, CO 80645
970-284-0900
Victoria Perez
recreation. lasalIe(comcast.net
11.
Lochbuie Senior Center
x
x
501 Willow Drive
Lochbuie, CO 80603
303-659-8262
Nancy Kaufroath
afterolows501l skvbeam.com
12.
Mead Community Center
x
441 34rd Street
Mead, CO 80542
970-535-4477
Janet Torres
janettorres(5 townofinead.orq
13.
Milliken Community Center
x
1101 Broad Street
Milliken, CO 80543
970-587-0671
Kathy Kindsfather
kkindsfathernmiliikenco.gov
45
14.
Nunn Senior Center
x
775 3rd Street
Nunn CO 80648
970-897-2459
Cheryl Vogel
chervlvocielc vahoo.com
15
Pierce Senior Center
x
221 Main Avenue
Pierce, CO 80651
970-834-2655
Dixie Hansen
dhbh415l msn.com
16.
Platteville Community Center
x
508 Reynolds
Platteville, CO 80651
970-785-2245 x 1106
Christy Landry
clandrvt olatteviIleaov.orq
17.
Windsor Community Center
x
x
250 N 11th Street
Windsor, CO 80550
970-674-3515
Jay Eckhardt
jeckhardtCalwindsoroov.com
46
Attachment D: Regional Advisory Council Membership
NAME
ORGANIZATION AFFILIATION
Mary Achziger
Community
LeAnne Bodine
Community
Nancy Culbreath
Community
Bruce Fitzgerald
Community
Juliet Fried
Community
George Heath
Community
Ron Heil
Community
Scott James
Weld County Commissioner
Mary Jones
Community
Larry Matson
Community
Ken Norem
Community
James Riesberg
Community
Joan Schulz
Community
Teresa Schunter
Community
Roberta Speyer
Community
Katherine Swafford
Community
David Villagran
Community
Please indicate on the chart below how many members are low income, minority, or over 60
LOW-INCOME
MINORITY
60 +
0
0
18
47
Attachment E: Statement of Intent
The Area Plan
is hereby submitted for
Weld County Area Agency on Aging
Region
For the period July 1.2019 through June 30.2023
This Area Plan includes all assurances plans under provisions of the Older Americans Act during the
period identified. The Area Agency on Aging identified above shall assume full t to develop
and administer the Area Plan in accordance with the requirements of the Older Americans Act and
related State regulations and 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 four-year area 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.
BOARD OF COUNTY
COMMISSIONERS
COUNTY, COLOARDO
AGI
Ke
OUNTY AREJrt AGENCY
Y BOARD
sNOY ON
Attach
Fo Focus Group Schedu
Date
e
The Power of Voice!
The Weld County Area Agency on Aging invites
you to participate lin a Focus Group.
Are you interested in the future of your aging co mu it
Do .you care What your community has to offer as you age?
Come have a conversation with us and share your isd n
of the future, what you enjoy about aging welt and
'Mat you might need in order to age wet
llt_
Yo
Time
r input help p shape the Wel ► cu rte Four Year Plan_
Lotation
Address
f
July 19
July 24
ally 25
August
August 7
August 8
August 16
August .20
August
1:30 pm
10:00 am
1:30 !pm
:00 pm
1_:30 pm
1:00 pm
1:2.30 pm
1.00 pm
1_00. pm
12:30
Providers
July 18 2:00 pm
August 17 10:00 am
rahZcNa 4 Nottlo{at 'tip,
...Aid Cuuv:r .'iILL :tvc.:II /403
3
+ Ir foil. l Vallhey Active Adult Center
Jhoe P Martinez Gardens
Ault Sen6or Center
i► mst►n wi n Senior Center
Fort Lupton Recreation Center
Wattenb'ei gSeniors
Wilndsc,r Ccmm'i. fifty Center
rile Community Center
Greeley .Active Mutt Center
� I lll-wit-Pa Senior Center
Carbon Valley Regional Library
reid County Adrrain Building
6615 Frederick Way., Frederick
17012 St, Greeleir
2041' St; Ault
101.w. Charlotte St:.. iohnstoure:
203 S Harrison Ave..: Fort Lupton
1958 Grace Ave_., Fort LJaptotn.
250 riq irb St„ Windsor
450 Powers St, Erie
101W Ch St_,, Greeley
4205 Yosemite Cr-r Greeley
7 ParParik Alta., Firestone
1150 0 Street Greeley
Call the Area: Agency on Aging for more
information at MD) 400-6200
Attachment G: FocusGroup Questions for
Idler Adults
Weld Countyyg{{ Area Agency on Aging
A zttn ! Advocacy Answers cri Aging
2O18Focus Group Questions for Weed Comfy Older Adults
I. What's better about your lite as you age?
7. What's more di
[tut for you as you age?
err Are ,you currently using supportive eMcesto stay
services?
What. services `o you think yo might need
n your h
.Ire€e? lf yes" whSt kinds of
in the next 4-5 years to stay in your home?
S. How did you fund or get connected .to that su
future?
6. How doNfoSu1H d
resources?
ppor ive se :gee or how would you in. the
you prefer to access/receive information about agiing servicesor
7r What is t #1thing your communes could do to .suppo≥rt you in ;aging well?
E
S. What do ' currently enjoy/or w positive things, .are happening in your commun
Sr Have you heard about any successfugcreativelinnovative rises or prow inother
areas that you would lade to see here in Wd.d Coun
ICI Five r s from now,. + where do you see yourself Hu ur 1 and
why?
_sc am H: Focus Group uestions
r Service Providers
dtd Cumraty Alta Ag ricy cit Aging.
AlstitanceA Advocacy AYISVICr5: on Aging
.018 Focus 'Group Questions for Weld ou Service Providers
ers
L, How .do oil
der adults find out about: your sates in the c -o un
. Where do you see gaps in senor services or Were can improvements in. services be,
made in the community?
3. Do any of the above gaps 'hinder your effectiveness in providing services to seniors?
„ Who do you think in this cc mniiu
nderserved and why?
5. '+'mst additional services would you Mato see in the community (consider
achievable/Creative on :a: callevel)?
6. What did we NOT ask that we. should have?
Hello